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Knowledge baseFormulas

Gui Zhi Er Ma Huang Yi Tang桂枝二麻黄一汤

Ephedra and Double Cinnamon Decoction

Also known asMa Huang and Double Cinnamon Combination

Medicinals
7

Composition

  • Gui ZhiRam. Cinnamomi32 g

    Releases the exterior, adjusts the Ying and Wei, warms the channels and collaterals to relieve pain, disperses Cold, unblocks Yang, transforms Qi and releases the muscle layer.

    • Bai Shao
    harmonizes the Ying and Wei and warms and tonifies the Middle Jiao.
  • Bai ShaoRx. Paeoniae Alba30 g

    Astringes the Yin and adjusts the Ying and Wei.

  • Ma HuangHb. Ephedrae8 g

    Strongly promotes diaphoresis, relieves the Exterior, disperses Lung Qi, promotes urination and expels Cold.

    for Wind-Cold Excess with fever, chills and anhidrosis and Wind-Cold-Damp Bi.
    for cough and wheezing due to Wind-Cold Attacks the Lungs.
  • Xing RenSm. Armeniacae10 g

    Disperses Lung Qi, resolves Phlegm and stops cough and wheezing.

    • Ma Huang
    • Zhi Gan Cao
    for cough with profuse sputum, nasal obstruction and a hoarse voice.
  • Sheng JiangRz. Zingiberis Recens30 g

    Helps release the exterior, treats nausea and vomiting. strengthens the spreading and mobilizing actions of the other herbs and adjusts the Ying and Wei.

    • Zhi Gan Cao
    harmonizes and regulates the Spleen and Stomach.
    regulates disharmony between the Ying and Wei. and benefits the Middle Qi.
  • Da ZaoFr. Zizyphi Jujube10 g

    Helps Bai Shao regulate the Ying and Wei.

    tonifies and harmonizes the Middle Jiao.
  • Zhi Gan CaoRx. Glycyrrhizae Preparata2–6 g

    Resolves Phlegm, stops cough, clears Heat and moderates and harmonizes the harsh properties of the other herbs.

Actions

  • Disperses Wind-Cold lodged within the muscle layer
  • Adjusts the balance between the Ying and Wei
  • Promotes perspiration

Patterns treated

Tai Yang Stage complicated by mild Shao Yang-type manifestations

Manifestations

  • Chills and fever that alternate
  • More pronounced chills
  • Fever occurring more frequently than chills
  • Absence of sweating
  • Daily recurrence of chills and fever
Tongue body
Pale, or alternatively Pink in color
Coating
White in color
Pulse
Slow and tight in quality, or alternatively Slow and soft

Indications

  • Ordinary colds
  • Bronchial inflammation
  • Febrile illness
  • Infections affecting the upper airway
  • The flu
  • Itching of the skin
  • Lung infection (pneumonia)