Chinese: 苓桂术甘汤
Pinyin: Líng Guì Zhù Gān Tāng
Other names: Poria Cinnamon Twig Atractylodes and Licorice Decoction, Poria Ramulus Cinnamomi Atractylodis Glycyrrhiza Decoction
Chinese: 苓桂术甘汤
Pinyin: Líng Guì Zhù Gān Tāng
Other names: Poria Cinnamon Twig Atractylodes and Licorice Decoction, Poria Ramulus Cinnamomi Atractylodis Glycyrrhiza Decoction
Number of ingredients: 4 herbs
Formula category: Formulas that warm and transform water and Dampness
Conditions for which it may be prescribed: AsthmaPleurisyPertussis and nineteen other conditions
Contraindications: Contraindicated for Phlegm-Fluids due to Damp Heat or patterns characterized by... Contraindicated for Phlegm-Fluids due to Damp Heat or patterns characterized by Yin Deficiency and hyperactive Liver Yang, because this formula is acrid and warming. see more
Source date: 220 AD
Source book: Discussion of Cold Damage
The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
Ling Gui Zhu Gan Tang is a 4-ingredient Chinese Medicine formula with Poria-Cocos Mushrooms (Fu Ling) as a principal ingredient.
Invented in 220 AD, it belongs to the category of formulas that warm and transform water and Dampness. Its main actions are: 1) warms and transforms Phlegm-Fluids and 2) strengthens the Spleen.
In Chinese Medicine health conditions are thought to arise due to "disharmonies" in the body as a system. These disharmonies are called "patterns" and the very purpose of herbal formulas is to fight them in order to restore the body's harmony.
In this case Ling Gui Zhu Gan Tang is used by TCM practitioners to fight patterns like Phlegm-Fluids in the Stomach and Small intestine, Cold-Phlegm in the Lungs or Phlegm-Fluids. From a Western Medicine standpoint, such patterns can give rise to a range of conditions such as morning sickness, meniere's disease or basilar insufficiency for instance.
On this page, after a detailed description of each of the four ingredients in Ling Gui Zhu Gan Tang, we review the patterns and conditions that Ling Gui Zhu Gan Tang helps treat.
Fu Ling is a king ingredient in Ling Gui Zhu Gan Tang. Like the name indicates, it means it has more power than other ingredients in the formula.
Part used: Dried sclerotium
Nature: Neutral
Taste(s): Sweet
Meridian affinity: HeartKidneyLungSpleen
Category: Herbs that drain Dampness
Fu Ling strengthens the Spleen and release Dampness. It thereby transforms Phlegm-Fluids by addressing the root of this disorder which is the malfunction of metabolism of Body Fluids. The combination of Fu Ling and Gui Zhi (Cinnamon twigs) is a delicate way of dealing with mucus and Phlegm accumulation due to cold. One increases the Body Fluids circulation, while the other warms the Qi flow.
Gui Zhi is a deputy ingredient in Ling Gui Zhu Gan Tang. This means it helps the king ingredient(s) treat the main pattern or it serves to treat a coexisting pattern.
Gui Zhi warms the Yang and improves Qi's ability to transform the thin mucus and Phlegm. It also directs the rebellious Qi downward. Its combination with Fu Ling (Poria-cocos mushroom) is a delicate way of dealing with mucus and Phlegm accumulation due to cold. Fu Ling increases the Body Fluids circulation, while Gui Zhi warms the Qi flow.
Bai Zhu is an assistant ingredient in Ling Gui Zhu Gan Tang. This means that it either serves to reinforces the effect of other ingredients or it moderates their toxicity.
Part used: Dried rhizome
Nature: Warm
Meridian affinity: SpleenStomach
Category: Tonic herbs for Qi Deficiency
Bai Zhu strengthens the transforming and transporting functions of the Spleen and dries Dampness. Together with Gui Zhi (Cinnamon twigs), it tonifies the Spleen Yang more strongly so that the excessive Dampness is resolved more easily.
Gan Cao is an envoy ingredient in Ling Gui Zhu Gan Tang. This means that it directs the formula towards certain area of the body and/or harmonizes the actions of other ingredients.
