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gui zhi shao yao zhi mu tang 桂枝芍藥知母湯

 Translated by: Joe Hing Kwok Chu   

 
Name of formula: gui zhi shao yao zhi mu tang (Jin Gui classic)

Application: joint pain, swollen warm deformed joints, (there is no fever in the  whole body) chronic arthritis, tuberculosis arthritis of the knees, gouts etc.

Composition:
gui zhi 12  g, ma huang 6 g, fu zhi 6 g, zhi mu 12 g, bai shao 9 g, bai zhu 15 g, fang feng12 g, sheng jiang 15 g, gan cao 6 g.

Make into decoction and drink any time, while warm.

Adjustment to the formula:

1. Difficult to flex and extend the joints due to pain. The joints get looser when heat is applied: add more of gui zhi, ma huang, fu zi.
2. The body feels heavy, joints are swollen, worse during rainy days: add more of bai zhu, fu zi.
3. The painful areas are warm or hot, especially at night and less during the day: add more of zhi mu, bai shao, gan cao
4. Edema is obvious: add fu ling, yi yi ren, cang zhu

藥方名:桂枝芍藥知母湯 《金櫃 》

主治:風 寒濕痺,各種肢節疼痛,身體羸弱,腳腫,頭眩,短氣,作嘔者。,關節畸形腫痛,腫 痛處伴有灼熱,但全身一般無發燒現象,應用於慢性關節炎,鶴膝風(膝關節結核) ,歷節風 痛(痛風)等症。

 

組成:

桂 枝 12  克, 麻 黃 6 克, 附 子 6 克, 知母 12 克, 白 芍9 克, 白 朮 15 克, 防風12 克, 生 薑 15 克,甘 草 6 克.

水煎。不拘時溫服。

 

1.關節掣痛難以屈伸,得熱則減輕者:桂 枝麻 黃附 子宜重用。

2.身重,關節腫脹麻木,陰雨天增劇者:白 朮附 子宜重用。

3.疼痛部灼熱並日輕夜重者:知 母白 芍甘 草宜重用。

4.痹證濕邪偏重者:加茯 苓薏 苡仁蒼 朮  

 

禁忌: 肝病 患者小心應用。麻 黃附 子可能對肝炎患者不利。

麻黃具有興奮大腦皮層 的作用,如用量較大,輕者包括口乾﹐神經質﹐過度興奮而致失眠,焦慮,頭痛,視力模糊以及 意識混亂 且易發汗,發汗過多易造成心悸,嚴重時腦出血,癲癇,精神官能症及心律不整﹐ 還可能導致休克。 因此,若體虛之人,表虛自汗,氣 虛喘咳, 脾虛水腫者患心臟病,高血壓, 前列腺炎患者不可用。 劑量過大能抑制心臟﹐可導致心跳變慢。葡萄糖-6-磷酸鹽去氫酶缺乏症(蚕 豆症)不可用麻 黃

 

 

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Last update: June 16, 2014; 10 p.m. LAH