Ling Gui Zhu Gan Tang - 苓桂朮甘湯 - Poria, Cinnamon Twig, Atractylodes And Licorice Decoction - Atractylodes And Hoelen Formula

English:	Poria, Cinnamon Twig, Atractylodes and Licorice Decoction
Also Known As:	Atractylodes and Hoelen Formula

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Poria	Fu Ling	6-15g	Drains Dampness, Harmonizes the Middle Jiao and transforms Phlegm, Strengthens the Spleen. With Gui Zhi, warms and transforms Fluids, unblocks Yang and promotes urination. With Bai Zhu, strengthens the Spleen and resolves Dampness. With Gui Zhi and Bai Zhu, for Dampness Obstruction causing Lin syndrome, edema, heaviness of the body, and irritability. With Zhi Gan Cao, for Spleen and Heart Deficiency causing facial edema, palpitations, and shortness of breath.
Ram. Cinnamomi	Gui Zhi	4-10g	Warms the Yang, disperses Cold and helps to resolve congested fluids and descends rebellious Qi. With Zhi Gan Cao, for palpitations and shortness of breath due to injured Yang of the chest. With Fu Ling, unblocks the Yang and facilitates the removal of congested fluids associated with Yang Deficiency edema. With Fu Ling, Bi Zhu and Zhi Gan Cao, for Phlegm accumulation with dizziness, fullness in the chest and hypochondrium, vertigo and palpitations.
Rz. Atractylodis Macrocephalae	Bai Zhu	3-12g	Strengthens the transformative and transportive functions of the Spleen and dries Damp. With Fu Ling and Gui Zhi, for Spleen Deficiency with chest distention and edema. With Fu Ling and Zhi Gan Cao, for Spleen and Stomach Qi Deficiency.
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	2-6g	Augments Middle Jiao Qi,resolves Phlegm and strengthens the Spleen and moderates and harmonizes the harsh properties of other herbs.

Formula Actions

• Warms and transforms Phlegm and congested Fluids
• Strengthens the Spleen
• Resolves Dampness
• Improves metabolic function

Syndromes

• Heart Yang Not Vigorous: Water Qi Insults the Heart with Lung and Spleen Qi Deficiency
• Congested Fluids in the epigastrium
• Phlegm Stagnation due to Spleen Yang Deficiency
• Tan Yin
• Injury from Cold due to improper use of purgatives or emetics
• Lung Damp-Phlegm or Phlegm-fluid (Tan Yin) syndrome (Secondary source)

Clinical Manifestations

Fullness in the chest and hypochondrium Palpitations Shortness of breath Coughing up clear, watery sputum Dizziness Vertigo (when standing) Dyspnea Anxiety Tinnitus Nausea/Vomiting

Difficult urination Mild edema Cold feet Headache Migraine Weak abdomen T: Pale and swollen C: White and slippery or greasy P: Slippery and wiry or soggy or Soft or Deep and tight

Treats

Meniere’s disease Neurosis Rheumatoid arthritis Chronic nephritis Chronic gastritis Chronic gastroenteritis Chronic bronchitis Bronchial asthma Pulmonary emphysema COPD Cardiac edema Nephritic edema Hyperpnea Dysuria Neurasthenia Instability of the autonomic nervous system Coronary Heart disease Cor pulmonale Myocarditis Gastroptosis Functional Stomach disorders Pleurisy Central serous retinopathy Renal calculus Pediatric inguinal hernia Pediatric rhinitis Motor dysfunction Hydronephrosis Polyhydramnios Keshan disease Migraine Muscle Bi Obesity Palpitations Headache Dizziness Multiple sclerosis Morning sickness Myalgic encephalomyelitis Epstein-Barr virus syndrome Cirrhosis of the Liver Anorexia Fatigue Pyelonephritis Dyspnea Ulcerative colitis Vomiting associated with AIDS/HIV

Motion sickness Valvular disease Cardiac asthma Basedow's disease Viral conjunctivitis Chronic optic nerve disorders Optic nerve atrophy Nebulae Anasarca Renal atrophy Hypertension Hypotension Sinusitis Anemia Rhinitis Flushing up due to water poisoning Basilar insufficiency Mitral valve prolapse Pericardial effusion Peptic ulcer Pertussis Cataracts Nephritis Ascites Chronic renal failure Hydrocele Nephrotic syndrome Anxiety Hysteria Vegetative nerve disturbance Skin Bi Cardiac arrhythmia Acid reflux Cough Vertigo Hay fever Nausea/Vomiting Chronic fatigue syndrome Cholecystitis Tinnitus Weakness Edema Congestive Heart failure Indigestion Excessive amniotic fluid Abdominal fullness and distention

Contraindications And Herb/Drug Interactions

Notes

• Works mainly by harmonizing the fluids and the Qi dynamic; suited to any condition where Cold in the Lower Jiao leads to thin mucus throughout the San Jiao.

