HERB FORMULAS

GUA LOU XIE BAI BAN XIA TANG - 瓜蒌薤白半夏汤 - TRICHOSANTHIS FRUIT, CHINESE GARLIC AND PINELLIA DECOCTION

English: Trichosanthis Fruit, Chinese Garlic and Pinellia Decoction
Also Known As: Trichosanthis Fruit, Chinese Chive and Pinellia Decoction
Trichosanthis Fruit, Chinese Chive and Pinellia Combination
Trichosanthis, Alium and Pinellia Decoction

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Fr. Trichosanthis Gua Lou 12-30g Clears Lung Heat, transforms Hot Phlegm and regulates Qi (unbinds the chest).
With Zhi Ban Xia, for focal distention in the chest and diaphragm due to clumping of Phlegm and Heat leading to Qi Stagnation and chest Bi due to clumping of sticky, thick and turbid Phlegm.
With Xie Bai and Zhi Ban Xia, for painful obstruction of the chest (Chest Bi) due to Cold turbidity stagnating in the Upper Jiao.
Bul. Allii Macrostemi Xie Bai 9-15g Unblocks the Yang Qi, disperses turbid Phlegm, alleviates pain, disperses hardenings, descends Qi, reduces Stagnation and disperses Cold Phlegm.
With Gua Lou, for chest Bi with profuse Phlegm.
Rz. Pinelliae Preparatum Zhi Ban Xia 9-12g Dries Dampness, reduces Stagnation, descends Rebellious Qi and transforms Phlegm.
White wine Bai Jiu 30-60-ml  

FORMULA ACTIONS

  • Unblocks the Yang
  • Disperses Stagnation
  • Dispels Phlegm
  • Relieves chest fullness

SYNDROMES

  • Chest Bi due to Phlegm Stagnation where the pain is so severe that the patient cannot lie down.

CLINICAL MANIFESTATIONS

  • Chest fullness and pain
  • Dyspnea
  • Shortness of breath
  • Severe pain radiating to the back
  • Severe wheezing
  • Chest oppression
  • Severe cough
  • Disturbed sleep
  • T: Normal
  • C: White and greasy
  • P: Deep and wiry or Tight

