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 July 22, 2026

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

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

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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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