Modifications

For vomiting :		For vomiting with water and sputum:
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	+ Rz. Pinelliae Preparatum	Zhi Ban Xia
For severe belching and vomiting:		+ Per. Citri Reticulatae	Chen Pi
+ Calyx Kaki	Shi Di	For Spleen Qi Deficiency with fatigue and lethargy:
+ Fr. Amomi	Sha Ren	+ Rx. Codonopsis	Dang Shen
For asthma due to Lung Qi Deficiency:		For distention and pain in the epigastrium:
+ Rx. Astragali	Huang Qi	+ Fr. Aurantii	Zhi Ke
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	+ Cx. Magnoliae	Hou Po
+ Per. Citri Reticulatae	Chen Pi	For Meniere’s disease or vertigo from hypotension:
+ Cx. Cinnamomi	Rou Gui	+ True Warrior Decoction Zhen Wu Tang
+ Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	For severe Spleen Qi Deficiency and abdominal pain due to Deficiency Cold:
For nausea or vomiting from profuse Phlegm Accumulation:		+ Regulate the Middle Pill Li Zhong Tang
+ Two-Cured Decoction Er Chen Tang		For diarrhea due to Spleen Deficiency and Damp Accumulation:
For generalized weakness and fatigue :		+ Calm the Stomach Powder Ping Wei San
+ Minor Construct the Middle Decoction Xiao Jian Zhong Tang		For epigastric distention or gurgling water sounds in the abdomen:
For cough with profuse sputum:		+ Fr. Aurantii Immaturus	Zhi Shi
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	For edema of the limbs with reduced urination:
+ Rx. Codonopsis	Dang Shen	+ Polyporus	Zhu Ling
For edema:		+ Rz. Alismatis	Ze Xie
+ Rx. Astragali	Huang Qi	For profuse sputum:
+ Rx. Stephaniae Tetrandrae	Han Fang Ji	+ Sm. Perillae	Zi Su Zi
+ Rz. Alismatis	Ze Xie	+ Sm. Lepidii/ Descurainiae	Ting Li Zi
For skin Bi:		+ Fr. Jujube	Da Zao
- Rx. Glycyrrhizae Preparata	Zhi Gan Cao	For muscle Bi:
+ 15g Sm. Coicis	Yi Yi Ren	- Rx. Glycyrrhizae Preparata	Zhi Gan Cao
+ 9g Cx. Acanthopanacis	Wu Jia Pi	+ 10g Rx. Angelicae Dahuricae	Du Huo
+ 6g Sm. Sinapis	Bai Jie Zi	+ !0g Rx. Puerariae	Ge Gen
+ 9g Fr. Chaenomelis	Mu Gua	+ 6g Rx. Aconiti Preparata	Zhi Chuan Wu
+ 9g Rx. Aucklandiae	Mu Xiang	+10g Fr. Chaenomelis	Mu Gua
+ 9g. Sm. Raphani	Lai Fu Zi	+ 10g Fr. Liquidamberis	Lu Lu Tong
For Meniere's disease:		+ 0.3g Sm. Strychni Preparatum	Zhi Ma Qian Zi
+ Rz. Alismatis	Ze Xie
+ Fr. Aurantii Immaturus	Zhi Shi	For cardiac failure:
Or		+ Generate the Pulse Powder Sheng Mai San
+ Rz. Alismatis	Ze Xie
+ Rx. Salviae Miltiorrhizae	Dan Shen	Or
+ Honey-fried Licorice Decoction Zhi Gan Cao Tang
+ Rx. Polygalae	Yuan Zhi
+ Rx. Puerariae	Ge Gen	For nephrotic syndrome:
For hydronephrosis with low back pain:		+ Hb. Leonuri	Yi Mu Cao
+ Fr. Toosendan	Chuan Lian Zi	+ Sm. Euryales	Qian Shi
+ Rx. Paeoniae Rubra	Chi Shao	+ Rz. Alismatis	Ze Xie
