Gui Zhi Qu Shao Yao Tang

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桂枝去芍药汤 (Cinnamon Twig Decoction Minus Peony)

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 Tang (Cinnamon Twig Decoction Minus Peony) is the formula given in Line 21 of the Shang Han Lun for a greater yáng disease in which, after precipitation, the pulse is skipping and there is fullness in the chest.

Source: Mitchell C, Feng Y, Wiseman N. Shang Han Lun: On Cold Damage, Translation & Commentaries. Paradigm Publications, 1999, pp. 85–86.

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 37.5% —
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 25% —
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 37.5% —
Da Zao
as printed: 大枣十二枚(擘) (12 pieces, broken)
12pieces 100% —

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 warm (+0.75)

From 100% of the weighed grams.

neutral warm

Grams by band: neutral 25%, warm 75%.

Taste

pungent sweet
  • pungent 56%
  • sweet 44%

From 100% of the weighed grams.

Channels reached

  • Lung 100%
  • Stomach 63%
  • Spleen 63%
  • Heart 63%

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 Fu Zi Tang →

Preparation

(1) [For] the above four ingredients, use seven shēng of water. Boil to get three shēng, remove the dregs and take one shēng, warm. (2) This is Cinnamon Twig Decoction (guì zhī tāng) [after] removing peony (sháo yào). (3) One should rest [as described] in the previous method [for Cinnamon Twig Decoction (guì zhī tāng)]. (Mitchell, Feng & Wiseman 1999, pp. 85–86, Line 21)

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Formula family

Contained in Gui Zhi Fu Zi Tang = this + Gui Zhi Qu Shao Yao Jia Fu Zi Tang Gui Zhi Jia Gui Tang = this + Gui Zhi Jia Shao Yao Tang Gui Zhi Jia Shao Yao Tang = this + Gui Zhi Jia Gui Tang Gui Zhi Qu Shao Yao Jia Fu Zi Tang = this + Gui Zhi Fu Zi Tang Gui Zhi Tang = this + Gui Zhi Jia Gui Tang Gui Zhi Jia Da Huang Tang = this + Gui Zhi Jia Gui Tang + Da Huang Gan Cao Tang Gui Zhi Jia Fu Zi Tang = this + Gui Zhi Fu Zi Tang + Shao Yao Gan Cao Tang Gui Zhi Jia Ge Gen Tang = this + Ge Gen Tang Gui Zhi Qu Shao Yao Jia Shu Qi Long Gu Mu Li Jiu Ni Tang = this + Gui Zhi Gan Cao Long Gu Mu Li Tang Gui Zhi Xin Jia Tang = this + Gui Zhi Jia Gui Tang + Sheng Jiang Gan Cao Tang Wu Tou Gui Zhi Tang = this + Gui Zhi Jia Gui Tang + Zhi Chuan Wu Xiao Jian Zhong Tang = this + Gui Zhi Jia Gui Tang + Yi Tang Da Qing Long Tang = this + Ma Xing Gan Shi Tang Ge Gen Tang = this + Gui Zhi Jia Ge Gen Tang + Ma Huang Gui Zhi Er Ma Huang Yi Tang = this + Gui Zhi Ma Huang Ge Ban Tang Gui Zhi Er Yue Bi Yi Tang = this + Gui Zhi Jia Gui Tang + Yue Bi Tang Gui Zhi Jia Hou Po Xing Zi Tang = this + Gui Zhi Jia Gui Tang + Hou Po and Xing Ren Gui Zhi Jia Long Gu Mu Li Tang = this + Gui Zhi Qu Shao Yao Jia Shu Qi Long Gu Mu Li Jiu Ni Tang + Shao Yao Gan Cao Tang Gui Zhi Ma Huang Ge Ban Tang = this + Gui Zhi Er Ma Huang Yi Tang Hou Po Qi Wu Tang = this + Hou Po San Wu Tang Huang Qi Jian Zhong Tang = this + Xiao Jian Zhong Tang + Huang Qi Gui Zhi Wu Wu Tang Ge Gen Jia Ban Xia Tang = this + Ge Gen Tang + Xiao Ban Xia Tang Gui Qi Jian Zhong Tang = this + Xiao Jian Zhong Tang + Dang Gui Bu Xue Tang Chai Hu Gui Zhi Tang = this + Xiao Chai Hu Tang + Gui Zhi Jia Gui Tang Dang Gui Si Ni Jia Wu Zhu Yu Sheng Jiang Tang = this + Dang Gui Si Ni Tang + Mu Tong and Wu Zhu Yu Huan Gan Li Pi Tang = this + Gui Zhi Jia Gui Tang + Yi Gong San + Bai Bian Dou and Shan Yao 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 equations
  • 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). Proportions not compared: no dose entered for Da Zao, Gan Cao, Gui Zhi and Sheng Jiang.

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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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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