Chai hu jia long gu mu li tang
chai hu 24 huang qin 9 ban xia 12 ren shen 9 sheng jiang 9 gui zhi 9 fu ling 9 long gu 9 mu li 9 da zao 6 da huang 12 dai zhe shi 9
Line 107 When in cold damage that has lasted for eight or nine days, precipitation is used, and there is fullness in the chest, vexation and fright, inhibited urination, delirious speech, heaviness of the entire body, and inability to turn sides, chai hu jia long gu muli tang governs.
This formula treats fullness in the chest, vexation and fright, inhibited urination, delirious speech, heaviness of the entire body, and inability to turn sides.
In this formula the absence of the herb zhi gan cao is obvious and teaches us about one of its main characteristics and use. If the zhi gan cao was included it would have created the formula gui zhi gan cao long gu mu li tang. Gui zhi gan cao long gu mu li tang treats shao yin heart deficiency that causes vexation and agitation.
Line 118 If adverse treatment by fire is followed by precipitation, and because of red hot needling there is vexation and agitation, gui zhi gan cao long gu muli tang governs.
The vaxation and agitation are treated by the warm pungent yang herb gui zhi. The long gu anchors the yang with its sweet heavy nature.
In this formula there is a need for a strong downward movement, and the sweet earth herb zhi gan cao would hold back this movement.
This formula treats a combined tai yang, yang ming and shao yang pattern. This can arise due to the progression of the disease from tai yang to the other channels, or from a pre-condition of yang ming and shao yang that develops into a tai yang pattern. In line 107 the pattern is due to a mistreatment.
Yang pungent gui zhi is being anchored towards the interior by sweet long gu. The long gu is replacing the calming and anchoring effect of zhi gan cao. The zhi gan cao calms excessive movement of the gui zhi, but it also tonifies the center, which prevent the qi from descending.
Gui zhi treats the cold on the exterior, while warming and tonifying the yang of the interior. Gui zhi is working together with sheng jiang in this regard.
Ban xia and sheng jiang are restoring the pivot of earth, ban xia descends the stomach and sheng jiang raises the spleen qi. Together they form the formula xiao ban xia tang. Ban xia and da huang are working together to descend the yang ming which zhi gan cao would prevent.
Chai hu jia long gu muli tang is a modification of chai hu gui zhi tang. The bai shao has been removed and replaced by dai zhe shi.
Chai hu gui zhi tang
chai hu 24 huang qin 9 ban xia 12 ren shen 9 gui zhi 9 bai shao 9 sheng jiang 9 da zao 9
zhi gan cao 9
Dai zhe shi, Haematitum, is cold and bitter. It calms and suppresses the upward movement of qi and blood by directing it downward.
Fu ling has been added to drain excess fluid accumulation in the body and limbs and to promote the transformation of water.
Muli has been added to break up the accumulation of dampness in the chest and body.
Da huang has been added to drain heat and accumulations in the yang ming so it can once again descend.
Modifying chai hi jia long gu mu li tang
If yang ming is open then remove da huang. If there is an obstruction of the yang ming which prevents yang from descending then the use of da huang will clear the obstruction. Once the heat and stool is cleared consider removing it.
If there is a soft damp stool consider removing the da zao. Da zao creates yin fluids to nourish blood and tonify earth.
If there is excessive cramping in the abdomen consider removing the huang qin. Huang qi dries dampness, which can worsen the cramping. Consider adding bai shao to nourish yin and blood to calms excessive movement and moisten dryness causing cramping.
Chai hu jia long gu mu li tang is a an advanced form of the pattern treated by chai hu gui zhi tang.
Chai hu gui zhi tang treats tai yang and shao yang. If there is a dry stool start with adding da huang. This will clear excessive heat.