For hydronephrosis with painful urination:		+ Rz. Imperatae	Bai Mao Gen
+ Fol. Pyrrosiae	Shi Wei	For hydronephrosis with hematuria:
For hydronephrosis with nausea and vomiting:		+ Rz. Imperatae	Bai Mao Gen
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	+ Succinum	Hu Po
For obesity:		For Keshan disease:
+ Kidney Qi Pill from “Formulas to Aid the Living” Ji Sheng Shen Qi Wan		+ Hb. Artemisiae Scopariae	Yin Chen Hao
For Kidney Yang Deficiency with nausea and vomiting:		+ Fr. Crataegi	Shan Zha
For palpitations with anorexia and epigastric and abdominal distention:
+ 9-12g Rz. Zingiberis	Gan Jiang
+ 9-12g Rz. Pinelliae Preparatum	Zhi Ban Xia	+ 9g Cx. Magnoliae Officinalis	Hou Po
For palpitations with Kidney Yang Deficiency and Excess Cold:		+ 10g Massa Medicata Fermentata	Shen Qu
+ 15g Rx. Codonopsis	Dang Shen
+ 10g Sm. Trigonellae	Hu Lu Ba	For palpitations with severe perspiration:
+ 10g Rx. Morindae Officinalis	Ba Ji Tian	+ Two or three of the following
+ 6g Cx. Cinnamomi	Rou Gui	9g Rx. Ginseng	Ren Shen
Or		6g Rx. Glycyrrhizae Preparata	Zhi Gan Cao
+ 10g Sm. Trigonellae	Hu Lu Ba
+ 10g Rx. Morindae Officinalis	Ba Ji Tian	6g Fr. Schisandrae	Wu Wei Zi
15g Calcined Concha Ostreae	Duan Mu Li
+ 10g Hb. Epimedii	Yin Yang Huo
For myalgic encephalomyeltis, chronic fatigue and Epstein-Barr virus syndrome:		15g Calcined Fossilia Ossis Mastodi	Duan Long Gu
+ 3g Fr. Evodiae	Wu Zhu Yu	For dizziness and vertigo due to Spleen Yang Deficiency:
+ 6g Rx. Codonopsis	Dang Shen
+ 6g Rz. Zingiberis	Gan Jiang	+ 6g Rz. Zingiberis	Gan Jiang
For diarrhea with abdominal pain:		+ 3g Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
+ Stephania, Zanthoxylum, Tingli and Rhubarb Pill Ji Jiao Li Huang Tang		+ 6g Sm. Sinapis Album	Bai Jie Zi
For palpitations:
+ 12-18g Dry-fried Rx. Paeoniae Alba	Chao Bai Shao	+ 6g lime-processed Rz. Pinelliae Preparatum	Zhi Ban Xia
+ 12-15g Dry-fried Fr. Foeniculi	Chao Xiao Hui Xiang	+ 6g Rz. Zingiberis Recens	Sheng Jiang
+ 6-9g Rz. Alpiniae Officinarum	Gao Liang Jiang	+ 6g Rx. Polygalae	Yuan Zhi
+ 6g Poria Pararadicis	Fu Shen
For palpitations with nausea and vomiting:		+ 6g Rz. Acori Tatarinowii	Shi Chang Pu
+ 10g Rz. Pinelliae Preparatum	Zhi Ban Xia
For palpitations with coughing:
Or		+ 6g lime-processed Rz. Pinelliae Preparatum	Zhi Ban Xia
+ 9g lime-processed Rz. Pinelliae Preparatum	Zhi Ban Xia
+ 6g Rz. Zingiberis Recens	Sheng Jiang
+ 6g Rz. Zingiberis Recens	Sheng Jiang
+ 6g Rx. Polygalae	Yuan Zhi
+ 6g Rx. Polygalae	Yuan Zhi	+ 6g Poria Pararadicis	Fu Shen
+ 6g Poria Pararadicis	Fu Shen	+ 6g Rz. Acori Tatarinowii	Shi Chang Pu
+ 6g Rz. Acori Tatarinowii	Shi Chang Pu
+ 9g Flos Inulae	Xuan Fu Hua
+ 6g Per. Citri Reticulatae	Chen Pi	+ 6g Per. Citri Reticulatae	Chen Pi