Part used: Dried root and rhizome
Nature: Neutral
Taste(s): Sweet
Meridian affinity: HeartLungSpleenStomach
Category: Tonic herbs for Qi Deficiency
Gan Cao strengthen the Qi of the Middle Burner. It has a slight
tendency to cause Stagnation, but it can be effectively counteracted by Fu Ling (Poria-cocos mushroom). Gui Zhi (Cinnamon twigs), when combined with Gan Cao, transforms its sweetness into Yang through its own acrid and moving nature.
It's important to remember that herbal formulas are meant to treat patterns, not "diseases" as understood in Western Medicine. According to Chinese Medicine patterns, which are disruptions to the body as a system, are the underlying root cause for diseases and conditions.
As such Ling Gui Zhu Gan Tang is used by TCM practitioners to treat six different patterns which we describe below.
But before we delve into these patterns here is an overview of the Western conditions they're commonly associated with:
Morning sickness Meniere's disease Basilar insufficiency Coronary heart disease Hypertension Hypotension Cor pulmonare Mitral valve prolapse Myocarditis Pericardial effusion Gastroptosis Peptic ulcers Chronic gastritis Functional stomach disorders Bronchitis Asthma Pertussis Pleurisy Cataracts Viral conjunctivitis Optic nerve atrophy Central serous retinopathy
Again it wouldn't be correct to say "Ling Gui Zhu Gan Tang treats morning sickness" for instance. Rather, Ling Gui Zhu Gan Tang is used to treat patterns that are sometimes the root cause behind morning sickness.
Now let's look at the six patterns commonly treated with Ling Gui Zhu Gan Tang.
The Stomach is a so-called "Fu" Organ. Learn more about the Stomach in Chinese Medicine
Pulse type(s): Deep (Chen), Slippery (Hua), Wiry (Xian)
Tongue coating: Sticky coating
Tongue shape: Swollen
Symptoms: Dizziness Dry tongue Weight loss Loose stools Chest fullness Vomiting of watery fluids Splashing sound in the stomach Abdominal distention and fullness Dry mouth with no desire to drink
Ling Gui Zhu Gan Tang is sometimes prescribed by TCM practitioners to treat Phlegm-Fluids in the Stomach and Small intestine. This pattern leads to symptoms such as abdominal distention and fullness, vomiting of watery fluids, dry tongue and dry mouth with no desire to drink. Patients with Phlegm-Fluids in the Stomach and Small intestine typically exhibit deep (Chen), slippery (Hua) or wiry (Xian) pulses as well as Swollen tongue with white slippery or yellow sticky coating.
Phlegm-Fluids is a type of Substantial Phlegm characterized by white, very watery and thin sputum. It can sometimes actually be heard splashing in the body.
Phlegm-Fluids in Stomach and Intestines simply refers to a pattern whereby Phlegm-Fluids accumulates in those Organs. It often does so when... read more about Phlegm-Fluids in the Stomach and Small intestine
The Lungs is a so-called "Zang" Organ. Learn more about the Lungs in Chinese Medicine
Pulse type(s): Slippery (Hua), Slow (Chi)
Symptoms: Coughing Dizziness Cold hands Feeling of cold Phlegm in throat Feeling of heaviness White and watery sputum Feeling of cold in chest Feeling of oppression of the chest
Ling Gui Zhu Gan Tang is sometimes prescribed by TCM practitioners to treat Cold-Phlegm in the Lungs. This pattern leads to symptoms such as coughing, white and watery sputum, feeling of cold and cold hands. Patients with Cold-Phlegm in the Lungs typically exhibit slippery (Hua) or slow (Chi) pulses.
The pathological manifestations of this pattern are quite similar to the ones of Damp-Phlegm in the Lungs. The key differences are the symptoms of Coldness such as cold hands, cold feeling and feeling of cold in chest. This feature can be reflected by the white and watery sputum.
The typical... read more about Cold-Phlegm in the Lungs
Body Fluids (Jin Ye) is one of Chinese Medicine's vital subtances. Learn more about Body Fluids in Chinese Medicine
Pulse type(s): Wiry (Xian)
Symptoms: Oedema Coughing No sweat Chest fullness No desire to drink Shortness of breath Vomiting of watery fluids Feeling of heaviness of body Abdominal distention and fullness Hypochondrial pain that is worse on coughing and breathing
Ling Gui Zhu Gan Tang is sometimes prescribed by TCM practitioners to treat Phlegm-Fluids. This pattern leads to symptoms such as abdominal distention and fullness, vomiting of watery fluids, feeling of heaviness of body and shortness of breath. Patients with Phlegm-Fluids typically exhibit wiry (Xian) pulses.
