Herb Formulas Notebook

Zhi Zhu Tang

Unripe Bitter Orange and Atractylodes Decoction


Author: Zhang Zhong-Jing, 張仲景

Year: c. 220

Source: Essentials from the Golden Cabinet (Jin Gui Yao Lue, 金匱要略)


Category: Formulas that Reduce Food Stagnation

Pattern: Spleen and Stomach deficiency causing food stagnation

Key Symptoms: Hard broad focal distention, reduced appetite, belching

Tongue: White coating
Pulse: Deficient, or submerged and wiry


Ingredients

Zhi Shi 12g
Bai Zhu 6g


Preparation: Decoction.


Actions: Promotes the movement of Qi, dissipates clumping, strengthens the Spleen, reduces food stagnation



Notes:
One liang is taken as 3g in modern sources but in Eastern Han times it was equivalent to 13.875g. This means that the dosages in classical formulae could have been more than 4x what is given today making them far higher than recommended safe dosages today but prompts consideration of what an effective dose may be (He, 2013).

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An almost identical formula reversing the proportion of ingredients and grinding them into pills is called Zhi Zhu Wan. Its indications are the same but for less acute presentations as pills are generally for more long-term use.



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These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.