Ban Xia Bai Zhu Tian Ma Tang

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半夏白术天麻汤 (Pinellia, White Atractylodes, and Gastrodia Decoction)

Source: Yi Xue Xin Wu — Cheng Guopeng (Qing, 1732)

Last updated August 30, 2026

Not yet clinically reviewed

Vertigo and dizziness from wind-phlegmMenière's diseaseHeadache with dizziness and nauseaHypertension from phlegm obstructionVomiting accompanying dizziness

Description

Ban Xia Bai Zhu Tian Ma Tang (Pinellia, White Atractylodes, and Gastrodia Decoction) treats wind-phlegm obstructing the channels causing dizziness and headache. The formula addresses phlegm-dampness rising with wind, producing vertigo, dizziness, and headache with nausea. It is the primary formula for Menière's disease and vertigo from phlegm-wind obstruction.

Composition

Herb Amount % Role Function
Ban Xia 9g 18.75% Jun (Chief) Dries dampness, transforms phlegm, directs rebellious qi downward
Tian Ma 6g 12.5% Jun (Chief) Extinguishes internal wind, stops dizziness and headache
Bai Zhu 9g 18.75% Chen (Deputy) Strengthens the Spleen and dries dampness to cut off phlegm at its source
Fu Ling 6g 12.5% Chen (Deputy) Strengthens the Spleen and leaches out dampness
Chen Pi 6g 12.5% Zuo (Assistant) Regulates qi and transforms phlegm
Gan Cao 3g 6.25% Shi (Envoy) Harmonizes the middle and the other herbs
Sheng Jiang 3g 6.25% Shi (Envoy) Harmonizes the Stomach and checks Ban Xia's toxicity
Da Zao 6g 12.5% Shi (Envoy) Harmonizes the middle burner

Total weight: 60g

Dui Yao — Core Herb Pairs

The classical two-herb combinations at the heart of this formula, as recorded on the herbs' own pages — each pair has an action neither herb has alone.

Ban Xia半夏 + Tian Ma天麻

The pair transforms phlegm and extinguishes wind together, treating dizziness and headache caused by wind-phlegm rising.

Vertigo with nausea, heavy head and a greasy tongue coating.

Energetics dose-weighted

The formula's overall nature, taste balance and channel reach, weighted by each herb's dose. Classical formulas often pair warm and cool herbs on purpose, so a net figure summarises the mix — it doesn't describe every herb in it.

Nature

Cold Cool Neutral Warm Hot

Net slightly warm (+0.69)

From 100% of the weighed grams.

neutral warm

Grams by band: neutral 31%, warm 69%.

Taste

pungent sweet bitter bland
  • pungent 31%
  • sweet 47%
  • bitter 16%
  • bland 6%

From 100% of the weighed grams.

Channels reached

  • Spleen 88%
  • Stomach 63%
  • Lung 56%
  • Heart 19%
  • Kidney 13%
  • Liver 13%

Share of the grams entering each channel, from 100% of the weighed grams.

Dose-weighted from each herb's recorded nature, taste and channels (missing values are left out, never counted as neutral). It describes the composition — it is not a recommendation.

Compare side by side with Er Chen Tang →

Preparation

Decoct in water 25–30 minutes. Take warm in 2 divided doses.

Dosage

Decoction: 1 dose/day. Useful long-term for chronic Menière's. Modify for individual presentations.

Conditions Addressed

Related Formulas

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Formula family

A catalogue formula counts as a core only when at least 80% of its herbs are present, no more than 1 is absent, and the absent herb is not its chief.

Formula Network

Formulas that share herbs with this one — the closer to the centre, the stronger the match. Click a node to explore.

Similar Formulas by composition

Match score combines dosage-weighted composition (cosine, 70%) with shared-herb overlap (Jaccard, 30%).

Traditional formula information is for educational purposes only. Herbal formulas should be prescribed by a qualified practitioner — dosages and combinations are individualized and can interact with medications.

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