HERB FORMULAS

BAI HU JIA REN SHEN TANG - 白虎加人參湯 - WHITE TIGER PLUS GINSENG DECOCTION - GINSENG AND GYPSUM COMBINATION

English: White Tiger plus Ginseng Decoction
Also Known As: Ginseng and Gypsum Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Gypsum Fibrosum Shi Gao 15-30g Clears Heat in the Qi Stage, drains Fire, relieves irritability, quenches thirst, clears Excess Heat from the Lungs and clears Blazing Stomach Fire.
With Zhi Mu, clears Heat from the Lungs and Stomach to alleviate irritability, moisten dryness, and enrich Yin.
With Zhi Mu, Gan Cao and Jing Mi, for Heat in the Qi or Yang Ming Stage.
With Ren Shen, for excessive Heat with Qi Deficiency.
(Hb. Dendrobii) (Shi Hu) (15-30g) (May substitute for Shi Gao.)
Rz. Anemarrhenae Zhi Mu 5-12g Clears Heat from the Qi Stage, from the Lung and from the Stomach, nourishes Yin, moistens Dryness, generates fluids, clears Deficiency Fire and quenches thirst.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 2-6g Tonifies the Spleen, augments Qi, moistens the Lungs, resolves Phlegm, stops cough, clears Heat, relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs.
With Jing Mi, benefits the Stomach, protects fluids, and prevents the extremely Cold properties of the other herbs from injuring the Middle Jiao.
(Rx. Glycyrrhizae) (Gan Cao) (2-6g) (May substitute for Zhi Gan Cao for its ability to generate fluids and quench thirst.)
Fr. Oryzae Geng Mi 8-30g Tonifies Qi and Yang, stops restlessness, generates fluids, stops thirst and tonifies the Lungs, Spleen and Intestines.
Rx. Ginseng Ren Shen 3-9g Tonifies Qi, generates fluids and stops thirst.
With Shi Gao and Zhi Mu, for Heat injuring the Qi and Yin fluids with fever, irritability, intense thirst and profuse sweating.
(Rx. Quinquifolii) (Xi Yang Shen) (3-9g) (May substitute for Ren Shen.)

FORMULA ACTIONS

  • Clears Qi-Stage Heat
  • Drains Stomach Fire
  • Generates Fluids
  • Alleviates thirst
  • Nourishes Qi

SYNDROMES

  • Yang Ming Jing with Qi and Body Fluid Deficiency
  • Qi-Stage Heat with Qi and Body Fluid Deficiency
  • Injury to Qi and Fluids due to Summerheat, vomiting or purgation

CLINICAL MANIFESTATIONS

  • High fever
  • Profuse sweat
  • Generalized weakness
  • Severe chills
  • Aversion to Heat
  • Red face
  • Red eyes
  • Severe thirst
  • Thirst may be unquenchable
  • Irritability
  • Anxiety
  • Pruritis
  • Headache
  • Toothache
  • Gum bleeding
  • Epistaxis
  • Dry lips
  • Dry tongue
  • Dry mouth
  • May be sensitive to Cold in the upper back
  • Polyuria
  • Delusions
  • Eye congestion
  • Burning sensation on the skin
  • Itching skin
  • Abdominal fullness without resistance
  • Dry, course skin
  • Listlessness
  • May be heavy labored breathing
  • Delirious speech (serious cases)
  • Mania (serious cases)
  • T: Red tip and sides
  • C: Yellow, dry or white
  • P: Large and forceless

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • True Cold and false Heat manifesting fever with a desire for warmth, no desire to drink, agitated movements of the limbs in an otherwise subdued patient with flooding, weak pulse.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For fidgeting, irritability and thirst: For thirst during the summer:
+ Rx. Ophiopogonis Mai Men Dong + Rz. Cyperi Xiang Fu
+ Fr. Schisandrae Wu Wei Zi + Rx. Glehniae/ Adenophorae Sha Shen
For dispersing and clearing Summerheat:
+ Flos Lonicerae Jin Yin Hua For Dampness:
+ Fr. Forsythiae Lian Qiao + Hb. Agastaches Huo Xiang
+ Hb. Lophatheri Dan Zhu Ye + Hb. Eupatorii Pei Lan
For Summerheat Attacking the Wei and Qi Stages: For Liver Wind:
+ Cornu Saigae Tataricae Ling Yang Jiao
+ Hb. Moslae Xiang Ru
+ Sm. Sojae Preparatum Dan Dou Chi + Ram. cum Uncis Uncariae Gou Teng
+ Fr. Forsythiae Lian Qiao
For Summerheat injuring the Qi and Fluids: + Flos Chrysanthemi Ju Hua
+ Lophatheri and Gypsum Decoction
Zhu Ye Shi Gao Tang
+ Periostracum Cicadae Chan Tui
For AIDS/HIV/ARC due to Qi Deficiency with Yang Ming Fu:
   
    - Rx. Glycyrrhizae Preparata Zhi Gan Cao
   
    - Fr. Oryzae Geng Mi
    + Rx. Glycyrrhizae Gan Cao
    + Flos Lonicerae Jin Yin Hua
    + Indigo Naturalis Qing Dai
    + Poria Fu Ling
    + Bul Fritillariae Cirrhosae Chuan Bei Mu
   
    + Per. Citri Reticulatae Chen Pi
    + Cx. Mori Sang Bai Pi
    + Rx. Scutellariae Huang Qin