To remove heat from the heart and the lung, to regulate the flow of qi, and to induce sedation. It was written by zhang zhong jing in the late han dynasty, circa 20200 a. Treating fever using classical thinking from the shang han lun. Lotus specific applications of tcm in the prevention and. As one esteemed chinese teacher said, when listing books that needed to be written into english. Zhangs ingenious use of shang han lun prescriptions appearing originally in oriental medical journal intern zhang hurried over to the library. To remove heat from the lung, relieve cough and promote expectoration. Chao yuan fang sui dynasty, complied zhu bing yuan hou lun, first tcm book on etiology and pathology, which is used in the following dynasties for tcm doctor training. Understanding shang han lun physiology for clinical ease. This current of thought has been very influential, and when set up in opposition to the cold damage shang han current, there have been many debates among our predecessors, some of which remain unresolved. Astragalus formula h q j zhong t o han dynasty circa 220.
Gui zhi er ma huang yi tang is similar to the above formula in that it is also for a mild condition. Identification of patterns according to the six stages. It appears in 33 formulas and is mentioned in 52 items in the book. Copious sweating following chemotherapy or radiation for cancer. With bai shao, harmonizes the ying and wei and warms and tonifies the middle jiao. Cinnamon twig formula gui zhi tang, is one of the most enduring and versatile formulas in the history of chinese herbal medicine. It is a classic text in that it is the foundational for all of the herbal medicine practiced since then, and is the basis for many wen bing formulas. In the shang han lun, shao yao is a frequently used and important herb. For example, modern interpretations of a moderate pulse often refer to the speed of its beats. Chai hu gui zhi tang bupleurum and cinnamon twig select. Shang han lun was written in approx 200 ad and remains a seminal t. Gui zhi tang is a formula that was developed around the year 220 c.
Tao he cheng qi tang peach pit decoction to order the qi term. Seven days previously she had developed a cold with fever and fear of cold. May 31, 2011 warm disease wen bing is a type of illness 1. This great influential work introduced the specific symptoms of sixchannel disorders tai.
Releases the exterior, assists yang, adjusts the ying and wei and releases the muscle layer. You can classify these are all, some of the major formulas, where the shang han lun formulas get classified into. This is part two of a series of articles dedicated to that topic. If we look at gui zhi tang, we see it is made up of two miniformulas. First mentioned in the shang han lun, gui zhi tang is primarily used to readjust. There are 7 substances in this chinese medicne dang gui chinese angelica root quantity 9 grams. With bai shao, harmonizes the ying and wei and warms and tonifies the middle jiao rx. She explains what the shang han lun is really talking about and how to begin applying the elegant and amazingly effective formulas of the shang han lun in the clinic. Jcheng wuji in the annotation and explanation of the shang han lun zhu jie shang han lun said.
When in shaoyin disease there is immediate vomiting of food and drink, uncomfortable warmth in. The first appearance of cinnamon twig formula in text dates from the eastern han dynasty 25220 a. In our area of expertise we stock antiquarian, new and secondhand books, and other documentation, in any language. Da cheng qi tang major order the qi decoction chinese. Many wellknown formulas which treat liquid deficiency of the lungs and the heart are. The chai hu gui zhi gan jiang tang addresses the jue yin syndrome by clearing the heat above and the fu ling ban xia tang address the tai yin excess and depletion by activating the function of the digestion and expelling internal rheum. Shlv174line 155 chai hu add gui zhi tang for epigastric pain 11. Modern use of chinese herbal formulae from shanghan lun. According to shang han lun, if a tai yang wind damage pattern with wheezing, we can use gui zhi tang plus hou po and xing ren two herbs. First appeared in the shang han lun and essentials from the golden cabinet jin gui yao lue, by zhang zhongjing. To clear away heat and purge fire, induce diuresis for treating stranguria.
Taiyang, shaoyang, yangming taiyin, shaoyin, jueyin. Such notes provide practitioners with the clinical. Together they have written over 20 books using different methodology to understand the application of the classics. The part about cold disease was collected by wang shuhe, an imperial doctor in the western jin dynasty, and known as shang han lun treatise on cold diseases. This import text was lost in the war related upheavals that accompanied the collapse of the han dynasty. Shang han lun medicinetraditions medicine traditions. Ive been studying chinese and chinese medicine since 1995.
