Herb Formulas Notebook

Zhi Zi Da Huang Tang

Gardenia and Rhubarb Decoction


Author: Zhang Zhong-Jing, 張仲景

Year: c. 220

Source: Essentials from the Golden Cabinet (Jin Gui Yao Lue, 金匱要略)


Category: Formulas that Clear Heat

Pattern: Jaundice from Heat accumulating in the Interior due to improper diet during convalescence or excessive consumption of alcohol.

Key Symptoms: Jaundice with distress and irritability, or relapse of fever and constipation after illness.
Secondary Symptoms: Sometimes accompanied by generalised pain.


Ingredients

Zhi Zi 9-12g
Dan Dou Chi 9-12g
Zhi Shi 6-9g
Da Huang 3g


Preparation: Decoction.


Actions: Clears Heat, alleviates irritability, unblocks the bowels and reduces accumulation.



Notes:
One liang is taken as 3g in modern sources but in Eastern Han times it was equivalent to 13.875g. This means that the dosages in classical formulae could have been more than 4x what is given today making them far higher than recommended safe dosages today but prompts consideration of what an effective dose may be (He, 2013).



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These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.