For palpitations with dizziness and vertigo:		+ 6g Sm. Armeniacae	Xing Ren
+ 6g lime-processed Rz. Pinelliae Preparatum	Zhi Ban Xia	For palpitations with abdominal pain, nausea and diarrhea:
+ 6g Rz. Zingiberis Recens	Sheng Jiang	+ 6g lime-processed Rz. Pinelliae Preparatum	Zhi Ban Xia
+ 6g Rz. Zingiberis Recens	Sheng Jiang
+ 6g Rx. Polygalae	Yuan Zhi
+ 6g Poria Pararadicis	Fu Shen
+ 6g Rz. Acori Tatarinowii	Shi Chang Pu	+ 6g Rx. Polygalae	Yuan Zhi
+ 6g Poria Pararadicis	Fu Shen
+ 9g Rz. Gastrodiae	Tian Ma	+ 6g Rz. Acori Tatarinowii	Shi Chang Pu
For palpitations with profuse Phlegm:
+ 6g lime-processed Rz. Pinelliae Preparatum	Zhi Ban Xia	+ 6g Rz. Zingiberis	Gan Jiang
For palpitations with abdominal pain, nausea and diarrhea:
+ 6g Rz. Zingiberis Recens	Sheng Jiang
+ 6g Poria Pararadicis	Fu Shen	+ 6g lime-processed Rz. Pinelliae Preparatum	Zhi Ban Xia
+ 6g Rz. Acori Tatarinowii	Shi Chang Pu
+ 6g Rz. Zingiberis Recens	Sheng Jiang
+ 9g Rz. Alismatis	Ze Xie
+9g Exocarpium Citri Reticulatae Rubrum	Ju Hong	+ 6g Rx. Polygalae	Yuan Zhi
+ 6g Poria Pararadicis	Fu Shen
For excessive amniotic fluid:		+ 6g Rz. Acori Tatarinowii	Shi Chang Pu
+ 10g Rx. Angelicae Sinensis	Dang Gui
+ 9g Ginger-fried Cx. Magnoliae Officinalis	Hou Po
+ 10g Rx. Paeoniae Alba	Bai Shao
+ 5g Cx. Zingiberis Recens	Sheng Jiang Pi	+ 6g Rz. Atractylodis	Cang Zhu
For excessive amniotic fluid with severe abdominal distention:
+ 10g Per. Arecae	Da Fu Pi
+ 10g Cx. Mori	Sang Bai Pi	+ 10g Rx. Angelicae Sinensis	Dang Gui
+ Tail part Carp with viscera removed	Lǐ Yu
+ 10g Rx. Paeoniae Alba	Bai Shao
For excessive amniotic fluid with Qi Deficiency, lack of strength and an exhausted Spirit:		+ 5g Cx. Zingiberis Recens	Sheng Jiang Pi
+ 10g Rx. Angelicae Sinensis	Dang Gui	+ 10g Per. Arecae	Da Fu Pi
+ 10g Cx. Mori	Sang Bai Pi
+ 10g Rx. Paeoniae Alba	Bai Shao	+ Tail part Carp with viscera removed	Lǐ Yu
+ 5g Cx. Zingiberis Recens	Sheng Jiang Pi
+ 10g Rz. Alismatis	Ze Xie
+ 10g Per. Arecae	Da Fu Pi	+ 10g Sm,. Plantaginis	Che Qian Zi
+ 10g Cx. Mori	Sang Bai Pi	For excessive amniotic fluid with Kidney Deficiency:
+ Tail part Carp with viscera removed	Lǐ Yu
+ 10g Rx. Angelicae Sinensis	Dang Gui
+ 15g Rx. Astragali	Huang Qi
For excessive amniotic fluid with Blood Deficiency and a whitish face:		+ 10g Rx. Paeoniae Alba	Bai Shao
+ 5g Cx. Zingiberis Recens	Sheng Jiang Pi
+ 10g Rx. Angelicae Sinensis	Dang Gui
+ 10g Per. Arecae	Da Fu Pi
+ 10g Rx. Paeoniae Alba	Bai Shao	+ 10g Cx. Mori	Sang Bai Pi
+ 5g Cx. Zingiberis Recens	Sheng Jiang Pi	+ Tail part Carp with viscera removed	Lǐ Yu
+ 10g Per. Arecae	Da Fu Pi	+ 12g Sm. Cuscutae	Tu Si Zi
+ 10g Cx. Mori	Sang Bai Pi	+ 12g Hb. Taxilli	Sang Ji Sheng
