Gui Zhi Er Ma Huang Yi Tang #1
1. A light presentation with stasis on the exterior.
This is a case from Dr. Yu Zhangrong, April 10, 1963
Mr. Li, age 49: Chills and fever. After sweating from the fever his body would become cold. This happened once a day and had continued for three days. He also had headache, leg pain, and back pain, cough with slight amount of phlegm, poor appetite and normal excretions. His pulse was floating and tight and his tongue moss was thick white and slippery. For treatment it was appropriate to use pungent and warm to lightly resolve the exterior. I used Gui Zhi Er Ma Huang Yi Tang.
- Gui Zhi9gm
- Bai Shao9gm
- Xing Ren6gm
- Zhi Gan Cao6gm
- Sheng Jiang6gm
- Ma Huang4.5gm
- Da Zao3gm
After he took the herbs the fever and chills cleared and the other symptoms lessened. He developed palpitations and shortness of breath and soreness in his back that responded favorably to pressure. His bowels were normal. His pulse had become wiry and moderate. The outside evil was resolving and the insufficiency of the moistening blood and qi stasis were now apparent. I gave him 1 package of Xiao Jian Zhong Tang and these symptoms quieted down.
Discussion: In this case the patient suffered from a daily episode of chills and fever, headache and limb pain. This had gone on for three days and yet because there was no agitation or desire to vomit, his bowels were normal and he had no chest or rib-side fullness, this was not a Shao Yang pattern. Additionally, because his excretions were normal so this was also not a Yang Ming pattern. This was a weak evil in Tai Yang. The floating and tight pulse was an indication to use Ma Huang to induce sweat yet the deficiency contraindicates the promotion of sweat. It was inappropriate to use as strong diaphoretic formula and so I used Gui Zhi Er Ma Huang Yi Tang to lightly induce sweating and drain off and benefit the Lung Qi.
Translated by: Sharon Weizenbaum
NOTE: For further reading on this case and formula, please see Sharon’s introduction, Guizhi mahuang ge ban tang & guizhi er mahuang yi tang
Original Chinese: 一、表部轻证
 From the 伤寒论汇要分析， Shang Han Lun Hui Yao Fen Xi, 1964, pg 70-71