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Knowledge baseFormulas

Gua Lou Gui Zhi Tang栝楼桂枝汤

Trichosanthis and Cinnamon Twig Decoction

Medicinals
6

Composition

  • Tian Hua Fen (Gua Lou Gen)Rx. Trichosanthis6 g

    Drains Lung Heat, transforms Phlegm, moistens Lung Dryness and generates Fluids

  • Gui ZhiRam. Cinnamomi9 g

    Releases the Exterior, assists Yang, adjusts the Ying and Wei, releases the muscle layer and warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels.

  • Bai ShaoRx. Paeoniae Alba9 g

    Nourishes the Blood, astringes Yin and adjusts the Ying and *Wei.*

    for muscle spasms, pain and numbness due to Blood Deficiency.
    harmonizes the Ying and Wei in Tai Yang Zhong Feng.
  • Gan CaoRx. Glycyrrhizae6 g

    Moderates spasms, alleviates pain, moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels.

  • Sheng JiangRz. Zingiberis Recens9 g

    Releases the Exterior, induces perspiration, disperses Cold, adjusts the Ying and Wei and normalizes the flow of Qi at the center.

    for External Wind-Cold.
    harmonizes the Ying and Wei to drive out pathogens.
  • Da ZaoFr. Jujube36 g

    Nourishes the Blood, calms the Spirit and moderates and harmonizes the harsh properties of other herbs.

    adjusts the Ying and Wei for treatment of Tai Yang Zhong Feng.

Actions

  • Disperses Wind-Cold lodged in the muscle layer
  • Softens and hydrates the sinews
  • Harmonizes Ying and Wei

Patterns treated

  • Wind-Cold assailing the Exterior together with a Deficiency of Ying and Wei, marked by stiffness and pain of the neck and shoulder
  • Tai Yang Zhong Feng presenting with stiffness and pain across the neck and shoulder

Manifestations

  • Rigidity and soreness in the neck
  • Restricted ability to turn the head side to side
  • Chills and fever that sweating fails to relieve
  • Weakened resistance of the body
  • Sweating that occurs without exertion
  • Inflammation of the nasal passages
  • Possible generalized body aching
  • Non-productive retching
  • Pain in the head
  • Marked rigidity and tension in the muscles of the neck and back
  • Intolerance of Wind exposure
  • Blocked nasal passages
  • Absence of thirst
Tongue body
Unremarkable
Coating
Moist, white coating
Pulse
Floating combined with moderate, or floating combined with weak, or a slow pulse

Indications

Rigidity of the neck

Modifications

  • When neck stiffness is present