Zhīzǐ Gānjiāng Tāng for Overthinking Insomnia

2025-12-10T12:11:20-05:00By |Blog, Chinese Translation, Classic Formulas, Diagnosis, Individual Herbs, Our Courses|

Zhīzǐ Gānjiāng Tāng for Sleep

Zhīzǐ Gānjiāng Tāng is another teeny-tiny formula,[1] consisting of zhīzǐ, 3 g, and gānjiāng, 6 g. It is mentioned only in clause 80 of the Shānghán lùn, where it states, “In cold damage, the doctor used pills to purge strongly. Body heat remains, and there is slight vexation. Zhīzǐ Gānjiāng Tāng rules.

Let’s break this down a bit, starting with “cold damage.” Cold damage is often considered a term limited to the causative factor of the Máhuáng Tāng pattern. However, when thoroughly reading the Shánghān zábìng lùn, it is clear that Zhāng Zhòngjǐng used it in a much broader way than this. His use of the term cold damage can be summarized as an event that blocks the flow of the life-force yáng in the body. This is in contrast to the term wind-strike, which is also a much broader term than simply the causative factor causing a Guìzhī Tāng pattern. Wind-strike can be summarized as an event that leaves aspects of the body too open and thus prone to leakage. Hence, we have cold damage expressing blockage and wind-strike expressing leakage.

In this case, a blockage, cold damage, was understandably treated with strong purgation. Though we think of purgation […]

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Zhīzǐ Chǐ Tāng for Insomnia with Anguish

2025-12-03T13:56:25-05:00By |Blog, Classic Formulas, Diagnosis|

In the last post, I wrote about two formulas for insomnia, Zhīzǐ Chǐ Tāng and Zhīzǐ Gānjiāng Tāng. Zhīzǐ Chǐ Tāng is an odd, teeny-tiny formula, and the way it works may be difficult to understand, especially the use of dàndòuchǐ, which we probably learned as primarily an herb for resolving the exterior. In this post, I will explain the mechanism of this formula as I understand and use it. How does it treat “anguish in the heart” type insomnia?

Before diving into that, I want to share a recent message from a student who suffered from a rash after a profound loss:

“I kept thinking about how you talked about Zhīzǐ Chǐ Tāng and how it was for anguish in the heart. That word, anguish,  is exactly how I’ve been feeling from the moment of loss.
Anyway, I took some ideas from the formula you originally suggested for me, which already had zhǐshí and zhīzǐ, and added a high dose of dàndòuchǐ, and it was like a lock-and-key magic!  After 3 1/2 months of this rash being so, so stubborn, it started to change dramatically. For the last week and a half, every morning when I wake, the rash is better and better, and I even think something feels a little emotionally lighter as well.
So thank […]

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Two Excellent Zhi Zi (栀子Gardenia Fructus) Formulas for Sleep

2025-11-24T10:31:39-05:00By |Blog, Classic Formulas, Individual Herbs|

As a continuation of the discussion on using classical formulas for sleep issues, I will now introduce two very effective zhīzǐformulas: Zhīzǐ Chǐ Tāng and Zhīzǐ Gānjiāng Tāng. As you recall in the previous post, my student Sylvia described the use of Zhīzǐ Chǐ Tāng and how she differentiated the pattern.

First, let’s talk about zhīzǐ. It is the fruit of the gardenia plant. In his poem, Shěn Zhòu[1] of the Ming Dynasty described the gardenia flower like this:

“雪魂冰花凉气清”

Snow ghost, ice flower, with its clear, cold Qi

According to Shen Nong Ben Cao Jing, zhīzǐ‘s flavor is bitter and its nature is cold. It is said to enter the heart, lung, stomach, liver, and San Jiao channels.[2] It is effective in discharging fire and dispelling vexation, clearing heat through benefiting urination, cooling blood, and resolving toxins.

Zhīzǐ‘s key action is to disinhibit the shàoyáng great sweeping motion. The motion of shàoyáng is to pivot. The shàoyáng pivot is responsible for pivoting imperial fire, which has descended into the body through the joint motions of shàoyīn and yángmíng, into its position within the body as ministerial fire. If the shàoyáng pivot motion is inhibited, the descending heat, which is none other […]

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Differentiating Several Patterns that can Explain Insomnia

2025-10-27T17:35:31-04:00By |Blog, Classic Formulas, Neijing, Our Courses, Shang Han Lun Physiology|

One of my students, Polina Shneyderman, recently posted her results using Zhīzǐ Chǐ Tāng as follows:

I wanted to share a case that was helped so much by a tiny formula I learned from Sharon in her GMP. I have a patient who is a textbook Guìzhī Tāng pattern and who has done really well on different modifications of Guìzhī Tāng. She has Ehlers-Danlos Syndrome, where her body produces too much collagen, and as a result, she has heart palpitations, agitation, and very loose joints. Guìzhī Tāng has helped with heart palpitations, periods, cold, and body aches. One thing I could not tackle was her waking up before her alarm in the morning, feeling a sense of terror or fear of missing something important.
I learned from Sharon that there is a formula called Zhīzǐ Chǐ Tāng—zhīzǐ and dàndòuchǐ—and that it can help with this kind of terror. I added these two herbs to her formula, and she now sleeps soundly and peacefully until her alarm wakes her up. The bonus—her blood pressure is normal now, too—patients with EDS tend to have dangerously low blood pressure.
Just wanted to share a success story and thank Sharon and other White Pine mentors who help us all be better clinicians.

In the next post, I will discuss this […]

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