Gui Zhi Jia Long Gu Mu Li Tang - 桂枝加龍骨牡蠣湯 - Cinnamon Twig Decoction Plus Dragon Bone And Oyster Shell

English:	Cinnamon Twig Decoction Plus Dragon Bone and Oyster Shell
Also Known As:	Cinnamon and Dragon Bone Combination Cinnamon and DB Combination

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Ram. Cinnamomi	Gui Zhi	4.5-9g	Releases the muscle layer, assists the Heart Yang, warms and facilitates the flow of Yang Qi in the chest, assists the Yang, adjusts the Ying and Wei and warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels. With Bai Shao, warms and tonifies the Middle Jiao. With Long Gu and Mu Li, for irritability and insomnia due to floating Yang in the Upper Jiao and injured Yin in the Lower Jiao due to Heart Yang Deficiency.
Rx. Paeoniae Alba	Bai Shao	4.5-9g	Astringes Yin, adjusts the Ying and Wei, softens the Liver and relieves pain . With Gan Cao, regulates the relationship between the Liver and Spleen, nourishes sinews and treats abdominal pain due to Disharmony between the Liver and Stomach and epigastric, hypochondriac or flank pain. With Gui Zhi, Gan Cao and Mu Li, for Yang Deficiency with unstable exterior and muscle layers. With Long Gu and Mu Li, for spontaneous sweating and night sweats due to Yin Deficiency. With Gui Zhi, Sheng Jiang and Da Zao, for Wind-Cold with Deficiency and perspiration.
Fossilia Ossis Mastodi	Long Gu	4.5-30g	Settles anxiety, calms the Spirit, calms the Liver, prevents leakage of fluids and anchors and preserves Floating Yang. With Gui Zhi and Gan Cao, for spermatorrhea, diarrhea, irritability vaginal discharge, and excessive uterine bleeding due to Kidney and Spleen Yang Deficiencies.
Concha Ostreae	Mu Li	4.5-30g	Heavily settles and calms the Spirit, calms the Liver, prevents leakage of fluids benefits the Yin and anchors Floating Yang. With Gui Zhi and Long Gu, for restlessness, irritability, palpitations and spontaneous sweating due to Floating Yang. With Long Gu and Bai Shao, for anxiety, palpitations, insomnia, dream disturbed sleep, headache, dizziness and tinnitus and other symptoms associated with Yin Deficiency with Yang Rising.
Rz. Zingiberis Recens	Sheng Jiang	4.5-9g	Adjusts the Ying and Wei - normalizes the flow of Qi at the center. With Da Zao, protects the Stomach Qi and reduces irritation of the gastrointestinal. tract by other herbs and adjusts the Ying and Wei. With Gui Zhi and Da Zao, harmonizes the Ying and Wei to drive out pathogens.
Fr. Jujube	Da Zao	4.5g	Nourishes the Blood, calms the Spirit and moderates and harmonizes the harsh properties of other herbs.
Rx. Glycyrrhizae	Gan Cao	3-6g	Tonifies the Spleen and augments Qi and moderates and harmonizes the harsh properties of other herbs.

Formula Actions

• Tonifies Yin and Yang
• Harmonizes the Ying and Wei
• Astringes Jing
• Suppresses rebellion

Syndromes

• Lack of communication between the Heart and Kidneys
• Yin and Yang Deficiency
• Tai Yang Zhong Feng with Kidney Jing Deficiency

Clinical Manifestations

Palpitations Anxiety Insomnia Dream disturbed sleep Nightmares Hair loss Spontaneous perspiration Amnesia Infantile night crying Dreams of sexual intercourse in women A cold sensation on the tip of the penis

Loss of appetite Dizziness Depression Lack of motivation Night sweats Spermatorrhea Nocturnal emissions Lower abdominal contraction and pain Occasional watery diarrhea T: Slightly pale P: Hollow and slow or Hollow and slightly tight

Treats

Anxiety neurosis Neurasthenia Involutional psychosis Ventricular tachycardia Premenstrual syndrome Myocarditis Hysteria Epilepsy Night terrors Male infertility Benign prostatic hypertrophy Bronchial asthma Perimenopausal syndrome Alopecia Common cold Dizziness Anxiety Post-traumatic stress disorder (PTSD) Post natal depression Impotence Forgetfulness Premature ejaculation Spontaneous perspiration

Sinus tachycardia Depression Panic attacks Sexual neurosis Functional beats Hyperthyroidism Nervous exhaustion Pediatric pneumonia Enuresis Erectile dysfunction Urticaria Chronic gastritis Insomnia Influenza Vertigo Fever Menopausal syndrome Shock Palpitations Anorexia Spermatorrhea Nocturnal emissions Night sweats

Contraindications And Herb/Drug Interactions

Notes

• For best results, combine with acupuncture and psychotherapy.

Modifications

For severe loss of semen:		For reckless Fire:
+ Fr. Rubi	Fu Pen Zi	+ Cx. Phellodendri	Huang Bai
+ Fr. Rosae Laevigatae	Jin Ying Zi	+ Rz. Anemarrhenae	Zhi Mu
For Qi Deficiency:		For severe insomnia:
+ Rx. Astragali	Huang Qi	+ Cx. Albizziae	He Huan Pi
+ Rx. Codonopsis	Dang Shen	For Bloody, painful urinary dysfunction from Deficiency or consumption:
Or		+ Tonifying Dang Gui Decoction to Construct the Middle Dang Gui Jian Zhong Tang
+ Rx. Astragali	Huang Qi	For spermatorrhea with weakness:
+ Rx. Ginseng	Ren Shen	+ Cornu Cervi Degelatinatum	Lu Jiao Shuang
For a sore back and feelings of pain in the bones		+ Plastrum Testudinis	Gui Ban
+ Cx. Eucommiae	Du Zhong	For chorea:
+ Rx. Bidentatae	Niu Xi	+ Licorice, Wheat and Jujube Decoction Gan Mai Da Zao Tang
+ 15g Rx. Curcumae	Yu Jin
+ 15g Ram. cum Uncis Uncariae	Gou Teng
+ 12g Rx. Gentianae Macrophyllae	Qin Jiao
+ 9g Rz. Gastrodiae	Tian Ma