Bai Hu Jia Cang Zhu Tang - 白虎加苍术湯 - White Tiger Plus Atractylodes Decoction

English:	White Tiger Plus Atractylodes Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Gypsum Fibrosum Recens	Sheng Shi Gao	20-48g	Clears Blazing Stomach Fire, Clears excess Heat from the Lungs, Clears Heat, Drains Fire, Nourishes Body Fluids, 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, Generates fluids, Moistens Dryness, Nourishes Yin.
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	Generates fluids, Stops restlessness, Stops thirst, Tonifies Qi, Tonifies Yang.
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 Shi Gao and Zhi Mu, for early-Stage Damp-Heat when Dampness and Heat are of equal strength, marked by fevers that fail to recede, focal distention in the chest, heavy lethargy, and thirst with no desire to drink.

Formula Actions

• Clears Heat
• Resolves Dampness
• Generates Fluids
• Stops pain

Syndromes

• Wind-Damp-Heat Bi
• Yang Ming Jing with Interior Dampness

Clinical Manifestations

Joint pain Chest distention Profuse perspiration Dyspnea High fever Profuse perspiration Great thirst with a desire to drink Abdominal pain Dryness Irritability

Restlessness Feverish body parts Red face Dry stools No constipation No aversion to Cold T: Red, dry C: Dry yellow P: Rolling and rapid (gigantic)

Treats

Arthralgia Osteoarthritis

Profuse perspiration

Contraindications And Herb/Drug Interactions

Notes

Modifications

For significant Dampness in the Middle Jiao:		For injury to the Qi and Fluids by Summerheat:
+ Hb. Agastaches	Huo Xiang	+ Decoction to to Clear Summerheat and Augment Qi Qing Shu Yi Qi Tang
+ Hb. Eupatorii	Pei Lan
+ Talcum	Hua Shi
+ Medulla Tetrapanacis	Tong Cao	For a strong thirst:
For body aches:		+ Rx. Trichosanthis	Tian Hua Fen
+ Sm. Coicis	Yi Yi Ren	+ Rz. Phragmitis	Lu Gen
+ Sm. Sojae Germinatum	Da Dou Juan	For abdominal bloating:
+ Cx. Magnoliae Officinalis	Hou Po
+ Cx. Erythrinae	Hai Tong Pi
For a bitter taste int eh mouth, nausea and vomiting:		+ Caulis Perillae	Zi Su Geng
For osteoarthritis due to Heat Bi:
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	- Sm. Oryzae	Geng Mi
+ 60g Caulis Lonicerae	Ren Dong Teng
+ Caulis Bambusae in Taeniam	Zhu Ru	+ 9g Cx. Phellodendri	Huang Bai
+ 9g Rx. Cyathulae	Chuan Niu Xi
+ Rx. Scutellariae	Huang Qin	+ 9g Rx. Saposhnikoviae	Fang Feng