Gui Zhi Jia Shao Yao Tang - 桂枝加芍藥湯 - Cinnamon Twig Decoction Plus Peony

English:	Cinnamon Twig Decoction plus Peony
Also Known As:	Cinnamon and Peony Combination

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Ram. Cinnamomi	Gui Zhi	4-9g	Adjusts the Ying and Wei, Assists the Yang, Releases the exterior, Releases the muscle layer, Warms the channels and collaterals to relieve pain, Warms the Middle and directs Turbid Yin downward. With Bai Shao, harmonizes the Ying and Wei and warms and tonifies the Middle Jiao.
Rx. Paeoniae Alba	Bai Shao	6-18g	Nourishes Blood, astringes Yin and adjusts the Ying and Wei. With Sheng Jiang, alleviates epigastric pain, nausea, and vomiting by strengthening the Spleen and adjusts the Ying and Wei for treatment of Tai Yang Zhong Feng. With Gan Cao, stops abdominal pain and spasms. With Gui Zhi, Sheng Jiang and Da Zao, for Wind-Cold with Deficiency and perspiration.
Rz. Zingiberis Recens	Sheng Jiang	3-9g	Helps release the exterior, treats nausea and vomiting, adjusts the Ying and Wei to normalize the flow of Qi at the center and strengthens the spreading and mobilizing actions of the other herbs. With Zhi Gan Cao, Harmonizes and regulates the Spleen and Stomach. With Da Zao, benefits the Middle Qi. With Gui Zhi, warms and dispels thin mucus in the Stomach with nausea, hiccup, Stomach pain, acid reflux or vomiting of clear fluid .
Fr. Jujube	Da Zao	3-12g	Tonifies the Spleen and Stomach, augments Qi and moderates and harmonizes the harsh properties of other herbs. With Bai Shao, nourishes and harmonizes the Ying and Blood. With Gan Cao, tonifies the Middle Jiao and harmonizes.
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	2-6g	Tonifies the Spleen, augments Qi, moderates spasms, alleviates pain and moderates and harmonizes the harsh properties of other herbs.

Formula Actions

• Releases Wind-Cold from the muscle layer
• Regulates the Ying and Wei
• Stops abdominal pain and spasms
• Warms the Stomach
• Relaxes the abdominal muscles

Syndromes

• Tai Yang Stage improperly treated with purgatives and progressed to Tai Yin Stage
• Tai Yin Excess

Clinical Manifestations

Abdominal fullness and pain Abdominal spasms Diarrhea No thirst Nausea Clear frequent urination Aversion to Cold Perspiration

Fever Anorexia Vomiting clear fluid Prefers warmth Diarrhea T: Pale or Pink C: White. P: Slow and tight or Soft

Treats

Abdominal pain Abdominal cramps Diarrhea Enteritis Nausea/Vomiting Anorexia Celiac disease Gastroptosis

Pain of peritonitis Food poisoning Acute or chronic gastritis Colitis Abdominal Fullness and distention Irritable bowel syndrome Gastrectasis Ulcerative colitis

Contraindications And Herb/Drug Interactions

Notes

Modifications