Gui Zhi Jia Ge Gen Tang

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桂枝加葛根汤 (Cinnamon Twig Decoction plus Kudzu)

Source: Shang Han Lun — Zhang Zhong-Jing (Eastern Han, c. 220)

Last updated October 1, 2026

Not yet clinically reviewed

Description

Gui Zhi Jia Ge Gen Tang (Cinnamon Twig Decoction plus Kudzu), from the Shang Han Lun (Discussion of Cold-Induced Disorders) by Zhang Zhong-Jing — a variation of Gui Zhi Tang.

Actions: Releases the exterior and muscle layer; Relieves neck stiffness.

Presentation: Taiyang wind syndrome with severe neck stiffness, perspiration and aversion to wind.

Composition: Gui Zhi Tang (Gui Zhi and Bai Shao reduced to 6g) plus Ge Gen

Cautions:

  • Same contraindications as Gui Zhi Tang.

Source: Chen JK, Chen TT. Chinese Herbal Formulas and Applications: Pharmacological Effects & Clinical Research. Art of Medicine Press, 2009, p. 55.

Composition

Herb Amount % Role Function
Gui Zhi
as printed: Gui Zhi (Ramulus Cinnamomi) 6g
6g 15.38% —
Bai Shao
as printed: Bai Shao (Radix Paeoniae Alba) 6g
6g 15.38% —
Gan Cao
as printed: Zhi Gan Cao (Radix et Rhizoma Glycyrrhizae Praeparata cum Melle) 6g
6g 15.38% —
Sheng Jiang
as printed: Sheng Jiang (Rhizoma Zingiberis Recens, qie (sliced)) 9g
9g 23.08% —
Da Zao
as printed: Da Zao (Fructus Jujubae, bo (opened)) 12 pieces [3 pieces]
3pieces 100% —
Ge Gen
as printed: Ge Gen (Radix Puerariae Lobatae) 12g
12g 30.77% Relieves muscle tension and neck stiffness

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 neutral (-0.08)

From 100% of the weighed grams.

cool neutral warm

Grams by band: cool 46%, neutral 15%, warm 39%.

Pairs warm and cool. 39% of the weighed grams are warm or hot and 46% cool or cold — the net is their average, not the whole story.

Taste

pungent sweet sour bitter
  • pungent 46%
  • sweet 39%
  • sour 8%
  • bitter 8%

From 100% of the weighed grams.

Channels reached

  • Spleen 85%
  • Stomach 69%
  • Lung 54%
  • Heart 31%
  • Liver 15%

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

1 herb without a dose in grams, so left out of every figure above: Da Zao.

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 Guo Qi Yin →

Preparation

Cook in 8 cups [1,600 mL] water to 3 cups [600 mL]; take 1 cup [200 mL] warm and cover with blankets for mild sweating; porridge not needed. See Gui Zhi Tang for administration and contraindications.

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Formula family

Contained in Ge Gen Tang = this + Ma Huang You Bi Tang = this + Ge Gen Tang + Da Huang Gan Cao Tang + Jie Geng Tang + Bai Zhi, Chuan Xiong, Huang Qin and 2 more
Full herb lists
  • You Bi Tang = this formula + Ge Gen Tang + Da Huang Gan Cao Tang + Jie Geng Tang + Bai Zhi, Chuan Xiong, Huang Qin, Shi Gao and Xin Yi (Hua)

Each entry reads as the larger formula written out: “+” adds its other catalogue cores, then the herbs none of them hold. 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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