Er Zhu Tang

Classical TCM Formula Profile

Part of the HJMEDICAL TCM Discovery Center

二朮湯 · Èr Zhú Tāng

A damp-drying formula using Cang Zhu and Bai Zhu for wind-damp bi.

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Quick Facts

Formula Category
Wind-Damp Dispelling Formulas
Primary Pattern
Dampness
Primary Function
Dry dampness, dispel wind, stop pain
Primary Therapeutic Principle
Dry dampness, dispel wind, stop pain
Classical Source
Later bi formula
Available as Granules
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Formula Overview

A damp-drying formula using Cang Zhu and Bai Zhu for wind-damp bi.

Therapeutic Principle

Selected for damp bi with heaviness rather than wind-cold or blood-stasis pain.

Composition: Sovereign, Minister, Assistant, Envoy

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

Classical Composition

  • Atractylodis Rhizoma (Cang Zhu)
  • Atractylodis Macrocephalae Rhizoma (Bai Zhu)
  • Poria (Fu Ling)
  • Citri Reticulatae Pericarpium (Chen Pi)
  • Glycyrrhizae Radix (Gan Cao)
  • Zingiberis Rhizoma Recens (Sheng Jiang). A damp-drying bi formula using both Atractylodes species.

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

Related Conditions

Related Health Topics

Actions

  • Dries dampness and dispels wind with both Atractylodes species.

Indications

  • Damp bi.
  • Joint or body pain, heaviness, white greasy coating.

Traditional Pathogenesis

Cause & mechanism

  • Damp obstructs the channels.
  • Spleen fails to transform damp, so bi pain appears.

Clinical presentation

    Tongue & pulseJoint or body pain, heaviness, white greasy coating, soft or slippery pulse.

    Treatment strategy

    • Dry dampness, dispel wind, stop pain.

    How does this formula compare?

    Clinical Perspective

    Er Zhu Tang, Ping Wei San and Qiang Huo Sheng Shi Tang address damp. Ping Wei San dries middle damp. Qiang Huo Sheng Shi Tang dispels wind-damp. This formula dries damp with both Atractylodes for bi.

    Clinical Differentiation

    • Used for damp bi with heaviness.
    • Key points: heavy pain, greasy coating.
    • Distinct from wind-cold bi and from blood-stasis pain.

    Safety notes: Drying formula; not appropriate for yin deficiency or heat.

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

    Frequently Asked Questions

    What is Er Zhu Tang? Are Ping Wei San and Er Chen Tang the same?
    Er Zhu Tang (二术汤) is a classic formula from the Wan Bing Hui Chun, centered on drying dampness, transforming phlegm, dispelling wind and unblocking the collaterals for phlegm-fluid obstructing the collaterals with pain in both arms, difficulty raising them and finger numbness. Ping Wei San dries dampness and moves the Spleen, leaning to dampness stagnating the middle burner. Er Chen Tang dries dampness and transforms phlegm, leaning to phlegm-damp cough. The three cannot be interchanged by equal weight. Write Er Zhu Tang. Use caution in yin deficiency and excess heat.
    What is the composition and traditional use of Er Zhu Tang?
    Classic composition: Cang Zhu, Bai Zhu, Nan Xing, Chen Pi, Fu Ling, Xiang Fu, Jiu Qin, Wei Ling Xian, Qiang Huo, Gan Cao, Ban Xia. It acts to dry dampness, transform phlegm, dispel wind and unblock the collaterals. It is used for phlegm-fluid obstructing the collaterals with pain in both arms, difficulty raising them and finger numbness, accompanied by obesity, fullness in the chest, dry mouth without desire to drink. Cang Zhu and Bai Zhu dry dampness; Nan Xing and Ban Xia transform phlegm; Chen Pi and Xiang Fu regulate qi; Fu Ling promotes urination; Wei Ling Xian and Qiang Huo dispel wind and unblock the collaterals; Jiu Qin clears damp-heat; Gan Cao harmonizes.
    How do you choose raw versus prepared? Can Ping Wei San replace it?
    Cang Zhu is soaked in rice-wash water and fried; Ban Xia is ginger-prepared. Ping Wei San lacks heavy wind-dispelling and collateral-unblocking; it cannot replace the formula by equal weight. Commercial products follow regulated compounding; do not self-modify.
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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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