Mar 05, 2020 hence, the formulas used may include gan cao gan jiang tang licorice and ginger decoction, gui zhi tang cinnamon twig decoction. For tai yang illness with headache, fever, sweating, and an aversion to wind, gui zhi tang masters it. The shang han lun was written or compiled by zhang zhongjing before 220 ad, toward the end of the han dynasty. Shang han lun fang jie explanation of the formulas of the shang han lun, page. The chinese medical archive, shang han lun, is said to be written by zhang zhongjing 150 219 a. With gui zhi, sheng jiang and da zao, for windcold with deficiency and perspiration. Da cheng qi tang major order the qi decoction formulas in this category da cheng qi tang da huang mu dan tang liang ge san da xian xiong tang xiao cheng qi tang huang long tang tiao wei cheng qi tang ma zi ren wan run chang wan ji chuan jian san wu bei ji wan da huang fu zi tang shi zao tang zhou che wan.
Cinnamon twig formula g z t o eastern han dynasty 25220 a. In order to resolve the muscles, the ingredients only slightly promote sweating. Chai hu long gu mu li tang granules is a traditional chinese formula used to unblock the three yang stages and for a sensation of extreme heaviness throughout the body. This formula comes from zhang zhongjings late han dynasty shang han lun treatise on damage due to cold. The principal drug, being pungent and sweet in flavor and warm in nature, expelling pathogenic.
Returning our focus to the flavour and nature of herbs. Releases the exterior, adjusts the ying and wei, warms the channels and collaterals to relieve pain, disperses cold, unblocks yang, transforms qi and releases the muscle layer. Feng shi lun compiling valuable explanations of the original clauses of the shang han za bing lun while bringing to light the clinical applications of these classical formulas within the original understanding of the six syndromes and eight guiding. Ge gen 12 g, ma huang 9 g, gui zhi 6 g, sheng jiang 9 g, zhi gan cao 6 g, shao yao 6 g, da zao 12 dates. Cinnamon twig formula g z t o eastern han dynasty 25220. They flow along correctly and connect above and below. Foundations of theory for ancient chinese medicine. Clinical relevance of shao yao in the shang han lun. It proposes that cold, and deficient yang qi body heat are the initial cause of acute diseases. Enter your email address to follow this blog and receive notifications of new posts by email.
It is a translation of a translation into modern chinese. Kan offers gui zhi tang as cinnamon twig decoction, and plum flower calls it gui zhi teapills. While the shang han za bing lun may have been written 18002000 years ago, it is still very relevant today. Cinnamon twig gui zhi enters into the ying level of the vessels, strengthens the qi in the vessel walls, and expels evil qi outward. Jun 21, 2015 discussion of cold damage shang han lun and contemporary texts of ancient china form the bedrock of modern chinese medicine practice, yet these classic texts contain many concepts that are either hard to understand or confusing.
Described the invasion of exterior pathogenic factors systemically from the exterior to the interior. Now lets look at the composition of gui zhi tang from the perspective of the pharmacological actions of the herbs. The shang han lun treatise on coldinduced disorders is a seminal text of tcm, written approximately 200 ce by zhang zhong jing. Metabolites clc number r917 document code a article id 20956975201911080319 introductioni guizhijiagegentang gzjggt is a traditional chinese medicine tcm prescription from shanghanlun, a very famous medical work from the eastern han. Wu ling sans special place in the tcm formulary lies in its ability to treat fluid buildup in the interior due to a pathogen causing stagnation on the exterior.
Gui zhi tang presentation acupuncture melbourne cbd. Here is a video summary discussing the use of 11 common gui zhi and bai shao formulas from the shang han lun and jing gui yao lue. When the tai yang is affected, practitioners have a choice between ma huang tang for colddamage and gui zhi tang for windstrike, but due to the current fda status of ma huang, i will limit my analysis to gui zhi tang alone. Zhong, a patient with heart failure was given aroundtheclock emergency. Its called ge gen tang because ge gen is in a high dose to treat the pain. On cold damage shang han lun combined channels of all herbs in this formula. It effectively describes the progress of a pathogen from the exterior of the body skin down into the interior internal organs.
