Herb Formulas Notebook

Gua Lou Xie Bai Ban Xia Tang

Trichosanthes Fruit, Chinese Garlic and Pinellia Decoction

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Source: Essentials from the Golden Cabinet (c. 220)
Author: Zhang Ji / Zhong-Jing

Category: Formulas that Regulate Qi

Pattern: Lack of chest Yang causing severe formation of Phlegm and blockage, or Cold chest Bi with thin mucus

Key Symptoms: Severe pain the chest that often radiates to the upper back and prevents the patient from being able to lie down comfortably, wheezing, cough with copious sputum, shortness of breath

Tongue: Thick, greasy coating
Pulse: Submerged or wiry and tight

Gua Lou 12g
Xie Bai 9g
Ban Xia 9-12g
Bai Jiu 30-60ml

Preparation: Decoction. Often prepared with equal amounts of wine and water although the original version called for 1 piece of Gua Lou, 1/2 Sheng of Xie Bai (about 100ml) and 7 Sheng of Bai Jiu (1.4L), decocted together until 2 Sheng (400ml) remain.

Actions: Unblocks the Yang, promotes the movement of Qi, expels Phlegm

This is the same presentation as that for Goa Lou Xie Bai Bai Jiu Tang but with more severe symptoms.

Research Links:
Science Direct
Google Scholar
Journal of Chinese Medicine
American Dragon

Reference Notes: (click to display)

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