Gui Zhi Ma Huang Ge Ban Tang #1
2. Unresolved stasis on the exterior
This is a case from Dr. Wang Zhan[1], January 5, 1976
Ms. Liu, age 26, had a cold for 4-5 days. She still had a fever, fear of cold and a temperature of 38°C. She was sweating slightly. Although she had taken an instant tea for colds and anti-inflammatory analgesics, these had had no effect. She had body pain, her excretions were normal, her tongue moss was thin and white and her pulse was floating and tight. I gave her Gui Zhi Ma Huang Ge Ban Tang with added flavors.
- Gui Zhi8gm
- Bai Shao5gm
- Xing Ren5 gm
- Gan Cao5 gm
- Sheng Jiang5 gm
- Ma Huang8 gm
- Da Zao 4 gm
- Fu Ping9 gm
After the herbs, she had a slight sweat and after two more packages the illness was completely resolved.
Discussion: When someone has a cold for several days and it is not a Shao Yang and or Yang Ming presentation and yet there is a fever with an aversion to cold, sweating, a floating tight pulse, it is appropriate to lightly induce sweat using Gui Zhi Ma Huang Ge Ban Tang.
Translated by: Sharon Weizenbaum
[1] 伤寒论临床应用 The Clinical Application of the Shang Han Lun, 1990, pg 24
Original Chinese:
二、表部不解
王占玺医案:刘某,女,26岁,1976年1月5日初诊。感冒已四五日,仍发热恶寒,体温38℃,微汗出,虽经服感冒冲剂及解热镇痛剂不效,身酸 痛,二便正常,苔薄白,脉浮紧。随予桂枝麻黄各半汤加味:桂枝8克,白芍5克,生姜5克 甘草5克,大枣4枚,麻黄8克 杏仁5克,浮萍9克。
药后取微汗,2剂诸证悉平。(《伤寒论临床应用》1990:24)
按语:外感数日,无少阳、阳明见证,仍发热恶寒,汗出,脉浮紧,宜小发汗,与桂麻各半汤愈之。
NOTE: For further reading on this case and formula, please see Sharon’s introduction, Guizhi mahuang ge ban tang & guizhi er mahuang yi tang