Comparison Zhi Shi Xie Bai Gui Zhi Tang “Immature Bitter Orange, Chinese Chive, and Cinnamon Twig Decoction”, Gua Lou Xie Bai Bai Jiu Tang “Trichosanthes Fruit, Chinese Chive, and Wine Decoction” and Gua Lou Xie Bai Ban Xia Tang “Trichosanthes Fruit, Chinese Chive, and Pinellia Decoction”

Zhi Shi Xie Bai Gui Zhi Tang, Gua Lou Xie Bai Bai Jiu Tang and Gua Lou Xie Bai Ban Xia Tang all relieve xiong bi (painful obstruction of the chest) by unblocking yang, dispersing stagnation, activating qi circulation, and dispelling phlegm. Their common herbs are Gua Lou and Xie Bai.

Zhi Shi Xie Bai Gui Zhi Tang more strongly unblocks yang and dispels interior cold. It is used primarily for severe cases of xiong bi caused by stagnation of qi and phlegm. Ingredients: Zhi Shi, Hou Po, Xie Bai, Gui Zhi, Gua Lou. Symptoms: angina pectoris, belching, fullness of the chest, fullness of the epigastrium, intercostal neuralgia, oppression of the chest, precordial pain.

Gua Lou Xie Bai Bai Jiu Tang has a milder function of activating yang and dispelling phlegm, and therefore is more suitable for mild xiong bi. Ingredients: Gua Lou, Xie Bai, Grain-based liquor. Symptoms: angina pectoris, asthma, chronic bronchitis, chronic pulmonary congestion, intercostal neuralgia.

Gua Lou Xie Bai Ban Xia Tang more strongly dispels phlegm and relieves stagnation, and therefore is more suitable for the treatment of xiong bi caused by severe phlegm stagnation, in which severe chest fullness and pain radiate to the back and disturb sleep. Ingredients: Gua Lou, Xie Bai, Ban Xia, Grain-based liquor. Symptoms: angina pectoris, asthma, chronic bronchitis, chronic pulmonary congestion, intercostal neuralgia, breast nodules, breast tumors, coronary disease.

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