Gui Zhi Jia Hou Po Xing Zi Tang

Classical TCM Formula Profile

Part of the HJMEDICAL TCM Discovery Center

桂枝加厚朴杏子湯 · Guì Zhī Jiā Hòu Pò Xìng Zǐ Tāng

A classical Gui Zhi Tang modification for Wind-Cold with concurrent wheezing and Lung Qi counterflow.

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Quick Facts

Formula Category
Exterior-Releasing Formulas
Primary Pattern
Wind-Cold
Primary Function
Release exterior, direct Qi downward, calm wheezing
Primary Therapeutic Principle
Gui Zhi Tang base plus Hou Po and Xing Ren to descend Lung Qi
Classical Source
Shang Han Lun (Zhang Zhongjing, Eastern Han)
Available as Granules
Yes

Formula Overview

A classical Gui Zhi Tang modification for Wind-Cold with concurrent wheezing and Lung Qi counterflow.

Therapeutic Principle

Traditionally selected when Wind-Cold presents with the Gui Zhi Tang exterior-deficiency pattern (sweating, aversion to wind) plus mild wheezing, rather than pure excess exterior cold, interior fluids, or Lung heat.

Composition: Sovereign, Minister, Assistant, Envoy

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

Classical Composition

  • Ramulus Cinnamomi (Gui Zhi) 9g
  • Radix Paeoniae Alba (Bai Shao) 9g
  • Semen Armeniacae Amarum (Xing Ren) 9g
  • Cortex Magnoliae Officinalis (Hou Po) 6g
  • Rhizoma Zingiberis Recens (Sheng Jiang) 9g
  • Fructus Jujubae (Da Zao) 3pcs
  • Radix et Rhizoma Glycyrrhizae (Gan Cao) 6g

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

Related Conditions

Related Health Topics

Actions

  • Releases the flesh
  • descends lung qi
  • and calms wheezing with an unresolved exterior.

Indications

  • This formula is indicated for an unresolved gui-zhi-type exterior with counterflow lung qi.
  • Signs and symptoms include sweating, aversion to wind, stiff nape, and wheezing.

Tongue & pulseThe pulse is superficial and moderate.

Traditional Pathogenesis

Cause & mechanism

  • This pattern is due to externally contracted wind-cold that fetters the exterior and constrains lung qi.
  • An unresolved gui zhi-type exterior with counterflow lung qi produces sweating, stiff nape and wheezing.

Clinical presentation

  • Wei yang is obstructed, the interstices close, and the lung fails to diffuse, producing aversion to cold, absence of sweating, body aches and a superficial tight pulse.

Treatment strategy

  • The correct method is to induce sweating to release the exterior and diffuse the lung.
  • In this formula the emphasis is to gui Zhi Tang base plus Hou Po and Xing Ren to descend Lung Qi.

How does this formula compare?

Compare Gui Zhi Jia Hou Po Xing Zi TangXiao Qing Long TangMa Huang TangMa Xing Shi Gan Tang
Primary Function Release exterior, direct Qi downward, calm wheezingRelease exterior, transform congested fluids, stop cough and wheezingRelease exterior Wind-Cold, stop wheezingClear Lung Heat
Formula Category Exterior-Releasing FormulasExterior-Releasing FormulasExterior-Releasing FormulasHeat-Clearing Formulas
Typical TCM Pattern Wind-ColdWind-ColdWind-ColdLung Heat
Main Conditions Cough·Asthma & Wheezing·Nasal CongestionCough·Asthma & Wheezing·Excessive Mucus·Nasal CongestionCough·Dry Cough·Fever·Cold LimbsCough·Asthma & Wheezing
Main Herbs Cinnamon Twig·White Peony Root·Licorice Root·Fresh Ginger·Jujube / Chinese DateEphedra Herb·Cinnamon Twig·Dried Ginger·Asarum / Wild Ginger·Schisandra FruitEphedra Herb·Cinnamon Twig·Bitter Apricot Kernel·Honey-fried LicoriceEphedra Herb·Gypsum·Bitter Apricot Kernel·Honey-fried Licorice
Classical Source Shang Han Lun (Zhang Zhongjing, Eastern Han)Shang Han Lun (Zhang Zhongjing, Eastern Han)Shang Han Lun (Zhang Zhongjing, Eastern Han)Shang Han Lun (Zhang Zhongjing, Eastern Han)

Clinical Perspective

Gui Zhi Jia Hou Po Xing Zi Tang, Xiao Qing Long Tang, Ma Huang Tang and Ma Xing Shi Gan Tang all address exterior patterns with cough or wheezing. Ma Huang Tang is pure exterior Wind-Cold without sweating; Xiao Qing Long Tang treats exterior cold with interior fluid retention and thin sputum; Ma Xing Shi Gan Tang clears Lung heat with more fever and thirst. Gui Zhi Jia Hou Po Xing Zi Tang starts from Gui Zhi Tang (exterior deficiency with sweating) and adds Hou Po and Xing Ren to descend Lung Qi for concurrent mild wheezing.

Clinical Differentiation

  • Gui Zhi Jia Hou Po Xing Zi Tang is used for an unresolved gui-zhi-type exterior with counterflow lung qi and wheezing.
  • Hou Po and Xing Ren distinguish it from Gui Zhi Tang.
  • It is distinguished from Ma Huang Tang and Xiao Qing Long Tang, which treat exterior-excess or cold-fluid wheezing rather than a sweating, deficient exterior.

Safety notes: This formula is not appropriate for lung-heat wheezing or for exterior-excess cold without sweating.

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

Frequently Asked Questions

What are the actions of Gui Zhi Jia Hou Po Xing Zi Tang?
Gui Zhi Jia Hou Po Xing Zi Tang has the actions of releasing the exterior, harmonizing Ying and Wei, descending rebellious Qi, and calming wheezing. It is primarily used for Wind-Cold exterior deficiency (Tai Yang Zhong Feng) accompanied by cough, mild wheezing, or chest tightness.
Which modern conditions is Gui Zhi Jia Hou Po Xing Zi Tang commonly applied to?
In modern TCM clinical practice it is frequently used for patients whose pattern differentiation matches Wind-Cold exterior deficiency with Lung Qi failing to descend, including common cold or upper respiratory infection with cough and mild wheezing, bronchial asthma triggered by Wind-Cold, and acute bronchitis with the corresponding pattern.
Is Gui Zhi Jia Hou Po Xing Zi Tang suitable for improving cough and wheezing?
For presentations of mild fever, spontaneous sweating, aversion to wind, headache, and mild cough or wheezing — when pattern differentiation confirms Tai Yang Zhong Feng with impaired Lung descending function — TCM commonly applies Gui Zhi Jia Hou Po Xing Zi Tang as an adjunct. It cannot replace standard medical treatment.
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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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