HERB FORMULAS

BAI HU GUI ZHI TANG - 白虎加桂枝湯 - WHITE TIGER PLUS CINNAMON TWIG DECOCTION

English: White Tiger Plus Cinnamon Twig Decoction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Gypsum Fibrosum Recens Sheng Shi Gao 20-48g Clears Heat, drains Fire, clears excess Heat from the Lungs, clears Blazing Stomach Fire, nourishes Body Fluids and stops thirst.
With Zhi Mu, for high fever from Wind-Heat, Qi Stage Heat or Yang Ming Heat with irritability and extreme thirst.
Rz. Anemarrhenae Zhi Mu 9-18g Clears Heat, drains Fire, Nourishes Yin, moistens Dryness and generates fluids.
Ram. Cinnamomi Gui Zhi 5-9g Releases external Wind-Cold from the muscle layer, harmonizes the Ying and Wei, warms the channels and collaterals, relieves pain, disperse, Cold, unblocks Yang, transforms Qi, warms and facilitates the flow of Yang Qi in the chest and warms and facilitates the flow of Blood through the vessels.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 3-6g Alleviates pain, and moderates and harmonizes the properties of the other herbs.
Sm. Oryzae Geng Mi 6-30g Tonifies Yang, tonifies Qi, stops restlessness, stops thirst and generates fluids.

FORMULA ACTIONS

  • Clears Heat
  • Generates Fluids
  • Stops pain

SYNDROMES

  • Wind-Damp-Heat Bi
  • Warm malarial disorders with intense Internal Heat and mild External Cold

CLINICAL MANIFESTATIONS

  • Fever maybe high
  • Maybe slight chills
  • Perspiration
  • Nervousness
  • Thirst
  • Irritability
  • Arthralgia involving one or several joints
  • Dry mouth and tongue
  • Localized redness and Heat
  • Swelling of the joints with burning pain
  • Severe limitation of movement
  • Aversion to Heat
  • Restlessness
  • Flushed face
  • Desire for cold drinks
  • Pain worse at night
  • Pain relieved by Cold
  • Occasional vomiting
  • T: Pink or Red
  • C: White or Yellow
  • P: Wiry and rapid or Slippery and rapid or Big and forceful

