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	Adjusts the Ying and Wei, Disperses Cold, Releases the exterior, Transforms Qi and releases the muscle layer, Unblocks Yang, Warms the channels and collaterals to relieve pain.
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

Rheumatoid arthritis

Systemic lupus erythematosis

Contraindications And 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