+ Tail part Carp with viscera removed	Lǐ Yu	For excessive amniotic fluid with severe, urgent dyspnea:
+ 10g Colla Corii Asini	E Jiao	+ 10g Rx. Angelicae Sinensis	Dang Gui
+ 10g Rx. Polygoni Multiflori	He Shou Wu
+ 10g Rx. Paeoniae Alba	Bai Shao
For ulcerative colitis:		+ 5g Cx. Zingiberis Recens	Sheng Jiang Pi
+ 18g Sm. Lepidii/ Descuraniae	Ting Li Zi
+ 10g Per. Arecae	Da Fu Pi
+ 18g Sm. Arecae	Bing Lang	+ 10g Cx. Mori	Sang Bai Pi
+ 15g Rx. Stephaniae Tetrandrae	Han Fang Ji	+ Tail part Carp with viscera removed	Lǐ Yu
+ 15g Fr. Aurantii	Zhi Ke	+ 10g Sm. Armeniacae	Xing Ren
+ 9g Fr. Zanthoxyli	Chuan Jiao	For ulcerative colitis with severe Spleen Qi Deficiency:
+ 15g Fr. Jujube	Da Zao
For ulcerative colitis with severe diarrhea:		+ 18g Sm. Arecae	Bing Lang
+ 18g Sm. Lepidii/ Descuraniae	Ting Li Zi	+ 15g Rx. Stephaniae Tetrandrae	Han Fang Ji
+ 18g Sm. Arecae	Bing Lang	+ 15g Fr. Aurantii	Zhi Ke
+ 15g Rx. Stephaniae Tetrandrae	Han Fang Ji	+ 9g Fr. Zanthoxyli	Chuan Jiao
+ 15g Fr. Jujube	Da Zao
+ 15g Fr. Aurantii	Zhi Ke	+ 18g Polyporus	Zhu Ling
+ 9g Fr. Zanthoxyli	Chuan Jiao	+ 9g Rz. Atractylodis	Cang Zhu
+ 15g Fr. Jujube	Da Zao	+ 9g Rz. Pinelliae Preparatum	Zhi Ban Xia
+ 9g Fr. Amomi	Sha Ren
+ 15g Per. Citri Reticulatae	Chen Pi	+ 15g Rx. Astragali	Huang Qi
For ulcerative colitis with profuse Phlegm:
+ 15g Terra Flava Usta	Zao Xin Tu	+ 18g Sm. Lepidii/ Descuraniae	Ting Li Zi
For ulcerative colitis with vomiting of clear fluid:
+ 18g Sm. Lepidii/ Descuraniae	Ting Li Zi	+ 18g Sm. Arecae	Bing Lang
+ 15g Rx. Stephaniae Tetrandrae	Han Fang Ji
+ 18g Sm. Arecae	Bing Lang
+ 15g Rx. Stephaniae Tetrandrae	Han Fang Ji	+ 15g Fr. Aurantii	Zhi Ke
+ 9g Fr. Zanthoxyli	Chuan Jiao
+ 15g Fr. Aurantii	Zhi Ke	+ 15g Fr. Jujube	Da Zao
+ 9g Fr. Zanthoxyli	Chuan Jiao	+ 9g Per. Citri Reticulatae	Chen Pi
+ 15g Fr. Jujube	Da Zao
+ 9g Flos Inulae	Xuan Fu Hua	+ 9g Rz. Pinelliae Preparatum	Zhi Ban Xia
+ 9g Per. Citri Reticulatae	Chen Pi
For ulcerative colitis with abdominal fullness and distention:
+ 9g Rz. Pinelliae Preparatum	Zhi Ban Xia
+ 18g Sm. Lepidii/ Descuraniae	Ting Li Zi
For ulcerative colitis with dizziness:
+ 18g Sm. Lepidii/ Descuraniae	Ting Li Zi	+ 18g Sm. Arecae	Bing Lang
+ 15g Rx. Stephaniae Tetrandrae	Han Fang Ji
+ 18g Sm. Arecae	Bing Lang
+ 15g Rx. Stephaniae Tetrandrae	Han Fang Ji	+ 15g Fr. Aurantii	Zhi Ke
+ 9g Fr. Zanthoxyli	Chuan Jiao
+ 15g Fr. Aurantii	Zhi Ke	+ 15g Fr. Jujube	Da Zao
+ 9g Fr. Zanthoxyli	Chuan Jiao	+ 6g Rx. Aucklandiae	Mu Xiang
+ 15g Fr. Jujube	Da Zao	+ 6g Fr. Amomi	Bing Lang
+ 12g stir-fried Rz. Gastrodiae	Chao Tian Ma	For vomiting associated with AIDS/HIV
+ Minor Pinellia Decoction Xiao Ban Xia Tang
- Rx. Glycyrrhizae	Gan Cao
+ Per Citri Reticulatae	Chen Pi