Gui Zhi Tang

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桂枝汤 (Cinnamon Twig Decoction)

Source: Shang Han Lun — Zhang Zhongjing (Han, 220)

Last updated July 22, 2026

Tai Yang Wind-Cold deficiency patternSpontaneous sweating with chillsFever with aversion to windPregnancy vomitingPost-partum weaknessHarmonizing Ying and Wei

Description

Gui Zhi Tang (Cinnamon Twig Decoction) is the foundational formula of the Shang Han Lun and one of the most versatile formulas in TCM. It treats Tai Yang Wind-Cold deficiency pattern with spontaneous sweating, fear of wind, and fever — working by harmonizing Ying and Wei Qi rather than forcing sweating. Its harmonizing principle makes it applicable across a wide range of conditions.

Composition

Herb Amount % Role Function
Gui Zhi 9g 20% Jun (Chief) Warms and releases exterior, promotes Yang Qi and Wei Qi circulation.
Bai Shao 9g 20% Chen (Deputy) Nourishes Ying Qi, astringes fluids, moderates Gui Zhi.
Sheng Jiang 9g 20% Zuo (Assistant) Warms Stomach, assists Gui Zhi, stops nausea.
Da Zao 12g 26.67% Zuo (Assistant) Tonifies Spleen Qi, assists Bai Shao to nourish Ying Qi.
Gan Cao 6g 13.33% Shi (Envoy) Harmonizes all herbs, moderates pungent heat.

Total weight: 48g

Preparation

Decoct 20–25 minutes. Take warm with warm rice porridge. Avoid cold, raw, fatty, alcoholic foods.

Dosage

Take warm with warm rice porridge. Cover with blankets. Stop once gentle sweating occurs.

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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