Ban Xia Bai Zhu Tian Ma Tang

Classical TCM Formula Profile

Part of the HJMEDICAL TCM Discovery Center

半夏白朮天麻湯 · Bàn Xià Bái Zhú Tiān Má Tāng

A classical formula for dizziness and headache from wind-phlegm rising, often with Spleen damp.

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Quick Facts

Formula Category
Phlegm-Resolving Formulas
Primary Pattern
Phlegm-Dampness
Primary Function
Dry damp, resolve phlegm, calm Liver, extinguish wind
Primary Therapeutic Principle
Transform wind-phlegm and calm ascending Liver wind
Classical Source
Li Dongyuan school / classical
Available as Granules
Yes

Formula Overview

A classical formula for dizziness and headache from wind-phlegm rising, often with Spleen damp.

Therapeutic Principle

Traditionally selected for dizziness and headache from wind-phlegm rising with Spleen damp, rather than Liver Yang rising heat, thin fluid retention, or plain phlegm-damp without wind.

Composition: Sovereign, Minister, Assistant, Envoy

Every herb in the formula, grouped by the job it does in the classical hierarchy.

Classical Composition

  • Pinelliae Rhizoma (Ban Xia) 1.5 qian (4.5g)
  • Gastrodiae Rhizoma (Tian Ma) 1 qian (3g)
  • Poria (Fu Ling) 1 qian (3g)
  • Citri Expocarpium Rubrum (Ju Hong) 1 qian (3g)
  • Atractylodis Macrocephalae Rhizoma (Bai Zhu) 3 qian (9g)
  • Glycyrrhizae Radix et Rhizoma (Gan Cao) 5 fen (1.5g)
  • Zingiberis Rhizoma Recens (Sheng Jiang) 1 piece
  • Jujubae Fructus (Da Zao) 2 pieces

Dosages follow the classical source and are shown for study, not as a prescription.

Related Conditions

Related Health Topics

Actions

  • Dries dampness and dissolves phlegm
  • calms the liver and extinguishes wind.

Indications

  • Ban Xia Bai Zhu Tian Ma Tang is designed to treat the pattern of wind-phlegm harassing the upper body.
  • Symptoms include dizziness, headache, pi and oppression in the chest and diaphragm, nausea, and vomiting.

Tongue & pulseThe tongue coating is greasy and white. The pulse is wiry and slippery.

Traditional Pathogenesis

Cause & mechanism

  • Spleen deficiency easily leads to phlegm or damp production.
  • Phlegm-dampness may travel upward and harass the body along with internal liver wind causing various disorders.
  • When it harasses the brain, headache and dizziness occur.
  • When it blocks the center jiao disorders including chest and diaphragm pi and oppression, nausea and vomiting will appear.
  • The treatment principle is to dissolve phlegm wind and extinguish wind, reinforce the spleen and dispel dampness.

Clinical presentation

    Tongue & pulseThe white and greasy tongue coating indicates internal phlegm-turbidity. The wiry and slippery pulse indicates wind-phlegm.

    Treatment strategy

    • The treatment principle is to transform wind-phlegm and calm ascending Liver wind.

    How does this formula compare?

    Compare Ban Xia Bai Zhu Tian Ma TangTian Ma Gou Teng YinLing Gui Zhu Gan TangEr Chen Tang
    Primary Function Dry damp, resolve phlegm, calm Liver, extinguish windCalm Liver Yang, extinguish internal wind, clear heatWarm Yang, transform phlegm-fluids, strengthen SpleenDry dampness, resolve phlegm, regulate Qi, harmonize middle
    Formula Category Phlegm-Resolving FormulasLiver-Wind Extinguishing FormulasDampness-Draining FormulasPhlegm-Resolving Formulas
    Typical TCM Pattern Phlegm-DampnessLiver FireDampnessPhlegm-Dampness
    Main Conditions Dizziness & Vertigo·Headache·NauseaHeadache·Dizziness & Vertigo·Tinnitus·Anxiety RestlessnessDizziness & Vertigo·Bloating·Excessive Mucus·PalpitationsPoor Appetite·Nausea
    Main Herbs Pinellia Rhizome·Gastrodia Rhizome·Poria / Hoelen·Red Tangerine Peel·White Atractylodes RhizomeGastrodia Rhizome·Uncaria Stem with Hooks·Abalone Shell·Gardenia Fruit·Scutellaria / Baikal SkullcapPoria / Hoelen·Cinnamon Twig·White Atractylodes Rhizome·Honey-fried LicoricePinellia Rhizome·Tangerine Peel·Poria / Hoelen·Honey-fried Licorice
    Classical Source Li Dongyuan school / classicalZhong Yi Nei Ke Za Bing Zheng Zhi Xin Yi (Hu Guangci, 1958)Shang Han Lun / Jin Gui Yao Lue (Zhang Zhongjing)Tai Ping Hui Min He Ji Ju Fang (Song, 1107)

    Clinical Perspective

    Ban Xia Bai Zhu Tian Ma Tang, Tian Ma Gou Teng Yin, Ling Gui Zhu Gan Tang and Er Chen Tang address dizziness or phlegm. Tian Ma Gou Teng Yin calms Liver Yang rising with heat; Ling Gui Zhu Gan Tang warms and transforms thin fluid; Er Chen Tang is plain phlegm-damp. Ban Xia Bai Zhu Tian Ma Tang transforms wind-phlegm and strengthens Spleen for dizziness and headache from phlegm with internal wind.

    Clinical Differentiation

    • Ban Xia Bai Zhu Tian Ma Tang is a representative formula used to treat dizziness and headache caused by wind and phlegm.
    • This clinical pattern is marked by dizziness and headache, white and greasy tongue coating, wiry and slippery pulse.

    Safety notes: This formula is not appropriate for dizziness caused by yin deficiency and yang hyperactivity or insufficiency of qi and blood.

    For educational reference only, based on traditional pattern differentiation — not a substitute for professional advice.

    Frequently Asked Questions

    What are the actions of Ban Xia Bai Zhu Tian Ma Tang?
    Ban Xia Bai Zhu Tian Ma Tang has the actions of transforming Phlegm, extinguishing Wind, strengthening the Spleen, and drying Dampness. It is the representative formula for Wind-Phlegm rising to disturb the head and cause dizziness and headache.
    Which modern diseases is Ban Xia Bai Zhu Tian Ma Tang suited to?
    Modern TCM clinical practice commonly applies it to individuals whose pattern differentiation falls within Wind-Phlegm, including Meniere’s disease or aural vertigo, hypertension-related dizziness of Phlegm type, neurological or cervical vertigo with a heavy foggy head, and certain migraines or headaches accompanied by nausea and a greasy tongue coating.
    Is Ban Xia Bai Zhu Tian Ma Tang suitable for improving dizziness, a heavy head, and nausea?
    For presentations of dizziness or spinning vertigo, heavy or muzzy headache as if the head were wrapped, chest or epigastric fullness, nausea or vomiting of Phlegm, a white greasy tongue coating, and a wiry-slippery pulse — in those whose pattern differentiation confirms Wind-Phlegm rising from Spleen Dampness — TCM commonly applies Ban Xia Bai Zhu Tian Ma Tang as an adjunct. It cannot replace evaluation of inner-ear, neurological, or cardiovascular causes of vertigo.
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    Medical Disclaimer

    For general TCM education only — not medical advice. Consult a qualified TCM practitioner or licensed healthcare provider before use, especially if pregnant, nursing, on medication, or managing a chronic condition.

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