Herb Formulas Notebook

Gui Zhi Gan Cao Long Gu Mu Li Tang

Cinnamon Twig, Licorice, Dragon Bone and Oyster Shell Decoction


Author: Zhang Zhong-Jing, 張仲景

Year: c. 220

Source: Discussion of Cold Damage (Shang Han Lun, 傷寒論)


Category: Formulas that Stabilise and Bind

Pattern: Disorder of Heart Yin and Yang causing the Shen to float upward

Key Symptoms: Restlessness, irritability, spontaneous sweating, palpitations


Ingredients

Gui Zhi 3g
Zhi Gan Cao 6g
Long Gu 6g
Mu Li 6g

Subsitutions:
In the UK several of the chief ingredients need to be substituted. Standard substitutions from Mayway are:

Long Gu == Bai Shao + Wu Wei Zi
Mu Li == Xuan Shen + Bai Shao + Wu Wei Zi.

Some other alternatives could include Fu Xiao Mai or Zhi Zi Dan Dou Tang.

If calcium deficiency is suspected to be the rationale for using Long Gu + Mu Li then supplementation may advisable.


Preparation: Decoction.


Actions: Unblocks the Yang, benefits the Yin, calms the Shen, eliminates irritability



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).



Research Links:



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.