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For coronary artery disease: For coronary artery disease with severe Cold:
+ 15g Rx. Salviae Miltiorrhizae Dan Shen + 15g Rx. Salviae Miltiorrhizae Dan Shen
+ 9g Rz. Chuanxiong Chuan Xiong + 9g Rz. Chuanxiong Chuan Xiong
+ 9g Pollen Typhae Pu Huang + 9g Pollen Typhae Pu Huang
+ 9g Rz. Cyperi Xiang Fu + 9g Rz. Cyperi Xiang Fu
+ 9g Flos Carthami Hong Hua + 9g Flos Carthami Hong Hua
+ 4.5g Ram. Cinnamomi Gui Zhi + 4.5g Ram. Cinnamomi Gui Zhi
+ 1.5g Sanguis Draconis Xue Jie + 1.5g Sanguis Draconis Xue Jie
+ 1.5g Rx. Notoginseng San Qi + 1.5g Rx. Notoginseng San Qi
For coronary artery disease with Heart Yang Deficiency:
 + 6g Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+ 15g Rx. Salviae Miltiorrhizae Dan Shen +9g Hb. Epimedii Yin Yang Huo
+ 9g Rz. Chuanxiong Chuan Xiong
For coronary artery disease with fatigue, shortness of breath and weakness of the limbs due to Qi Deficiency:
+ 9g Pollen Typhae Pu Huang + 15g Rx. Salviae Miltiorrhizae Dan Shen
+ 9g Rz. Cyperi Xiang Fu + 9g Rz. Chuanxiong Chuan Xiong
+ 9g Flos Carthami Hong Hua + 9g Pollen Typhae Pu Huang
+ 4.5g Ram. Cinnamomi Gui Zhi + 9g Rz. Cyperi Xiang Fu
+ 1.5g Sanguis Draconis Xue Jie + 9g Flos Carthami Hong Hua
+ 1.5g Rx. Notoginseng San Qi + 4.5g Ram. Cinnamomi Gui Zhi
+ 15g Rx. Astragali Huang Qi + 1.5g Sanguis Draconis Xue Jie
+ 3g Hb. cum Rx. Asari Xi Xin + 1.5g Rx. Notoginseng San Qi
+ 3g Rx. Aconiti Lateralis Preparata Zhi Fu Zi + 15g Rx. Astragali Huang Qi
For coronary artery disease with severe chest oppression:
+ 9g Rx. Codonopsis Dang Shen
+ 15g Rx. Salviae Miltiorrhizae Dan Shen
For coronary artery disease with profuse Phlegm:
+ 9g Rz. Chuanxiong Chuan Xiong + 15g Rx. Salviae Miltiorrhizae Dan Shen
+ 9g Pollen Typhae Pu Huang + 9g Rz. Chuanxiong Chuan Xiong
+ 9g Rz. Cyperi Xiang Fu + 9g Pollen Typhae Pu Huang
+ 9g Flos Carthami Hong Hua + 9g Rz. Cyperi Xiang Fu
+ 4.5g Ram. Cinnamomi Gui Zhi + 9g Flos Carthami Hong Hua
+ 1.5g Sanguis Draconis Xue Jie + 4.5g Ram. Cinnamomi Gui Zhi
+ 1.5g Rx. Notoginseng San Qi + 1.5g Sanguis Draconis Xue Jie
+ 9g Cx. Magnoliae Officinalis Hou Po + 1.5g Rx. Notoginseng San Qi
+ 9g Fr. Aurantii Zhi Ke + 9g Rx. Platycodi Jie Geng
For coronary Heart disease:
For coronary artery disease with severe Heart pain:
+ 30g Rx. Salviae Miltiorrhizae Dan Shen
+ 15g Rx. Salviae Miltiorrhizae Dan Shen
+ 12g Rx. Peucedani Qian Hu
+ 12g Rx. Curcumae Yu Jin + 9g Rz. Chuanxiong Chuan Xiong
+ 12g Sm. Lepidii Ting Li Zi + 9g Pollen Typhae Pu Huang
+ 12g Ram. Cinnamomi Gui Zhi + 9g Rz. Cyperi Xiang Fu
or + 9g Flos Carthami Hong Hua
