Da Qin Jiao Tang - 大秦艽湯 - Major Large Gentian Decoction

English:	Major Large Gentian Decoction
Also Known As:	Major Gentiana Macrophylla Decoction Major Gentian Combination Major Gentiana Qin Jiao Decoction, Decoction of Gentiana Macrophylla

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Gentianae Macrophyllae	Qin Jiao	4-90g	Clears Deficiency Heat, Clears Heat, Expels Wind-Dampness, Relaxes the sinews, Resolves Dampness (good for cramps in the limbs). With Fang Feng, Du Huo and Qiang Huo for Wind-Cold-Damp Bi. With Dang Gui and Bai Shao, for Blood Deficiency with hemiplegia, especially with excess muscle tension in the upper extremities.
Rx. Glycyrrhizae	Gan Cao	2-60g	Alleviates pain and moderates, Harmonizes the harsh properties of the other herbs, Moderates spasms, Tonifies Qi clears Heat, Tonifies the Spleen. With Bai Shao, for abdominal pain, intestinal spasms and spasms of the calf or other muscles. With Dang Gui for Wind-Damp Invasion blocking the Blood vessels causing pain, numbness and paralysis.
Rz. Chuanxiong	Chuan Xiong	2-60g	Activates the Blood, Alleviates pain (good for headaches), Expels Wind-Cold, Regulates Qi. With Dang Gui for Wind-Damp Invasion blocking the Blood vessels causing pain, numbness, and paralysis. With Sheng Di Huang and Bai Shao, for headache due to Blood Deficiency. With Xi Xin, for Wind-Cold headaches and Shao Yin Cold headaches. With Dang Gui, Shu Di Huang, and Bai Shao, for headache from Blood Deficiency.
Rx. Angelica Sinensis	Dang Gui	2-60g	Disperses Cold, Invigorates and harmonizes the Blood, Nourishes the Blood, Stops pain. With Bai Shao, regulates and harmonizes Qi and Blood and treats Blood Deficiency Heat. With Gan Cao, moderates spasms and relieves abdominal pain. With Shu Di Huang, for Heat symptoms due to Yin Deficiency and Devastated Blood. With Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis. With Qiang Huo, Chuan Xiong and Qin Jian, for postpartum Bi syndrome.
Rx. Paeoniae Alba	Bai Shao	2-60g	Astringes Yin, Nourishes Blood, Relieves pain and adjusts the Ying and Wei, Soothes Liver. With Dang Gui, nourishes Yin and Blood. With Dang Gui and Shu Di Huang, for dizziness, blurred vision and dysmenorrhea due to Blood Deficiency or Stasis. With Du Huo and Qin Jiao, for chronic Bi Syndrome with injury to Qi and Blood leading to spasms of the extremities.
Hb. cum Rx. Asari	Xi Xin	1-15g	Releases exterior Wind and Cold, disperses internal Cold, warms the Lungs, alleviates pain, disperses and unblocks the Qi of the nasal orifices and circulates water. With Sheng Di Huang for headache and toothache due to Wind-Heat. With Chuan Xiong, for Wind-Cold headache, toothache and Bi pain. With Chuan Xiong and Fang Feng, for Bi syndrome. With Bai Zhi, for Wind-Cold toothache. With Qiang Huo and Fang Feng, for Wind-Cold. With Du Huo, for joint pain due to Wind-Cold-Dampness.
Rz. et Rx. Notopterygii	Qiang Huo	2-30g	Releases the exterior, dispels Wind-Cold-Dampness from the upper Tai Yang, opens the channels, vitalizes vessels, stops pain and guides Qi to the Tai Yang and Du Channels. With Chuan Xiong for headache and generalized body aches and pains associated with the common cold or painful obstruction. With Fang Feng for pain due to Wind-Dampness. With Du Huo, for Wind-Dampness. (Qiang Huo is better for superficial Wind-Dampness and upper extremities and Du Huo is better for deeper Wind-Dampness and lower extremities). With Bai Zhi for headaches. With Bai Zhi, Fang Feng, Xi Xin and Chuan Xiong, for Wind-Cold with aversion to Cold, fever, headaches and muscle aches.
Rx. Saposhnikoviae	Fang Feng	2-30g	Expels Wind-Cold-Dampness, Moves Qi, Releases the exterior, Stops pain, Stops spasms With Qin Jiao, for Wind Dampness Bi with spasms of the tendons or numbness of the limbs and pain due to Wind-Dampness in patients with Blood Deficiency. With Qiang Huo and Dang Gui, for Wind-Cold-Damp Bi.
Rx. Scutellariae	Huang Qin	2-30g	Clears Lung Heat, drains Fire and dries Dampness.
Gypsum Fibrosum	Shi Gao	4-60g	Clears Heat, drains Fire, clears excess Heat from the Lungs, and relieves muscles. With Shu Di Huang, for headache, toothache, and thirst due to raging fire caused by devastated Yin. With Sheng Di Huang, for Excessive Fire with injured fluids.
Rx. Angelica Dahuricae	Bai Zhi	2-60g	Alleviates pain and headache, Expels Dampness, Expels Wind. With Xi Xin, for Wind-Cold induced headaches, sinus headaches and orbital headaches. With Chuan Xiong, for headaches.
Rz. Atractylodes Macrocephalae	Bai Zhu	2-30g	Dries Dampness, Stabilizes the exterior, Tonifies Qi, Tonifies the Spleen.
Rx. Rehmanniae	Sheng Di Huang	2-30g	Clears Heat, cools the Blood and nourishes Yin and Blood. With Bai Shao, for Blood Deficiency Heat. With Shu Di Huang, for Heat symptoms due to Yin Deficiency and devastated Blood.
Rx. Rehmanniae Preparata	Shu Di Huang	2-30g	Nourishes Blood and Yin and strengthens Liver and Kidneys. With Dang Gui and Bai Shao, for dizziness, palpitations, insomnia and menstrual dysfunction due to Blood Deficiency.
Poria	Fu Ling	2-30g	Calms the Shen and soothes the nerves, Harmonizes the Middle Jiao, Pacifies the Heart, Promotes urination, Resolves Dampness, Strengthens the Spleen. With Bai Zhu, strengthens the Spleen and resolves Dampness.
Rx. Angelica Pubescentis	Du Huo	2-60g	Dispels Wind-Cold-Dampness, Opens the channels, Releases the exterior, Stops pain, Vitalizes vessels. With Qin Jiao, expels Wind-Cold-Damp, relieves arthralgia and stops pain. With Xi Xin and Qin Jiao, for Wind-Damp Bi causing numbness, pain and soreness in the neck, back and lower extremities. With Fang Feng, for numbness in the legs. With Qiang Huo, for joint pain and numbness

