📚Educational reference only — not medical advice.
Bitter Orange, Allium Macrostemon, and Cinnamon Twig Decoction
金匱要略湯劑
Source-based · educational reference
Source
金匱要略
Original text
-- Chest impediment, stuffiness in the heart, retained qi bound in the chest, chest fullness, and rebellious qi from below the hypochondrium attacking the heart: Zhi Shi Xie Bai Gui Zhi Tang governs it; Ginseng Decoction also governs it. (Jin Gui Yao Lue (Essential Prescriptions of the Golden Cabinet))
Composition
Zhi Shi 4 pieces; Hou Po 4 liang; Xie Bai half jin; Gui Zhi 1 liang; Gua Lou 1 piece (crushed). The above five ingredients: with 5 sheng of water, first decoct Zhi Shi and Hou Po, take 2 sheng, remove dregs, add the other drugs, decoct for several boils, divide into three warm doses. (Shang Han Za Bing Lun)
Preparation
With 5 sheng of water, first decoct Zhi Shi and Hou Po, take 2 sheng, remove dregs, add the other drugs, decoct for several boils, and take warm in three divided doses (modern usage: decoct in water and take).
Form
湯劑
Function
Unblock Yang and dissipate masses; remove phlegm and descend Qi.
Traditional indications
Chest impediment, with Qi distention in the heart/epigastrium, Qi bound in the chest, chest fullness, and counterflow Qi from below the ribs rushing up to the heart.
Modifications
For severe cold: add Gan Jiang (Dried Ginger): 10; Pao Fu Zi (Prepared Aconite): 10.
-- For severe turbid phlegm: add Jiang Ban Xia (Ginger-processed Pinellia): 10; Fu Ling (Poria): 15.