+ 30g Rx. Salviae Miltiorrhizae Dan Shen + 4.5g Ram. Cinnamomi Gui Zhi
+ 1.5g Sanguis Draconis Xue Jie
+ 10g Ram. Cinnamomi Gui Zhi + 1.5g Rx. Notoginseng San Qi
+ 10g Pollen Typhae Pu Huang + 20g Rz. Corydalis Yan Hu Suo
+ 10g Faeces Trogopterori Wu Ling Zhi For coronary Heart disease with obvious palpitations and edema:
For coronary Heart disease with mild Qi Stagnation:
+ 30g Rx. Salviae Miltiorrhizae Dan Shen
+ Per. Citri Reticulatae Chen Pi + 12g Rx. Peucedani Qian Hu
+ Fr. Aurantii Zhi Ke + 12g Rx. Curcumae Yu Jin
+ Rx. Glycyrrhizae Gan Cao + 12g Sm. Lepidii Ting Li Zi
+ Rz. Zingiberis Gan Jiang + 12g Ram. Cinnamomi Gui Zhi
+ Rx. Salviae Miltiorrhizae Dan Shen + Rz. Atractylodis Macrocephalae Bai Zhu
For coronary Heart disease with mild Blood Stagnation:
+ Poria Fu Ling
For coronary Heart disease with Cold limbs, coma and a weak pulse:
+ Rx. Angelicae Sinensis Dang Gui
+ Caulis Millettia Ji Xue Teng + 30g Rx. Salviae Miltiorrhizae Dan Shen
+ Rx. Paeoniae Rubra Chi Shao
For coronary Heart disease with perspiration, Cold limbs and expectoration of white Phlegm: + 12g Rx. Peucedani Qian Hu
+ 12g Rx. Curcumae Yu Jin
+ 30g Rx. Salviae Miltiorrhizae Dan Shen + 12g Sm. Lepidii Ting Li Zi
+ 12g Ram. Cinnamomi Gui Zhi
+ 12g Rx. Peucedani Qian Hu + Rx. Aconiti Lateralis Preparatum Zhi Fu Zi
+ 12g Rx. Curcumae Yu Jin
+ 12g Sm. Lepidii Ting Li Zi + Rx. Ginseng Ren Shen
+ 12g Ram. Cinnamomi Gui Zhi + Fr. Schisandrae Wu Wei Zi
- Fr. Trichosanthis Gua Lou + Moschus She Xiang
+ Rx. Aconiti Lateralis Preparatum Zhi Fu Zi
For coronary Heart disease with Yang Deficiency:
+ Hb. cum Rx. Asari Xi Xin
+ Rx. Ginseng Ren Shen + Rz. Zingiberis Gan Jiang
+ Poria Fu Ling + Fr. Piperis Longi Bi Ba
+ Cx. Mori Sang Bai Pi + Cx. Cinnamomi Rou Gui
For coronary Heart disease with severe chest pain: + Fr. Evodiae Wu Zhu Yu
For coronary Heart disease with moderate Blood Stagnation:
+ 30g Rx. Salviae Miltiorrhizae Dan Shen
+ 12g Rx. Peucedani Qian Hu + Flos Carthami Hong Hua
+ 12g Rx. Curcumae Yu Jin + Rz. Chuanxiong Chuan Xiong
+ 12g Sm. Lepidii Ting Li Zi + Pollen Typhae Pu Huang
+ 12g Ram. Cinnamomi Gui Zhi + Faeces Trogopterori Wu Ling Zhi
+ Heart Stimulating Pill (Patent)
Huo Xin Dan
 + Rx. Notoginseng San Qi
For coronary Heart disease with sputum:
+ Rx. et Rz. Rhei Da Huang
+ Arisaemae cum Bile Dan Nan Xing + Hb. Leonuri Yi Mu Cao
+ Per Citri Reticulatae Chen Pi + Olibanum Ru Xiang
+ Poria Fu Ling + Myrrh Mo Yao
For coronary Heart disease with severe Blood Stagnation:
+ Lignum Sappan Su Mu
For coronary Heart disease with Qi Deficiency:
+ Per. Citri Reticulatae Chen Pi + Rx. Ginseng Ren Shen