Formula Actions

• Dispels Wind
• Clears Heat
• Circulates Qi
• Dredges the channels
• Nourishes and invigorates the Blood
• Harmonizes the Ying and Wei

Syndromes

• Early-stage and middle-stage Wind Stroke
• Wind-Heat Bi
• Wind-Predominant Bi
• Early or middle stage Wind-Stroke in the channels (Secondary source)

Clinical Manifestations

Whole body numbness Deviation of mouth and eyes Numbness of skin Dysphagia due to stiffness of the tongue Hemiplegia Rigidity of the extremities Spasms of the extremities Aversion to Cold Fever Chills Aching joints

Tingling of the skin Paralysis of the extremities Numbness and lack of sensation in the hands and feet Common cold (with above symptoms) Inability to walk Wandering joints pain T: Pink or Red C: White or Thin yellow P: Superficial or Superficial and wiry or superficial and tight or Wiry and thin

Treats

Apoplexy Stroke Rheumatism Bell's palsy Rheumatoid arthritis Cerebral hemorrhage Arthritis Muscle atrophy Numbness Dysphagia Sjogren's Syndrome

Facial paralysis Rheumatic arthritis Multiple neuritis Thrombotic stroke Cerebral embolism Hemiplegia Fibromyalgia Paresthesia Fever Aphasia Polymyositis

Contraindications And Herb/Drug Interactions

Notes

• Modern research says this formula acts to relieve inflammation, stop fever, calm the mind, stop pain and promote blood circulation.
• This formula can be used when Wind, Cold, Dampness and Heat are severe.

