Gui Zhi Jia Shao Yao Tang

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桂枝加芍药汤 (Cinnamon Twig Decoction plus Peony)

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

Last updated October 1, 2026

Not yet clinically reviewed

abdominal pain and crampsenteritisfood poisoning

Description

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

Actions: Treats combined taiyang and taiyin disorder (interior disharmony).

Presentation: Taiyang syndrome wrongly purged, damaging Spleen qi so the Liver attacks the Spleen (taiyang plus taiyin): aversion to cold, fever, perspiration, abdominal fullness, distention and pain, and diarrhea.

Composition: Gui Zhi Tang with the dose of Bai Shao doubled

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) 9g
9g 21.43% —
Bai Shao
doubled; as printed: Bai Shao (Radix Paeoniae Alba) 18g
18g 42.86% Doubled dose shifts the formula to treating interior disharmony
Gan Cao
as printed: Zhi Gan Cao (Radix et Rhizoma Glycyrrhizae Praeparata cum Melle) 6g
6g 14.29% —
Da Zao
as printed: Da Zao (Fructus Jujubae, bo (opened)) 12 pieces [3 pieces]
3pieces 100% —
Sheng Jiang
as printed: Sheng Jiang (Rhizoma Zingiberis Recens, qie (sliced)) 9g
9g 21.43% —

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 (0.00)

From 100% of the weighed grams.

cool neutral warm

Grams by band: cool 43%, neutral 14%, warm 43%.

Pairs warm and cool. 43% of the weighed grams are warm or hot and 43% cool or cold — the net is their average, not the whole story.

Taste

pungent sweet sour bitter
  • pungent 32%
  • sweet 25%
  • sour 21%
  • bitter 21%

From 100% of the weighed grams.

Channels reached

  • Spleen 79%
  • Lung 57%
  • Liver 43%
  • Stomach 36%
  • Heart 36%

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.

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Formula family

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.

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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