Gui Zhi Jia Fu Zi Tang - 桂枝加附子湯 - Cinnamon Twig And Prepared Aconite Decoction

English:	Cinnamon Twig and Aconite Decoction
Also Known As:	Gui Zhi Fu Zi Tang Cinnamon Twig and Prepared Aconite Decoction Cinnamon Twig, Aconite and Jujube Combination Cinnamon Twig plus Aconite Accessory Root Decoction

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Ram. Cinnamomi	Gui Zhi	4-12g	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. With Bai Shao, harmonizes the Ying and Wei and warms and tonifies the Middle Jiao. With Zhi Fu Zi, for backache due to Wind-Cold Damp Bi and chills, painful extremities and difficulty in rotating the trunk due to Yang Deficiency with Wind-Cold-Damp Bi.
Rx. Paeoniae Alba	Bai Shao	4-10g	Alleviates pain, Astringes Yin and adjusts the Ying and Wei, Nourishes the Blood. With Gui Zhi. harmonizes the Ying and Wei in Tai Yang Zhong Feng. With Zhi Gan Cao, for muscle spasms, especially in the calf, due to Blood Deficiency.
Rz. Zingiberis Recens	Sheng Jiang	3-10g	Helps release the exterior, treats nausea and vomiting, disperses Cold, strengthens the spreading and mobilizing actions of the other herbs and adjusts the Ying and Wei. With Zhi Gan Cao, harmonizes and regulates the Spleen and Stomach. With Da Zao, regulates disharmony between the Ying and Wei. and benefits the Middle Qi. With Da Zao and Gui Zhi, benefits the Middle Qi, regulates the Ying and Wei, warms the channels and circulates Qi and Blood.
Fr. Zizyphi Jujube	Da Zao	3-12g	Harmonizes the harsh properties of the other herbs, Nourishes the Blood and moderates, Strengthens the Spleen, Tonifies Qi. With Zhi Gan Cao, tonifies the Middle Jiao and harmonizes.
Fried Rx. Glycyrrhizae	Zhi Gan Cao	2-6g	Alleviates pain and moderates and harmonizes the harsh properties of the other herbs.
Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	5-10g	Disperses Cold-Dampness, warms the channels and reduces pain.

Formula Actions

• Expels Wind-Cold
• Harmonizes the Ying and Wei
• Restores Yang
• Disperses Cold
• Stops perspiration

Syndromes

• Complication of Tai Yang Zhong Feng
• Wind-Cold Invasion with underlying Yang Deficiency
• Wind-Cold-Damp-Bi

Clinical Manifestations

Chills Mild fever Aversion to Wind Continuous perspiration (like leaking water) Difficult urination Muscle spasms Difficulty with flexing and extending the legs Cold limbs Chest pain referring to the back A feeling of oppression over the chest

Stiff extremities Painful urination Generalized aches and pains Difficulty rotating the trunk Headache Fatigue Somnolence T: Normal C: White and greasy P: Superficial, big and forceless or Superficial, rough and Deficient or Deep and slow

Treats

Ephidrosis Muscle spasms of the extremities Neuralgia Dysuria Common cold Influenza Mild fever Bronchitis Continuous perspiration Painfull obstruction

Rheumatoid arthritis Arthralgia Sciatica Motor paralysis Rheumatic arthritis Chest pain due to Wind-Phlegm Pneumonia Fatigue Abdominal pain

Contraindications And Herb/Drug Interactions

Notes

Modifications