Large Gentian Decoction

Large Gentian Decoction

Gentianae Macrophyllae Radix (Qin Jiao) 3 liang (90g), Glycyrrhizae Radix et Rhizoma (Gan Cao) 2 liang (60g), Chuanxiong Rhizoma (Chuan Xiong) 2 liang (60g), Angelicae Sinensis Radix (Dang Gui) 2 liang (60g), Paeoniae Radix Alba (Bai Shao) 2 liang (60g), Asari Radix et Rhizoma (Xi Xin) 0.5 liang (15g), Notopterygii Rhizoma et Radix (Qiang Huo) 1 liang (30g), Saposhnikoviae Radix (Fang Feng) 1 liang (30g), Scutellariae Radix (Huang Qin) 1 liang (30g), Gypsum Fibrosum (Shi Gao) 2 liang (60g), Angelicae Dahuricae Radix (Bai Zhi) 1 liang (30g), Atractylodis Macrocephalae Rhizoma (Bai Zhu) 1 liang (30g), Rehmanniae Radix (Sheng Di) 1 liang (30g), Rehmanniae Radix Praeparata (Shu Di Huang) 1 liang (30g), Poria (Fu Ling) 1 liang (30g), Angelicae Pubescentis Radix (Du Huo) 2 liang (60g)

Prepare Da Qin Jiao Tang as a decoction for oral use with an appropriate reduction in dosage.

Scatters wind and clears heat, nourishes and invigorates blood.

Da Qin Jiao Tang is indicated for an early stage of a wind attacking the channels and collaterals pattern. The symptoms are deviation of the eyes and mouth, difficulty in speaking due to stiff tongue, an inability to move the extremities, often accompanied by aversion to cold with fever, spasms and tension of the extremities, a white or yellow tongue coating, and a superficial, rapid pulse or wiry, thin pulse.

This formula treats wind-strike caused by wind pathogens striking the channels and collaterals. When wind strikes a person with insufficient zheng qi and deficiency of the ying-blood and channels, it leads to obstruction of qi and blood and blockage of channels. In addition, insufficient blood fails to nourish the sinews causing atrophy and weakness of the sinews and muscles. The result is deviation of the eyes and mouth, difficulty in speaking due to a stiff tongue, and an inability to move the extremities. Invasion of the exterior by pathogenic wind manifests an aversion to cold, fever, and a floating pulse. The primary treatment is to dispel wind and scatter pathogens, along with nourishing and invigorating blood to unblock the collaterals.

1. Essential pattern differentiation Da Qin Jiao Tang serves as the common formula used in the early stages of wind striking the channels and collaterals. This clinical pattern is marked by facial palsy, speech disorder due to a stiff tongue, limb immobility, slight aversion to cold and fever, thin, yellow tongue coating, floating, rapid pulse. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of sluggish speech and hemiplegia: cerebral angiospasm and cerebral thrombosis; when the patient shows signs of the early stage of wind striking the channels and collateral: facial palsy; when the patient shows signs of heat bi due to wind-damp: rheumatoid arthritis. 3. Cautions and contraindications This formula should not be used for patients with internal wind.