1.Ancient Literature Analysis and Key Information Textual Research of Classic Formula Guizhi Mahuang Geban Tang
Shiyan LIU ; Yihang LOU ; Jidong WU ; Renshou CHEN
Chinese Journal of Experimental Traditional Medical Formulae 2024;30(22):10-19
Guizhi Mahuang Geban Tang derived from ZHANG Zhongjing's Treatise on Cold Damage is included in the Catalogue of Ancient Classic formulas (the second batch) issued by the National Administration of Traditional Chinese Medicine. By reviewing the ancient literature related to Guizhi Mahuang Geban Tang, this study analyzed the origin, medicinal composition, original plants and processing, dosage, decocting method, compatibility, effects, and indications of this formula. A total of 186 records of Guizhi Mahuang Geban Tang were obtained, involving 108 ancient books of traditional Chinese medicine. There are 6 synonyms of Guizhi Mahuang Geban Tang. This formula consists of Cinnamomi Ramulus, Paeoniae Radix Alba, Zingiberis Rhizoma Recens, Glycyrrhizae Radix et Rhizoma, Ephedrae Herba, Jujubae Fructus, and Armeniacae Semen Amarum, the original plants and processing of which are clear. With consideration to the dosage in modern clinical practice, it is recommended that the formula should be composed of 7.67 g Cinnamomi Ramulus, 4.60 g Paeoniae Radix Alba, 4.60 g Zingiberis Rhizoma Recens, 4.60 g Glycyrrhizae Radix et Rhizoma, 4.60 g Ephedrae Herba, 4.00 g Jujubae Fructus, and 2.60 g Armeniacae Semen Amarum. The decoction should be prepared by boiling Ephedrae Herba with 1 000 mL water for 15 min before the addition of other medicines, and the mixture was decocted to reach a volume of 360 mL, and 120 mL of the decoction should be taken warm once. Guizhi Mahuang Geban Tang is a combination of Guizhi Tang and Mahuang Tang, with the effects of dispersing wind cold and harmonizing nutrient-defense. The main diseases treated by this formula in the past dynasties have expanded compared with those in Treatise on Cold Damage. The traditional indications of this formula involve the diseases of greater Yang, reverting Yin, Yang brightness, and lesser Yin. In addition to common cold due to wind-cold, this formula can be used to treat headache, bitter mouth, dry throat, full abdomen, panting, heat invading blood chamber in women, skin itching, exanthema variolosum, syncope, and hardly perceivable pulse. In modern clinical practice, Guizhi Mahuang Geban Tang is used for treating pulmonary diseases such as upper respiratory tract infection, skin diseases (e.g., urticaria, eczema, psoriasis, and neurodermatitis), kidney failure, and diabetes complicated with pruritus.