HERB FORMULAS

BAI HU GUI ZHI TANG JIA WEI - 白虎桂枝湯加味 - MODIFIED WHITE TIGER PLUS CINNAMON TWIG DECOCTION

English: Modified White Tiger plus Cinnamon Twig Decoction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Gypsum Fibrosum Shi Gao 30g Clears Heat, drains Fire.
With Zhi Mu, clears Heat from the Lungs and Stomach to alleviate irritability, moisten Dryness, and enrich Yin.
Rz. Anemarrhenae Zhi Mu 9g Clears Heat from the Qi Stage, Lung and Stomach, nourishes Yin, moistens Dryness and generates fluids.
With Huang Bai, clears Heat and drains Fire for Yin Deficiency Fire.
Fried Rx. Glycyrrhizae Zhi Gan Cao 3g Tonifies the Spleen and augments Qi and Moderates and harmonizes the properties of other herbs.
With Geng Mi, benefits the Stomach, protects fluids and prevents the extremely cold properties of the other herbs from injuring the Middle Jiao.
Fr. Oryzae Geng Mi 8-30g Tonifies Yang, tonifies Qi , stops restlessness, generates fluids and stops thirst.
Ram. Cinnamomi Gui Zhi 4-9g 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.
Cx. Phellodendri Huang Bai 9g Drains Damp-Heat especially from the Lower Jiao.
Rz. Atractylodis Cang Zhu 9g Strongly dries Dampness, tonifies the Spleen, induces sweating and expels Wind-Dampness.
With Shi Gao, for Warm-Damp febrile disease with fever, profuse sweating and generalized body aches.
With Huang Bai, for pain, swelling, and weakness of the lower extremities or skin lesions due to Wind-Dampness.
Rz. Arisaematis Preparatum Zhi Tian Nan Xiang 6g Dries Dampness, expels Phlegm, reduces swelling and alleviates pain.
With Cang Zhu, for Wind-Damp painful obstruction.

FORMULA ACTIONS

  • Resolves Dampness
  • Clears Heat
  • Disperses Wind
  • Stops pain
  • Activates the Blood
  • Tonifies Qi

SYNDROMES

  • Wind-Damp-Heat Bi

CLINICAL MANIFESTATIONS

  • Generalized body aches and pains
  • Joint swelling, pain and heaviness
  • Restricted movement
  • Irritability
  • Heavy sensation in the shoulder and back
  • Discomfort or a constricted sensation in the area of the chest and diaphragm
  • Redness of the affected joints
  • Affected joints are burning hot to the touch
  • symptoms are better with cold
  • Multiple sores, carbuncles furuncles or abscesses
  • Itching
  • Persistent swelling
  • Chest pain
  • Maybe vomiting
  • Fever
  • Sweating
  • Aversion to Wind
  • Thirst, may not have a desire to drink
  • Aching and painful extremities
  • Unbearable swelling and pain of the lower extremities
  • Shoulder stiffness
  • Short, reddish urination
  • T: Normal or Red
  • C: Greasy and slightly yellow
  • P: Wiry and rapid or Soft and moderate or Soft, superficial and slow or Slippery and rapid or Deep and tight

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For persistent constipation with a high fever: For a persistent high fever without constipation:
+ 9g Rx. et Rz. Rhei Da Huang + 15g Caulis Lonicerae Ren Dong Teng
+ 9g Natrii Sulfas Mang Xiao + 15g Hb. Taraxaci Pu Gong Ying
For alternating fever and chills: + 15g Hb. Violae Zi Hua Di Ding
+ 9g Rx. Bupleuri Chai Hu For joint swelling:
+ 9gm Rx. Scutellariae Huang Qin + 9g Rz. Alismatis Ze Xie
For red maculae on the affected joints: + 9g Rx. Stephaniae Tetrandrae Han Fang Ji
+ 12g Rx. Rehmanniae Sheng Di Huang
+ 12g Rx. Paeoniae Rubra Chi Shao + 5g Caulis Akebiae Mu Tong
For severe pain:
+ 12g Rx. Salviae Miltiorrhizae Dan Shen + 9g Pheretima Di Long
+ 15g Cx. Erythrinae Hai Tong Pi
+ 12g Cx. Moutan Mu Dan Pi + 15g Caulis Sargentodoxae Hong Teng
For severe thirst:
+ 12g Rz. Phragmitis Lu Gen For pain in the upper limbs:
+ 12g Rx. Trichosanthis Tian Hua Fen + 9g Ram. Mori Sang Zhi
With Qi and Blood Deficiency: For pain in the lower limbs:
+ 15g Rx. Astragali Huang Qi + 9gh Fr. Chaenomelis Mu Gua
+ 9g Rx. Codonopsis Dang Shen With Liver Qi Stagnation transforming into Heat:
+ 9g Rx. Angelicae Sinensis Dang Gui + 12g Fr. Gardeniae Zhi Zi
+ 9g Cx. Moutan Mu Dan Pi