Both Phlegm and Fluids here are the pathological fluid wastes that fails to be expelled or drained out of the body. Then they can accumulate and settle down in any body parts, such as the Organs, Channels, joints, limbs and etc. If these Body Fluids store between the skin and muscle, they are... read more about Phlegm-Fluids
Body Fluids (Jin Ye) is one of Chinese Medicine's vital subtances. Learn more about Body Fluids in Chinese Medicine
Pulse type(s): Slippery (Hua), Wiry (Xian)
Tongue coating: Sticky coating, Thick coating
Tongue shape: Swollen
Symptoms: Lumps Nausea Tumors Oedema Nodules Obesity Fatigue Vertigo Delirium Belching Vomiting Dizziness Moodiness Overweight Bad breath Depression Watery milk Clear mucus Irritability Poor appetite Low metabolism Chest fullness Chest pressure Breast distention Abdominal fullness Sputum in the chest Feeling of heaviness Thick tongue coating Muzziness of the head Numbness in the limbs Thick greasy secretions Feeling of oppression of the chest No feeling of distension of the breasts
Ling Gui Zhu Gan Tang is sometimes prescribed by TCM practitioners to treat Phlegm. This pattern leads to symptoms such as feeling of oppression of the chest, muzziness of the head, dizziness and nausea. Patients with Phlegm typically exhibit slippery (Hua) or wiry (Xian) pulses as well as swollen tongue with sticky coating .
Phlegm has a great importance in Chinese Medicine as it is both a condition in and of itself as well as a cause for other diseases.
The main cause for the formation of Phlegm is Spleen Deficiency since the Spleen rules the transformation and transportation of Body Fluids. If this function is... read more about Phlegm
Body Fluids (Jin Ye) is one of Chinese Medicine's vital subtances. Learn more about Body Fluids in Chinese Medicine
Pulse type(s): Hidden (Fu), Slowed-down (Huan)
Tongue coating: Thick white coating
Symptoms: Fatigue Sore back Sore knees Cold limbs Eye swelling Loose stools Poor appetite Oedema of face Oedema of feet Oedema of legs Oedema of hands Oedema of ankles Oedema of abdomen Labored breathing Abdomen distension Urinary difficulty Feeling of heaviness General sensation of heaviness distention and fullness
Ling Gui Zhu Gan Tang is sometimes prescribed by TCM practitioners to treat Oedema. This pattern leads to symptoms such as oedema of abdomen, oedema of ankles, oedema of face and oedema of feet. Patients with Oedema typically exhibit hidden (Fu) or slowed-down (Huan) pulses as well as Pale tongue with white sticky coating or white slippery coating.
Oedema (also spelled "Edema") a retention of Body Fluids that results in swellings, depending where the retention occurs: it can be in the limbs, the legs, the face, etc. The swellings are usually so that if one presses on it with a finger, the resulting dip takes a long time to disappear.
Oedema... read more about Oedema
Body Fluids (Jin Ye) is one of Chinese Medicine's vital subtances. Learn more about Body Fluids in Chinese Medicine
Pulse type(s): Deep (Chen), Wiry (Xian)
Tongue coating: Sticky coating
Tongue color: Pale
Tongue shape: Swollen
Symptoms: Coughing Palpitations Shortness of breath Dizziness or vertigo HypochondriaI distension Hypochondrial pain that is worse on coughing and breathing
Ling Gui Zhu Gan Tang is sometimes prescribed by TCM practitioners to treat Phlegm-Fluids in the hypochondrium. This pattern leads to symptoms such as hypochondrial pain that is worse on coughing and breathing, shortness of breath, hypochondriai distension and coughing. Patients with Phlegm-Fluids in the hypochondrium typically exhibit deep (Chen) or wiry (Xian) pulses as well as Swollen tongue with sticky coating.
When Phlegm-Fluids (a type of Phlegm characterized by white, very watery and thin mucus) clogs up the chest and hypochondriac regions, the Qi rebels, producing cough and shortness of breath.
Obstruction of the flow of Qi also produces chest and hypochondriac pain that, in severe cases, may extend... read more about Phlegm-Fluids in the hypochondrium
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