Gui Zhi Qu Shao Yao Jia Shu Qi Long Gu Mu Li Jiu Ni Tang

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桂枝去芍药加蜀漆牡蛎龙骨救逆汤 (Cinnamon Twig Minus Peony Plus Dichroa Leaf, Dragon Bone, and Oyster Shell Counterflow-Stemming Decoction)

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

Last updated October 20, 2026

Not yet clinically reviewed

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Description

Gui Zhi Qu Shao Yao Jia Shu Qi Long Gu Mu Li Jiu Ni Tang (Cinnamon Twig Minus Peony Plus Dichroa Leaf, Dragon Bone, and Oyster Shell Counterflow-Stemming Decoction) is the formula given in Line 112 of the Shang Han Lun for fright mania and fidgetiness from collapse of heart yáng after fire treatment was used to force sweating in cold damage with a floating pulse.

Also contains (not linked): dichroa leaf (蜀漆 shǔ qī), printed 蜀漆三两(洗去腥): 3 liang, washed to remove fishy smell, 46.875 g at 1 liang = 15.625 g.

Source: Mitchell C, Feng Y, Wiseman N. Shang Han Lun: On Cold Damage, Translation & Commentaries. Paradigm Publications, 1999, pp. 165–166.

Composition

Liquorice — estimated at the Chinese Pharmacopoeia's minimum content: about 313 mg of glycyrrhizic acid a day (zhi Gan Cao 31.25 g × 1.0 %). The EU Scientific Committee on Food considers 100 mg/day an upper limit for regular intake that protects most people. The estimate assumes all of it passes into what is taken, uses the pharmacopoeia's dry-weight minimum, and takes the amounts as one day's dose.

Sources

Sources: Chinese Pharmacopoeia 2020, 甘草 and 炙甘草, assay (glycyrrhizic acid not less than 1.8 % in the dispensed slices and 1.0 % in honey-fried liquorice, by dry weight). EU Scientific Committee on Food, Opinion on glycyrrhizinic acid and its ammonium salt, SCF/CS/ADD/EDUL/225 Final, 2003. The Committee notes this limit may not protect people with high blood pressure, electrolyte or fluid-balance disorders, slow gut transit, or reduced 11β-HSD2 activity.

Herb Amount % Role Function
Gui Zhi
as printed: 桂枝三两(去皮) (3 liang, remove bark); 46.875 g at 1 liang = 15.625 g (p. 64)
46.88g 17.65% —
Gan Cao
as printed: 甘草二两(炙) (2 liang, mix-fried); 31.25 g at 1 liang = 15.625 g (p. 64)
31.25g 11.76% —
Sheng Jiang
as printed: 生姜三两(切) (3 liang, cut); 46.875 g at 1 liang = 15.625 g (p. 64)
46.88g 17.65% —
Da Zao
as printed: 大枣十二枚(擘) (12 pieces, broken)
12pieces 100% —
Mu Li
as printed: 牡蛎五两(熬) (5 liang, dry-fried); 78.125 g at 1 liang = 15.625 g (p. 64)
78.13g 29.41% —
Long Gu
as printed: 龙骨四两 (4 liang); 62.5 g at 1 liang = 15.625 g (p. 64)
62.5g 23.53% —

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 (+0.06)

From 100% of the weighed grams.

cool neutral warm

Grams by band: cool 29%, neutral 35%, warm 35%.

Pairs warm and cool. 35% of the weighed grams are warm or hot and 29% cool or cold — the net is their average, not the whole story.

Taste

pungent sweet salty
  • pungent 27%
  • sweet 44%
  • salty 29%

From 100% of the weighed grams.

Channels reached

  • Heart 82%
  • Kidney 53%
  • Liver 53%
  • Lung 47%
  • Stomach 29%
  • Spleen 29%

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 Gui Zhi Jia Long Gu Mu Li Tang →

Preparation

(1) [For] the above seven ingredients use one dǒu and two shēng of water. First boil dichroa leaf (shǔ qī) and reduce by two shēng. Add all [the other] ingredients and boil to get three shēng. Remove the dregs and take one shēng warm. (2) This is Cinnamon Twig Decoction (guì zhī tāng) without peony (sháo yào), and with dichroa leaf (shǔ qī), oyster shell (mǔ lì), and dragon bone (lóng gǔ). (Mitchell, Feng & Wiseman 1999, pp. 165–166, Line 112)

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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.

Formula Network

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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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