Gualou and Zhishi Decoction，From *Hui Chun*, Volume 2.，For phlegm congestion that cannot be coughed up, accompanied by pain in the chest and diaphragm and an inability to turn over; or for phlegm congestion causing fullness and oppression in the chest and diaphragm, with alternating chills and fever and shortness of breath; as well as for cases where phlegm obscures the orifices of the heart, resulting in an inability to speak.
Gualou and Zhishi Decoction
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Formulas Name : Gualou and Zhishi Decoction
Chinese Name : 瓜蒌枳实汤
Drug Formulation
Trichosanthes fruit (shell removed) 1 qian, Zhi Shi (fried with wheat bran) 1 qian,Platycodon (stem removed) 1 qian, Poria (peeled) 1 qian, Fritillaria (core removed) 1 qian, Tangerine Peel 1 qian, Scutellaria (rotten parts removed) 1 qian, Gardenia 1 qian, Angelica 6 fen, Amomum 5 fen, Aquilaria 5 fen, Licorice 3 fen.
Source
From *Hui Chun*, Volume 2.
Processing
Coarsely chop the above ingredients to make one dose.
Benefits
For phlegm congestion that cannot be coughed up, accompanied by pain in the chest and diaphragm and an inability to turn over; or for phlegm congestion causing fullness and oppression in the chest and diaphragm, with alternating chills and fever and shortness of breath; as well as for cases where phlegm obscures the orifices of the heart, resulting in an inability to speak.
Instructions for Use
Decoct with fresh ginger; add a small amount of bamboo sap and ginger juice, and take the mixture together. Externally, rub the affected area with the ginger residue.
Copyright: Excerpt from From *Hui Chun*, Volume 2., Copyright belongs to the Original Author and all original sources, This article was shared by DeDe on August 24, 2026, Please credit the source and include a link to the original article when reposting.
Terminology Proofreading: [Cheng Bo] | August 24, 2026 Reviewed by: [Wang Zhongxiang, Associate Chief TCM Physician (China)] | August 24, 2026
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Gualou and Zhishi Decoction,For phlegm congestion that cannot be coughed up, accompanied by pain in the chest and diaphragm and an inability to turn over; or for phlegm congestion causing fullness and oppression in the chest and diaphragm, with alternating chills and fever and shortness of breath; as well as for cases where phlegm obscures the orifices of the heart, resulting in an inability to speak.