Herb Formulas Notebook

Gui Zhi Jia Fu Zi Tang

Cinnamon Twig Decoction plus Aconite

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Source: Discussion of Cold Damage (c. 220)
Author: Zhang Ji / Zhong-Jing

Category: Formulas that Release the Exterior

Pattern: Taiyang stage Wind-Cold or Wind attack obstructing the Channels due to Exterior Yang deficiency

Key Symptoms: Incessent sweating, generalised aches and pains, difficulty rotating the trunk, aversion to drafts (including intolerance of open windows and needing to wear a scarf or protective clothing), sweating at any time of day or night (may be spontaneous or triggered by activity, stress or wind), fever or other heat symptoms
Secondary Symptoms: Headache, stiff neck, nasal obstruction, aching and pain in the extremities (especially arms and shoulders), dry heaves, flushing, constipation

Tongue: May have white coating but not always
Pulse: Floating, deficient and rough
Abdomen: Tension in rectus abdominis

Gui Zhi 9g
Bai Shao 9g
Zhi Fu Zi 9g
Zhi Gan Cao 6g
Sheng Jiang 4sl
Da Zao 3-4pc

In the UK Fu Zi must be replaced. Xian Mao and a larger dose of Gui Zhi is probably the most appropriate general substitute.

Preparation: Decoction.

Actions: Releases pathogens from the muscle layer, regulates Ying and Wei

Contraindications: Exterior Cold and interior Heat, or internal Dampness

This is a variation of Gui Zhi Tang for when over induction of sweating leads to damage of the Yang in the Exterior.

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.