+ Fr. Aurantii Zhi Ke + Rx. Codonopsis Dang Shen
+ Rx. Glycyrrhizae Gan Cao + Rx. Astragali Huang Qi
+ Rz. Zingiberis Gan Jiang + Rx. Stellariae Tai Zi Shen
+ Rx. Salviae Miltiorrhizae Dan Shen + Rz. Polygonati Huang Jing
For coronary Heart disease with Qi Deficiency:
+ Rz. Sparganii San Leng + Rx. Ginseng Ren Shen
+ Rz. Curcumae E Zhu + Rx. Codonopsis Dang Shen
+ Sanguis Draconis Xue Jie + Rx. Astragali Huang Qi
+ Sm. Persicae Tao Ren + Rx. Stellariae Tai Zi Shen
+ Hirudo Shui Zhi + Rz. Polygonati Huang Jing
For coronary Heart disease with Qi Stagnation:
For chest pain:
+ Per. Citri Reticulatae Chen Pi + 9g Per. Citri Reticulatae Chen Pi
+ Fr. Aurantii Zhi Ke
+ Rx. Glycyrrhizae Gan Cao + 9g Poria Fu Ling
+ Rz. Zingiberis Gan Jiang + 6g Rx. Glycyrrhizae Preparata Zhi Gan Cao
+ Rx. Salviae Miltiorrhizae Dan Shen
+ 6g Fr. Aurantii Zhi Ke
+ Rz. Corydalis Yan Hu Suo + 6g Rx. Platycodi Jie Geng
+ Rx. Curcumae Yu Jin + 6g Stir-fried Ram. Cinnamomi Gui Zhi
+ Rz. Cyperi Xiang Fu
For chest pain with chest oppression and abdominal distention:
+ Fr. Aurantii Zhi Ke + 9g Per. Citri Reticulatae Chen Pi
+ Cx. Magnoliae Officinalis Hou Po + 9g Poria Fu Ling
+ 6g Rx. Glycyrrhizae Preparata Zhi Gan Cao
For chest pain with coughing and profuse Phlegm:
+ 9g Per. Citri Reticulatae Chen Pi + 6g Fr. Aurantii Zhi Ke
+ 9g Poria Fu Ling + 6g Rx. Platycodi Jie Geng
+ 6g Rx. Glycyrrhizae Preparata Zhi Gan Cao + 6g Stir-fried Ram. Cinnamomi Gui Zhi
+ 6g Fr. Aurantii Zhi Ke + 10g Rx. Aucklandiae Mu Xiang
+ 6g Rx. Platycodi Jie Geng
For chest pain with Spleen Qi Deficiency:
+ 6g Stir-fried Ram. Cinnamomi Gui Zhi + 9g Per. Citri Reticulatae Chen Pi
+ Cx. Magnoliae Officinalis Hou Po + 9g Poria Fu Ling
+ 6g Rx. Glycyrrhizae Preparata Zhi Gan Cao
+ 10g Flos Inulae Xuan Fu Hua + 6g Fr. Aurantii Zhi Ke
For chest oppression:
+ 6g Rx. Platycodi Jie Geng
+ 10g Rx. Salviae Miltiorrhizae Dan Shen + 6g Stir-fried Ram. Cinnamomi Gui Zhi
+ 10g Sm. Persicae Tao Ren
+ 6g Fr. Aurantii Zhi Ke + 10g Rz. Atractylodis Macrocephalae Bai Zhu
+ 6g Rx. Platycodi Jie Geng
+ 10g Lignum Dalbergiae Odoriferae Jiang Xiang + 10g Rx. Codonopsis Dang Shen
For chest oppression with Heart pain:
For chest oppression with severe stabbing pain:
+ 10g Sm. Persicae Tao Ren
+ 10g Rx. Salviae Miltiorrhizae Dan Shen + 6g Fr. Aurantii Zhi Ke
+ 6g Rx. Platycodi Jie Geng
+ 10g Sm. Persicae Tao Ren + 10g Lignum Dalbergiae Odoriferae Jiang Xiang
+ 6g Fr. Aurantii Zhi Ke
+ 6g Rx. Platycodi Jie Geng + 3g powdered Rx. Notoginseng San Qi
+ 10g Lignum Dalbergiae Odoriferae Jiang Xiang
+ 3g Rx. Ilicis Pubescentis Mao Dong Qing