Modifications

For lack of fever:		For Phlegm-Damp manifestations:
- Gypsum Fibrosum	Shi Gao	- Rx. Rehmanniae Preparata	Shu Di Huang
- Rx. Scutellariae	Huang Qin	- Rx. Rehmanniae	Sheng Di Huang
- Rx. Rehmanniae	Sheng Di Huang	For focal distention in the epigastrium:
For environmental Dampness:		+ Fr. Aurantii Immaturus	Zhi Shi
+ Rz. Zingiberis Recens	Sheng Jiang	For a lack of External signs:
For facial paralysis or severe deviation of the eyes and mouth:		- Hb. cum Rx. Asari	Xi Xin
+ Scolopendra	Wu Gong	- Rx. Angelicae Dahuricae	Bai Zhi
+ Scorpio	Quan Xie	- Rx. Saposhnikoviae	Fang Feng
For Wind-Heat:		For a stiff neck:
+ 12g Fol. Mori	Sang Ye	+ 12g Rx. Puerariae	Ge Gen
+ 12g Flos Chrysanthemi	Ju Hua	For cerebral hemorrhaging:
- Rx. Glycyrrhizae	Gan Cao
+ 6g Hb. Menthae	Bo He	- Rx. Paeoniae Alba	Bai Shao
For facial paralysis:		- Hb. cum Rx. Asari	Xi Xin
- Rx. Paeoniae Alba	Bai Shao	- Rz. et Rx. Notopterygii	Qiang Huo
- Hb. cum Rx. Asari	Xi Xin	- Rx. Saposhnikoviae	Fang Feng
- Rx. Scutellariae	Huang Qin	- Gypsum Fibrosum	Shi Gao
- Gypsum Fibrosum	Shi Gao	- Rx. Angelicae Dahuricae	Bai Zhi
- Rx. Angelicae Dahuricae	Bai Zhi
- Rz. Atractylodis Macrocephalae	Bai Zhu
- Rz. Atractylodis Macrocephalae	Bai Zhu
- Rx. Rehmanniae Preparata	Shu Di Huang
- Rx. Rehmanniae Preparata	Shu Di Huang
- Poria	Fu Ling
- Poria	Fu Ling	- Rx. Angelicae Sinensis	Du Huo
- Rx. Angelicae Sinensis	Du Huo	+ 12g Rx. Paeoniae Rubra	Chi Shao
- Rx. Rehmanniae	Sheng Di Huang
+ 15g Rx. Achyranthis Bidentatae	Niu Xi
+ 6g Ram. Cinnamomi	Gui Zhi
For aphasia:		+ 10g Ram. Cinnamomi	Gui Zhi
- Rx. Scutellariae	Huang Qin	+ 9g Hirudo	Shui Zhi
- Gypsum Fibrosum	Shi Gao	For aphasia with aversion to Heat:
- Rx. Rehmanniae	Sheng Di Huang	- Rx. Rehmanniae	Sheng Di Huang
+ 6gt Bombyx Batryticatus	Jiang Can	+ 6gt Bombyx Batryticatus	Jiang Can
+ 6g Scorpio	Quan Xie	+ 6g Scorpio	Quan Xie
For aphasia with a fever and aversion to Cold:		For aphasia with Phlegm-Dampness:
- Rx. Scutellariae	Huang Qin	- Rx. Scutellariae	Huang Qin
- Gypsum Fibrosum	Shi Gao	- Gypsum Fibrosum	Shi Gao
- Rx. Rehmanniae	Sheng Di Huang	- Rx. Rehmanniae	Sheng Di Huang
+ 6gt Bombyx Batryticatus	Jiang Can	+ 6gt Bombyx Batryticatus	Jiang Can
+ 6g Scorpio	Quan Xie	+ 6g Scorpio	Quan Xie
+ More (9g) Rx. Saposhnikoviae	Fang Feng	+ 9g Rz. Arisaematis Preparatum	Zhi Tian Nan Xing
+ More (9g) Poria	Fu Ling
+ More (9g) Rz. Atractylodis Macrocephalae	Bai Zhu