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For rheumatoid arthritis with Heat predominant: For malarial disorders:
+ Flos Lonicerae Jin Yin Hua + Hb. Artemisiae Annuae Qing Hao
+ Fr. Forsythiae Lian Qiao + Rx. Dichroae Chang Shan
+ Rz. Curcumae Longae Jiang Huang
For Wind-type joint pain:
+ Rx. Clematidis Wei Ling Xian + Caulis Lonicerae Ren Dong Teng
+ Rx. Stephaniae Tetrandrae Han Fang Ji
For Damp-type pain and heaviness:
+ Rz. Atractylodis Cang Zhu
+ Ram. Mori Sang Zhi
For petechiae:
+ Cx. Moutan Mu Dan Pi + Rx. Scrophulariae Xuan Shen
+ Rx. Rehmanniae Sheng Di Huang + Cx. Moutan Mu Dan Pi
+ Fr. Kochiae Di Fu Zi
For scapulohumeral periarthritis:
+ Rx. Paeoniae Rubra Chi Shao + 9g Ram. Mori Sang Zhi
For brachial plexus neuritis: + 9g Ramus Lonicerae Ren Dong Teng
+ 30g Flos Lonicerae Jin Yin Hua + 9g Rz. Curcumae Longae Jiang Huang
+ 12g Cx. Erythrinae Hai Tong Pi
+ 12g Rx. Clematidis Wei Ling Xian + 9g Cx. Phellodendri Huang Bai
+ 12g Cx. Moutan Mu Dan Pi + 6g Caulis Sargentodoxae Hong Teng
+ 12g Rx. Paeoniae Rubra Chi Shao
For brachial plexus neuritis with pain radiating to the back:
+ 10g Fr. Tribuli Bai Ji Li + 30g Flos Lonicerae Jin Yin Hua
For brachial plexus neuritis with pain radiating to the back and arm: + 12g Cx. Erythrinae Hai Tong Pi
+ 30g Flos Lonicerae Jin Yin Hua + 12g Rx. Clematidis Wei Ling Xian
+ 12g Cx. Erythrinae Hai Tong Pi + 12g Cx. Moutan Mu Dan Pi
+ 12g Rx. Clematidis Wei Ling Xian + 12g Rx. Paeoniae Rubra Chi Shao
+ 12g Cx. Moutan Mu Dan Pi
+ 12g Rx. Paeoniae Rubra Chi Shao + 10g Fr. Tribuli Bai Ji Li
+ Rx Puerariae Gen Gen
+ 10g Fr. Tribuli Bai Ji Li + Rz. et Rx. Notopterygii Qiang Huo
+ Rx. Curcumae Yu Jin + Rz. Cibotii Gou Ji
+ Ram. Mori Sang Zhi For brachial plexus neuritis with Dampness:
For brachial plexus neuritis with Yin Deficiency and Fire rising: + 30g Flos Lonicerae Jin Yin Hua
+ 30g Flos Lonicerae Jin Yin Hua + 12g Cx. Erythrinae Hai Tong Pi
+ 12g Cx. Erythrinae Hai Tong Pi + 12g Rx. Clematidis Wei Ling Xian
+ 12g Rx. Clematidis Wei Ling Xian + 12g Cx. Moutan Mu Dan Pi
+ 12g Cx. Moutan Mu Dan Pi + 12g Rx. Paeoniae Rubra Chi Shao
+ 12g Rx. Paeoniae Rubra Chi Shao
+ 10g Fr. Tribuli Bai Ji Li
+ 10g Fr. Tribuli Bai Ji Li + Bombyx Batryticatus Jiang Can
+ Rx. Rehmanniae Sheng Di Huang + Faeces Bombycis Can Sha
+ Rx. Ophiopogonis Mai Men Dong + Sm. Phaseoli Chi Xiao Dou
For shoulder pain: + Sm Coicis Yi Yi Ren
+ 9g Ram. Mori Sang Zhi For rheumatoid arthritis:
+ 9g Caulis Lonicerae Ren Dong Teng
+ two or three of the following:
+ 9g Cx. Phellodendri Huang Bai Caulis Lonicerae Ren Dong Teng
+ 6g Caulis Sargentodoxae Hong Teng Ram. et Fol. Tamaricis Xi He Liu
Rx. Paeoniae Rubra Chi Shao
+ 9g Rz. Curcumae Longae Jiang Huang Rx. Rehmanniae Sheng Di Huang
Rx. Stephaniae Tetrandrae Han Fang Ji
For gout and palmar pain with a fever:
+ 10g Rx. Scutellariae Huang Qin Calcitum Han Shui Shi
+ 10g Fol. Isatidis Da Qing Ye For gout and palmar pain with swollen joints:
For gout and palmar pain with reddish joints: + 10g Rx. Stephaniae Tetrandrae Han Fang Ji
+ 10g Flos Lonicerae Jin Yin Hua
+ 10g Ram. Mori Sang Zhi + 10g Rz. Curcumae Longae Jiang Huang
+ 15g Caulis Trachelospermi Luo Shi Teng
For gout and toe pain:
For gout and toe pain with a sensation of Heat in the joints: + 10g Cx. Phellodendri Huang Bai
+ 10g Rx. Clematidis Wei Ling Xian
+ 10g Cx. Phellodendri Huang Bai + 10g Rx. Stephaniae Tetrandrae Han Fang Ji
+ 10g Rx. Clematidis Wei Ling Xian
+ 10g Rx. Stephaniae Tetrandrae Han Fang Ji +10g Ram. Mori Sang Zhi
For gout and toe pain with irritability:
+10g Ram. Mori Sang Zhi + 10g Cx. Phellodendri Huang Bai
+ 15g Flos Chrysanthemi Ju Hua + 10g Rx. Clematidis Wei Ling Xian
+ 10g Rx. Stephaniae Tetrandrae Han Fang Ji
For gout and toe pain with constipation:
+ 10g Cx. Phellodendri Huang Bai +10g Ram. Mori Sang Zhi
+ 10g Rx. Clematidis Wei Ling Xian + 10g Spica Prunellae Xia Ku Cao
+ 10g Rx. Stephaniae Tetrandrae Han Fang Ji For gout and toe pain with a bitter taste in the mouth:
+10g Ram. Mori Sang Zhi + 10g Cx. Phellodendri Huang Bai
+ 6g Rx. et Rz. Rhei Da Huang + 10g Rx. Clematidis Wei Ling Xian
+ 10g Natrii Sulfas Mang Xiao + 10g Rx. Stephaniae Tetrandrae Han Fang Ji
For gout and toe pain with a fever:
+ 10g Cx. Phellodendri Huang Bai +10g Ram. Mori Sang Zhi
+ 10g Rx. Clematidis Wei Ling Xian + 10g Rx. Scutellariae Huang Qin
+ 10g Rx. Stephaniae Tetrandrae Han Fang Ji For rheumatic fever:
+ Ram. Mori Sang Zhi
+10g Ram. Mori Sang Zhi + Rx. Gentianae Macrophyllae Qin Jiao
+ 10g Fr. Gardeniae Zhi Zi
For rheumatic fever with Excess Heat: + Caulis Lonicerae Ren Dong Teng
+ Ram. Mori Sang Zhi For rheumatic fever with Excess Dampness:
+ Rx. Gentianae Macrophyllae Qin Jiao + Ram. Mori Sang Zhi
+ Rx. Gentianae Macrophyllae Qin Jiao
+ Caulis Lonicerae Ren Dong Teng
+ Calcitum Han Shui Shi + Caulis Lonicerae Ren Dong Teng
+ Rz. Anemarrhenae Zhi Mu + Rz. Atractylodis Cang Zhu
+ Gypsum Fibrosum Shi Gao + Talcum Hua Shi
+ Rx. Gentianae Long Dan Cao + Faeces Bombycis Can Sha
+ Flos Lonicerae Jin Yin Hua For rheumatic fever with severe pain:
+ Fr. Forsythiae Lian Qiao + Ram. Mori Sang Zhi
For whole body pain: + Rx. Gentianae Macrophyllae Qin Jiao
+ 10g Rz. et Rx. Notopterygii Qiang Huo
+ Caulis Lonicerae Ren Dong Teng
+ 10g Rx. Angelicae Pubescentis Du Huo + Olibanum Ru Xiang
+ Myrrh Mo Yao
For whole body pain with swollen, painful joints: + Rz. Corydalis Yan Hu Suo
+ 10g Rz. et Rx. Notopterygii Qiang Huo + Fol. Rhododendri Mollis Nao Yang Hua
For whole body pain with a fever:
+ 10g Rx. Angelicae Pubescentis Du Huo + 10g Rz. et Rx. Notopterygii Qiang Huo
+ 20g. Caulis Sinomenii Qing Feng Teng + 10g Rx. Angelicae Pubescentis Du Huo