+ Sudden Smile Powder
Shi Xiao San

+ 3g Rx. Ilicis Pubescentis Mao Dong Qing
For chest oppression with abdominal distention:
For chest oppression with coughing up profuse Phlegm:
+ 10g Rx. Salviae Miltiorrhizae Dan Shen
+ 10g Rx. Salviae Miltiorrhizae Dan Shen
+ 10g Sm. Persicae Tao Ren + 10g Sm. Persicae Tao Ren
+ 6g Fr. Aurantii Zhi Ke + 6g Fr. Aurantii Zhi Ke
+ 6g Rx. Platycodi Jie Geng + 6g Rx. Platycodi Jie Geng
+ 10g Lignum Dalbergiae Odoriferae Jiang Xiang + 10g Lignum Dalbergiae Odoriferae Jiang Xiang
+ 10g Rx. Aucklandiae Mu Xiang + 10g Cx. Magnoliae Officinalis Hou Po
For chest oppression with Spleen Qi Deficiency:
+ 10g Rx. Salviae Miltiorrhizae Dan Shen + 10g Flos Inulae Xuan Fu Hua
For hyperlipoproteinemia:
+ 10g Sm. Persicae Tao Ren - Rz. Pinelliae Preparatum Zhi Ban Xia
+ 6g Fr. Aurantii Zhi Ke
+ 6g Rx. Platycodi Jie Geng + 30gt Rx. Salviae Miltiorrhizae Dan Shen
+ 10g Lignum Dalbergiae Odoriferae Jiang Xiang + 15g Poria Fu Ling
+ 15g Rz. Alismatis Ze Xie
+ 15g Rz. Atractylodis Macrocephalae Bai Zhu + 9g Pollen Typhae Pu Huang
+ 9g Faeces Trogopterori Wu Ling Zhi
+ 10g Poria Fu Ling
For hyperlipoproteinemia with chest pain and palpitations:
 + 9g Rx. Curcumae Yu Jin
- Rz. Pinelliae Preparatum Zhi Ban Xia + 9g Per. Citri Reticulatae Chen Pi
+ 30gt Rx. Salviae Miltiorrhizae Dan Shen + 9g Fol. Nelumbinis He Ye
For hyperlipoproteinemia with dizziness and a headache:
+ 15g Poria Fu Ling
+ 15g Rz. Alismatis Ze Xie - Rz. Pinelliae Preparatum Zhi Ban Xia
+ 9g Pollen Typhae Pu Huang
+ 9g Faeces Trogopterori Wu Ling Zhi + 30gt Rx. Salviae Miltiorrhizae Dan Shen
+ 9g Rx. Curcumae Yu Jin + 15g Poria Fu Ling
+ 9g Per. Citri Reticulatae Chen Pi + 15g Rz. Alismatis Ze Xie
+ 9g Pollen Typhae Pu Huang
+ 9g Fol. Nelumbinis He Ye + 9g Faeces Trogopterori Wu Ling Zhi
+ 12g Fr. Crataegi Shan Zha
+ 3g Rx. Notoginseng San Qi + 9g Rx. Curcumae Yu Jin
For hyperlipoproteinemia with Spleen Qi Deficiency:
 + 9g Per. Citri Reticulatae Chen Pi
- Rz. Pinelliae Preparatum Zhi Ban Xia + 9g Fol. Nelumbinis He Ye
+12g Rz. Gastrodiae Tian Ma
+ 30gt Rx. Salviae Miltiorrhizae Dan Shen
For hyperlipoproteinemia with Blood Deficiency:
- Rz. Pinelliae Preparatum Zhi Ban Xia
+ 15g Poria Fu Ling
+ 15g Rz. Alismatis Ze Xie + 30gt Rx. Salviae Miltiorrhizae Dan Shen
+ 9g Pollen Typhae Pu Huang
+ 9g Faeces Trogopterori Wu Ling Zhi + 15g Poria Fu Ling
+ 15g Rz. Alismatis Ze Xie
+ 9g Rx. Curcumae Yu Jin + 9g Pollen Typhae Pu Huang
+ 9g Per. Citri Reticulatae Chen Pi + 9g Faeces Trogopterori Wu Ling Zhi
+ 9g Rx. Curcumae Yu Jin
+ 9g Fol. Nelumbinis He Ye + 9g Per. Citri Reticulatae Chen Pi
+ 9g Rz. Polygonati Huang Jing
+ 6g Rx. Glycyrrhizae Gan Cao
+ 5g Rx. Ginseng Ren Shen + 9g Fol. Nelumbinis He Ye
For upper back pain due to Obstruction of the Heart Vessels with shortness of breath due to Qi Deficiency:
+ 9g Rx. Polygoni Multiflori He Shou Wu
+ 15g Rx. Codonopsis Dang Shen
For upper back pain with palpitations:
For upper back pain due to Obstruction of the Heart Vessels with shortness of breath due to hyperventilation caused by Liver Qi Stagnation:
+ 10g Fr. Schisandrae Wu Wei Zi
For upper back pain with chest pain:
+ 10g Rx. Notoginseng San Qi
+ 10g Rx. Curcumae Yu Jin
+ 10g Fr. Aurantii Zhi Ke    
For upper back pain with insomnia:
   
+ 12g Sm. Zizyphi Spinosae Suan Zao Ren