Gui Zhi Jia Ge Gen Tang - 桂枝加葛根汤 - Cinnamon Twig Decoction Plus Kudzu

English:	Cinnamon Twig Decoction plus Kudzu
Also Known As:	Cinnamon Combination plus kudzu

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
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. With Bai Shao, harmonizes the Ying and Wei and warms and tonifies the Middle Jiao.
Rx. Paeoniae Alba	Bai Shao	4-9g	Astringes the Yin and adjusts the Ying and Wei.
Rz. Zingiberis Recens	Sheng Jiang	3-9g	Helps release the exterior, treats nausea and vomiting. 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.
Rx. Puerariae	Ge Gen	6-15g	Clears Heat, disperses Wind, releases the muscles (especially of the neck and upper back) and relieves sinus congestion.
Fr. Zizyphi Jujube	Da Zao	3-12g	Helps Bai Shao regulate the Ying and Wei. With Gan Cao, tonifies and harmonizes the Middle Jiao .
Fried Rx. Glycyrrhizae	Zhi Gan Cao	2-6	Clears Heat and moderates, Harmonizes the harsh properties of the other herbs, Resolves Phlegm, Stops cough.

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

Common cold Fever Upper respiratory tract infection Rheumatism Conjunctivitis Neck pain and stiffness Upper back pain and stiffness Middle back pain and stiffness Shoulder stiffness in the elderly Influenza Postpartum fever Allergic rhinitis Angioedema Cough Bronchitis

Spontaneous perspiration Cerebrovascular spasm Eczema Urticaria Morning sickness Frostbite Tinea Neuralgia Abdominal pain due to chills Eclampsia Neurasthenia Nasal obstruction Pneumonia Cervical spondylosis

Contraindications And Herb/Drug Interactions

Notes

• Take hot porridge immediately after ingestion of formula.

Modifications

For cervical spondylosis:		For cervical spondylosis with impeded movement:
+ 9g Rx. Angelicae Sinensis	Dang Gui
+ 9g Rx. Angelicae Sinensis	Dang Gui
+ 9g Rz. Chuanxiong	Chuan Xiong
+ 9g Rz. Atractylodis	Cang Zhu	+ 9g Rz. Chuanxiong	Chuan Xiong
+ 9g Fr. Chaenomelis	Mu Gua	+ 9g Rz. Atractylodis	Cang Zhu
+ 3g Rx. Notoginseng	San Qi	+ 9g Fr. Chaenomelis	Mu Gua
For cervical spondylosis with severe fixed pain:		+ 3g Rx. Notoginseng	San Qi
+ 9g Rx. Angelicae Sinensis	Dang Gui	+ 9g Hb. Lycopodii	Shen Jin Cao
+ 9g Caulis Trachelospermi	Luo Shi Teng
+ 9g Rz. Chuanxiong	Chuan Xiong
+ 9g Rz. Atractylodis	Cang Zhu	For middle back pain with a Cold feeling:
+ 9g Fr. Chaenomelis	Mu Gua	+ 10g Rz. et Rx. Notopterygii	Qiang Huo
+ 3g Rx. Notoginseng	San Qi
+ 6g Olibanum	Ru Xiang	+ 10g Rx. Angelicae Pubescentis	Du Huo
+ 6g Myrrh	Mo Yao
For upper and middle back pain with a high fever and anhidrosis:		For middle back pain with coughing and white Phlegm:
+ 12g Rx. Platycodi	Jie Geng
+ 10g Hb. Schizonepetae	Jing Jie	For severe upper back pain:
+ 10g Rz. et Rx. Notopterygii	Qiang Huo
+ 10g Rx. Saposhnikoviae	Fang Feng
+ 10g Rx Angelicae Pubescentis	Du Huo
For upper and middle back pain with a headache:
+ 10g Rx. Ligustici	Gao Ben