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Source: Hé Jì Jú Fāng 和剂局方

Ingredients:

• Bái zhǐ (白芷 Angelicae Dahuricae Radix, Dahurian angelica) 90g
• Chuān xiōng (川芎 Chuanxiong Rhizoma, chuanxiong [rhizome]) 90g
• Gān cǎo (甘草 Glycyrrhizae Radix, licorice [root]) 90g
• Fú líng (茯苓 Poria , poria) 90g
• Dāng guī (当归 Angelicae Sinensis Radix, Chinese angelica) 90g
• Ròu guì (肉桂 Cinnamomi Cortex, cinnamon bark) 90g
• Sháo yào (芍药 Paeoniae Radix, peony [root]) 90g
• Bàn xià (半夏 Pinelliae Rhizoma, pinellia [rhizome]) 90g
• Chén pí (陈皮 Citri Reticulatae Pericarpium, tangerine peel) 180g
• Zhǐ ké (qiào) (枳壳 Aurantii Fructus, bitter orange) 180g
• Má huáng (麻黄 Ephedrae Herba, ephedra) 180g
• Gān jiāng (干姜 Zingiberis Rhizoma, dried ginger) 120g
• Cāng zhú (苍朮 Atractylodis Rhizoma, atractylodes [rhizome]) 360g
• Jié gěng (桔梗 Platycodonis Radix, platycodon [root]) 360g
• Hòu pò (厚朴 Magnoliae Officinalis Cortex, officinal magnolia bark) 120g

Action: Resolves the exterior and disperses cold; warms the center and disperses accumulations.

Indication: External contraction of wind-cold engendering internal cold with signs such as heat effusion, aversion to cold, absence of sweating, headache and generalized pain, hypertonicity of nape and back, distension and pain in the chest and abdomen, no desire to eat, and in some cases nausea and vomiting. Tongue fur: White and slimy.

Category: Dual exterior-interior resolution formulas / Exterior-resoloving interior-warming formulas

Method: Grind the rougui and zhike(qiao); grind the other ingredients and stir-fry over a low heat, spread out to cool, and then mix with the other two ingredients.

Dosage: 9g at a time, boiled in water and taken warm.

Rationale: Má huáng and Bái zhǐ promote sweating and resolve the exterior. Gān jiāng and Guì zhī warm the center and disperse cold. These four agents together eliminate the cold, treating the root of the five accumulations—cold, food, phlegm, qì, and blood accumulation. Cāng zhú and Hòu pò fortify the spleen and dry dampness, to eliminate the food stagnation. Chén pí and Fǎ bàn xià rectify qì and transform phlegm to treat phlegm accumulation. Jié gěng and zhike restore normal upbearing and downbearing of qì, eliminating qì depression. Dāng guī, Chuān xiōng, and Bái sháo nourish the blood, dispelling blood stasis. Gān cǎo and Gān jiāng harmonize the other agents.

Variations:

• Severe exterior cold: Replace Ròu guì (肉桂 Cinnamomi Cortex, cinnamon bark) with Guì zhī (桂枝 Cinnamomi Ramulus, cinnamon twig); if exterior cold is not pronounced, remove Bái zhǐ (白芷 Angelicae Dahuricae Radix, Dahurian angelica) and Má huáng (麻黄 Ephedrae Herba, ephedra).
• Exterior vacuity with spontaneous sweating: Omit Má huáng (麻黄 Ephedrae Herba, ephedra) and Cāng zhú (苍朮 Atractylodis Rhizoma, atractylodes [rhizome]).
• Severe interior cold: Add Wú zhū yú (吴茱萸 Evodiae Fructus, evodia [fruit]).
• Severe food accumulation: Add Shān zhā (山楂 Crataegi Fructus, crataegus [fruit]) and Shén qū (神曲 Massa Medicata Fermentata , medicated leaven).
• Menstrual irregularities: Omit the exterior-resolving agents, and add Xiāng fù (香附 Cyperi Rhizoma, cyperus [rhizome]), Yán hú suǒ (延胡索 Corydalis Rhizoma, corydalis [rhizome]), and Dān shēn (丹参 Salviae Miltiorrhizae Radix, salvia [root]).

Similar: Má huáng fù zǐ xì xīn tāng (麻黄附子细辛汤 Ephedra, Aconite, and Asarum Decoction)

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