Spleen, heart, liver, lungs, bladder, kidneys, stomach, small intestine. Identification of constituents in guizhijiagegentang by. The source text is the shang han lun, written by zhang zhong jing. In chinese medical school, gzt is presented first and taught in the study of the shang han lun shl from two different applications narrow and broad. Excuse the first 10 seconds, i dont know how to edit yet, this is my first attempt, so dont be harsh. Differentiation of syndromes according to the 6 channels originally appeared in the traditional chinese medicine classic called the shang han lun, which can be loosely translated as on cold damage.
When the pulse is floating and weak, the nutritive is strong and the defence is weak. If you are using gui zhi tang to induce a sweat, you must give hot gruel in order to nourish the source of the sweat and to prevent damage. According to shang han lun, zhen wu tang can treat vomiting and diarrhea a. Chai hu gui zhi gan jiang tang pattern to treat insomnia. When it comes out of yin into yang, it means a cure. If you understand the design of this formula, then you will then understand the construction of all other formulas within the parameter of the 6 levels. Zhang modified his gui zhi tang formula to create xiao jian zhong tang minor decoction to construct the middle, which is also from the shang han lun.
This formula is best used when there is sweating with an exterior cold condition, the wei protective qi is unable. Asthma sufferers with simultaneous tai yang surface invasion should, during an asthma attack, be given gui zhi tang, adding hou po and xing zi ie xing ren. Aug 24 2017 chai hu gui zhi gan jiang tang pattern to treat insomnia. Mar 10, 2014 that is the specialty of gynaecology and obstetrics. Learn vocabulary, terms, and more with flashcards, games, and other study tools. In the following western jin period, wang shuhe 210285 ce, who also left a mark in the history of chinese medicine as the compiler of the mai jing the pulse canon, collected the zhangs work and arrange them into two separate books. Patient afraid of wind but not showing any sweating or tai yang heat please reread the first 12 lines of the shang han lun if you are confused how gui zhi might be used when there is heat in the tai yangreplace the cool sour protector of fluids bai shao with a warm sweet acrid herb to help the ying such as dang gui.
Though she had dizziness, there was no vomiting and her two excretions were normal. Today, modern tcm books explain shao yao in gui zhi tang or shao yao gan cao tang as being white peony. Gui zhi cinnamon, bai shao peony, da zao jujube, sheng jiang ginger, gan cao licorice. This was a book written at a time when influenzas ravaged the han dynasty for over 10 years and reflects all of the experience zhang zhongjing gathered through that period. Tcm practitioners use minor bupleurum combination xiao chai hu tang to treat a large number of illnesses in a wide variety of departments, including internal. Ke qin goes on to stress, though, that the use of xiao chai hu tang is only necessary if the abdominal pain is not relieved with xiao jian zhong tang. Huangs dosage is in the middle range because there are both fan zao and digestion problems. These two ingredients are cinnamon twig gui zhi and white peony root bai shao. Formulary from shang han lun 12 categories 1 formulas 1. The shanghan lun has 398 sections with 1 herbal prescriptions, organised into the six divisions corresponding to the six stages of disease.
Guizhi tang is the cardinal formula in chinas first prescription manual, treatise on disorders caused by cold shanghan lun, and is therefore regarded as the. Sep 08, 2009 he was the author of numerous works in the shang han lun tradition, among which are the famous lei zheng pu ji ben shi fang classified formulas of universal benefit from my practice, the zhu jie shang han bai zheng ge annotated odes of one hundred shang han conditions and the shang han jiu shi lun ninety discourses on the shang han lun. The shang han lun is often described as the manual for directional prescriptions. Astragalus formula huang qi jian zhong tang is a member of the gui zhi tang family of formulas. Chai hu long gu mu li tang granules by treasure of the east. Jke yunbo in the collected writings on renewal of the shang han lun shang han lai su ji said. Collated by scholastic ministers gao baohen, lin yi, and sun qi under the order of the emperor and published in 1065 ad.
This formula comes from zhang zhongjings late han dynasty shang han lun treatise on damage. Shanghan lun version, no prominent use of banxia is recorded. Chinese medicine traveller blog archive shang han lun. Since we like to keep abreast of our field and because we are constantly buying high quality, scholarly libraries, we also have a strong stock of area and cultural studies titles for the region. The notes describe the clinical symptoms zhang zhong jing associated with the chinese terms. Treasure of the east chai hu long gu mu li tang granules. Unpleasant body oder from doctor huang daofu, september 14, 1984. After taking gui zhi tang, and having heavy sweating, if the patient is still thirsty and has a full pulse, what formula would you use.
