Gua Lou Gui Zhi Tang - 栝楼桂枝汤 - Trichosanthis And Cinnamon Twig Decoction

English:	Trichosanthis and Cinnamon Twig Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Trichosanthis	Tian Hua Fen (Gua Lou Gen)	6g	Drains Lung Heat, Moistens Lung Dryness and generates Fluids, Transforms Phlegm
Ram. Cinnamomi	Gui Zhi	9g	Releases the Exterior, assists Yang, adjusts the Ying and Wei, releases the muscle layer and warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels.
Rx. Paeoniae Alba	Bai Shao	9g	Nourishes the Blood, astringes Yin and adjusts the Ying and Wei. With Gan Cao, for muscle spasms, pain and numbness due to Blood Deficiency. With Gui Zhi, harmonizes the Ying and Wei in Tai Yang Zhong Feng.
Rx. Glycyrrhizae	Gan Cao	6g	Moderates spasms, alleviates pain, moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels.
Rz. Zingiberis Recens	Sheng Jiang	9g	Releases the Exterior, induces perspiration, disperses Cold, adjusts the Ying and Wei and normalizes the flow of Qi at the center. With Da Zao, for External Wind-Cold. With Gui Zhi and Da Zao, harmonizes the Ying and Wei to drive out pathogens.
Fr. Jujube	Da Zao	36g	Nourishes the Blood, calms the Spirit and moderates and harmonizes the harsh properties of other herbs. With Sheng Jiang, adjusts the Ying and Wei for treatment of Tai Yang Zhong Feng.

Formula Actions

• Releases Wind-Cold from the muscle layer
• Relaxes and moistens the sinews
• Regulates the Ying and Wei

Syndromes

• Wind-Cold Attacking the Exterior with Deficiency of Ying and Wei with neck and shoulder stiffness and pain
• Tai Yang Zhong Feng with neck and shoulder stiffness and pain

Clinical Manifestations

Neck pain and stiffness Inhibited side to side turning Fever and chills unrelieved by sweating Decreased body resistance Spontaneous perspiration Rhinitis Maybe body aches Dry heaves Headache

Muscles of the neck and back are very stiff and rigid Aversion to Wind Nasal congestion No thirst T: Normal C: White and moist P: Floating and moderate or floating and weak or slow

Treats

Stiff neck

Contraindications And Herb/Drug Interactions

Notes

Modifications

For a stiff neck:
+ Rx. Puerariae	Ge Gen