HERB FORMULAS

ZHI SHI XIE BAI GUI ZHI TANG - 枳实薤白桂枝汤 - UNRIPE BITTER ORANGE, CHINESE GARLIC AND CINNAMOM TWIG DECOCTION

English: Unripe Bitter Orange, Chinese Garlic and Cinnamon Twig Decoction
Also Known As: Chih-Shi, Bakeri and Cinnamon Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Fr. Trichosanthis Gua Lou 12-24g Clears Lung Heat, transforms Hot Phlegm, regulates Qi and unbinds the chest.
Bul. Allii Xie Bai 9-12g Unblocks Yang Qi, disperses turbid Phlegm, alleviates pain, disperses hardenings, disperses Cold Phlegm Descends Qi and reduces Stagnation.
With Gua Lou, for chest Bi with profuse Phlegm.
Fr. Aurantii Immaturus Zhi Shi 12g Breaks up Stagnant Qi, reduces accumulation, descends Qi, transforms Phlegm, reduces distention and resolves hardenings.
With Hou Po, for distention, swelling and pain due to Food Stagnation and Qi Stagnation.
With Xie Bai, Gui Zhi and Gua Lou, for a painful chest with epigastric distention due to Upper Jiao Yang Deficiency with Phlegm-Cold Obstructing the chest.
Cx. Magnoliae Officinalis Hou Po 12g Promotes the movement of Qi downward, dries Dampness, transforms Phlegm, descends Rebellious Qi and calms wheezing.
With Zhi Shi, for abdominal or chest distention, focal epigastric distention, wheezing, shortness of breath, nausea, rebellious Qi or constipation from Cold, Heat, Dampness or Phlegm as long as clumped Qi is at the root of the problem.
Ram. Cinnamomi Gui Zhi 3-6g Warms the channels and collaterals to relieve pain, unblocks Yang, transforms Qi and thin mucus, assists Heart Yang, warms and facilitates the flow of Yang Qi in the chest and warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels.
With Xie Bai and Gua Lou, for angina pectoris and chest Bi due to Yang Deficiency in the chest.

FORMULA ACTIONS

  • Unblocks Yang
  • Dissipates clumps
  • Expels Phlegm
  • Descends Qi

SYNDROMES

  • Painful Obstruction of the Chest
  • Chest Bi

CLINICAL MANIFESTATIONS

  • Fullness and pain in the chest or
  • Stabbing pain that radiates from the chest to the back
  • Wheezing
  • Coughing with sputum
  • Drooling
  • Shortness of breath
  • Focal distention in the chest that feels like a flow of Qi proceeding from the flanks to the area around the Heart
  • T: Normal
  • C: White and greasy
  • P: Deep and wiry or Deep and tight

TREATS

  • Costochondritis
  • Hyperventilation disorders
  • Epigastric pain
  • Hypochondriac pain
  • Cholecystitis
  • Cardiac colic

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with chest pain due to Lung consumption of Phlegm-Heat.
  • Do not use long-term.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For severe Cold with pain radiating from the chest to the back that is worse with Cold: For intercostal neuralgia:
+ Frigid Extremities Powder
Si Ni San
+ Rx. Aconiti Lateralis Preparata Zhi Fu Zi
For angina pectoris:
+ Rz. Zingiberis Gan Jiang + Rx. Paeoniae Rubra Chi Shao
    + Rz. Chuanxiong Chuan Xiong
    + Flos Carthami Hong Hua