These formulas help to a djust the balance of yin and yang and drain excess dampness from the body. The principal drug, being sweet and pungent in flavor and cold in nature, removing pathogenic heat from the exterior, ascending the qi of the spleen and stomach to treat diarrhea. The same term, when used in the shang han lun, refers to a pulse that is loose, soft, and harmonious. We need a new translation of the shang han lun, not the easy shang han lun. Yang ming organ syndr ome qi le vel oriental medicine. Identification of constituents in guizhijiagegentang. This important combination is the primary means by which chinese herbal medicine harmonizes the ying and wei. However, it is just as relevant todayespecially in cool climates such as northern new mexicoand is used for a wide array of conditions ranging from simple colds and flu to psychoemotional instabilities. Huang qi astragalus root milkvetch chinese herbal medicine. In order to understand why chai hu gui zhi gan jiang tang was used in.
This book has the same content as the song edition with other minor. In this webinar sharon weizenbaum cracks the code that is the organizing principle of the shang han lun. Treatment methods in the shang han lun according to ren. Cinnamon combination gui zhi tang posted on november 28, 2011 august 14, 2017 by doug eisenstark, l. Hu xi shu and professor feng shi lun, like many other classical masters, have spent their life researching and developing the understanding of the shang han lun and jin gui yao lue. Lun, gui zhi tang cinnamon twig decoction is indicated. Tcm prescription from shang han lun, a very famous medical work from the eastern han dynasty of china. Gzjggt, one of the categorized prescriptions of gui zhi tang, is composed of six crude drugs, i. The shang han lun on cold damage is among the oldest surviving, the most copiously annotated and the most revered of chinas traditional medical texts. The base formula is perhaps the most famous formula from zhang zhongjings shang han lun. Guizhi tang is memorized as a diaphoretic formula, for instance. Gui zhi tang harmonizes and regulates the yin and yang. Warm disease theory, though, is also a current of thought.
Of the roughly 73 disease of the jin gui yao lue, 36 are devoted to all issues of menstruation, fertility, pregnancy, afterlabour care, breast feeding, and menopause. Described windcold invasion primarily, though does describe windheat as well. Just as she stepped through the doorway, she overheard dr. Shang han lun, line 12, translation according to shang han lun on cold damage by craig mitchell, feng ye and nigel wiseman, paradigm publications, p. Tcmcentrals library traditional chinese medicine acupuncture. General signssymptoms bupleurum and cinnamon formula chai hu gui zhi tang was originally developed to treat a simultaneous. The shang han da lun says, when there is reversal, yin and yang was unable to flow along the correct path and connect. However, this is not the original description of the shang han lun. Professor liu duzhou pointed out that the shang han lun has two. Within gui zhi tang there are two teeny tiny formulas.
Differentiation of syndromes according to the six stages. Twig formula gui zhi tang to minor bupleurum formula xiao chai hu tang. However, historically, the six syndromes of the shang han lun. Shang han lun yang ming organ syndr ome qi le vel a closer look at da cheng qi tang by. The principal drug, being pungent and sweet in flavor and warm in nature, expelling pathogenic factors from the muscles and skin by means of diaphoresis, warming the channels to dispel pathogenic cold. Traditional chinese medicineusage of prescriptions. Robidoux and her cmt team are proud to bring you the extensive course of 28 dvds understanding jing fang with dr. Gui zhi tang cinnamon twig decoction chinese medicine formula. I practice chinese medicine in my private clinic, treating large variety of health problems, with acupuncture and medicinal herbs. Of all of chinas early medical classics, the shang han lun is undoubtedly the one with the greatest relevance to the modern practice of chinese medicine, and the one most deserving of. Minor bupleurum combination xiao chai hu tang has a wide range of application in the clinic, and is recorded numerous times in the shang han lun and jin gui yao lue. More than just a book of formulas, the shanghan lun contains the symptoms and pulses to look for in. Shlv175line 156 chai hu gui zhi gan jiang tang for depleted upright with epigastric pain 29. Dom, lac, is an international speaker and author presently conducting a clinical.