+ 15g Rz. Polygoni Cuspidatae Hu Zhang
+ 10g Rz. Cimicifugae Sheng Ma
+ 15g Caulis Trachelospermi Luo Shi Teng + 12g Rx. Bupleuri Chai Hu
For whole body pain with swelling:
For whole body pain with swelling: + 10g Rz. et Rx. Notopterygii Qiang Huo
+ 10g Rz. et Rx. Notopterygii Qiang Huo
+ 10g Rx. Angelicae Pubescentis Du Huo
+ 10g Rx. Angelicae Pubescentis Du Huo
+ 10g Rz. Sophorae Flavescentis Ku Shen
+ 10g Rx. et Rz. Rhei Da Huang
+ 10g Natrii Sulfas Mang Xiao + 10g Fr. Forsythiae Lian Qiao
For hip pain: + 10g Flos Lonicerae Jin Yin Hua
+ Three Marvel Pill
San Miao Wan
For hip pain with a fever:
+ Three Marvel Pill
San Miao Wan
- Rz. Zingiberis Recens Sheng Jiang
+ 10g Rx. Clematidis Wei Ling Xian - Rz. Zingiberis Recens Sheng Jiang
+ 10g Rx. Stephaniae Tetrandrae Han Fang Ji + 10g Rx. Clematidis Wei Ling Xian
+ 10g Rx. Stephaniae Tetrandrae Han Fang Ji
+ 15g Ram. Mori Sang Zhi
For hip pain with red, swollen hips: + 15g Ram. Mori Sang Zhi
+ Three Marvel Pill
San Miao Wan
+ 10g Flos Lonicerae Jin Yin Hua
+ 10g Fr. Forsythiae Lian Qiao
- Rz. Zingiberis Recens Sheng Jiang For hip pain with pus in the hip joint:
+ 10g Rx. Clematidis Wei Ling Xian
+ Three Marvel Pill
San Miao Wan
+ 10g Rx. Stephaniae Tetrandrae Han Fang Ji
- Rz. Zingiberis Recens Sheng Jiang
+ 15g Ram. Mori Sang Zhi + 10g Rx. Clematidis Wei Ling Xian
+ 10g Rz. Smilacis Glabrae Tu Fu Ling + 10g Rx. Stephaniae Tetrandrae Han Fang Ji
+ 15g Rx. Rehmanniae Sheng Di Huang + 15g Ram. Mori Sang Zhi
For severe hip pain: + 10g Fr. Kochiae Di Fu Zi
+ Three Marvel Pill
San Miao Wan
+10g Rx. Paeoniae Rubra Chi Shao
- Rz. Zingiberis Recens Sheng Jiang For hip pain with a poor appetite:
+ 10g Rx. Clematidis Wei Ling Xian
+ Three Marvel Pill
San Miao Wan
+ 10g Rx. Stephaniae Tetrandrae Han Fang Ji
- Rz. Zingiberis Recens Sheng Jiang
+ 15g Ram. Mori Sang Zhi + 10g Rx. Clematidis Wei Ling Xian
+ 10g Rz. Curcumae Longae Huang Jing + 10g Rx. Stephaniae Tetrandrae Han Fang Ji
For hip pain with thirst: + 15g Ram. Mori Sang Zhi
+ Three Marvel Pill
San Miao Wan
+ 10g Rz. Pinelliae Preparatum Zhi Ban Xia
- Rz. Zingiberis Recens Sheng Jiang + 10g Per. Citri Reticulatae Chen Pi
+ 10g Rx. Clematidis Wei Ling Xian
+ 10g Rx. Stephaniae Tetrandrae Han Fang Ji For hip pain with irritability:
+ Three Marvel Pill
San Miao Wan
+ 15g Ram. Mori Sang Zhi
+ 10g Rx. Scrophulariae Xuan Shen - Rz. Zingiberis Recens Sheng Jiang
+ 10g Rx. Puerariae Ge Gen + 10g Rx. Clematidis Wei Ling Xian
For hip pain with constipation: + 10g Rx. Stephaniae Tetrandrae Han Fang Ji
+ Three Marvel Pill
San Miao Wan
+ 15g Ram. Mori Sang Zhi
- Rz. Zingiberis Recens Sheng Jiang + 15g Medulla Junci Deng Xin Cao
+ 10g Rx. Clematidis Wei Ling Xian    
+ 10g Rx. Stephaniae Tetrandrae Han Fang Ji    
   
+ 15g Ram. Mori Sang Zhi    
+ 6g Rx. et Rz. Rhei Da Huang    
+ 6g Natrii Sulfas Mang Xiao