Origins: Essentials from Cinnamon D Formula Gui Zhi Jia Long Gu Mu Li Tang the Golden Cabinet

Cinnamon D Formula first appeared in the ancient text,Essentials from the Golden Cabinet ( Jin Gui Yao Lue), by Zhang Zhong-Jing. It is a common modification ofCinnamon Twig Formula (Gui Zhi Tang), but with profoundly different applications. General Signs/Symptoms This formula treats two patterns that arise from mutual causation: unsecuredjing (essence), and heart and kidney disharmony. General signs and symptoms include: palpitation, anxiety, hyperactivity, irritability, psychological boundary issues, excessive dreams, sexual dreams, spermatorrhea, impotence, and sexual dysfunction. The tongue may be slightly pale or light red, with a moist, thin, white coat. The pulse is deficient: full, forceless, and floating.

Traditional Actions 1. Rectifies relationship 2. Harmonizes heart and kidney 3. Stabilizes jing, secures between yin and yang essence

Ingredients Pinyin Latin English Percent of Formula Gui Zhi (co-chief) Cinnamomi (ramulus) Cinnamon Twig, Cassia Twig 15% Bai Shao (co-chief) Paeoniae alba (radix) White Peony Root 15% Gan Jiang (assistant) Zingiberis (rhizoma) Dried Ginger Rhizome 15% Da Zao, Hong Zao (assistant) Jujubae (fructus) Jujube, Chinese Red Date 15% Long Gu (deputy) Fossilia Ossis Mastodi Dragon Bone, Fossilized Bone 15% Mu Li (deputy) Ostreae (concha) Oyster Shell 15% Zhi Gan Cao (guide) Glycyrrhizae (radix) preparata Prepared Licorice Root 10%

General Indications / Modern Applications • Abdominal contractions or • Frigidity, sexual • Neurosis pulsations, subjective feeling of • Hair Loss • Night sweats • Anxiety • Hyperactivity • Palpitation • Chest, pulsations or stuffy feeling in • Impotence, with exhaustion • Panic • Cold extremities • Inability to ejaculate • Penis, cold sensation at tip of • Coldness in the genitals • Insomnia • Perimenopausal Syndrome • Diarrhea • Irritability • Premature ejaculation • Dizziness • Menses, irregular • Spermatorrhea, seminal emission • Dream-disturbed sleep • Mental confusion • Testicular pain • Enuresis • Nervousness • Urinary incontinence • Emotional instability • Nervous exhaustion, from sexual • Wheezing, chronic • Forgetfulness excess Synergy of Ingredients Cinnamon D Formula (Gui Zhi Jia Long Gu Mu Li Tang) is based on Cinnamon Twig Formula (Gui Zhi Tang). It is modified by the addition of two heavy substances, oyster shell(long gu) and dragon bone (mu li). The base formula treats wei and ying disharmony manifesting in the exterior. The addition of oyster shell(long gu) and dragon bone (mu li) pulls the action of the formula into the interior to harmonize at a deeper level. Dragon bone (mu li) enters the kidney, while oyster shell (long gu) enters the heart. Combined, the simple addition of these two ingredients to Cinnamon Twig Formula (Gui Zhi Tang) elegantly rectifies the relationship between the heart and kidney. Both additions are astringent and possess a powerful action to consolidate fluids and restrain leakage. Both settle rising yang, cool fire, and both calmshen . When added to the primary harmonizing formula from the Shang Han Lun, the combination can rectify the pattern of jing (essence) leakage with heart fire. Cinnamon D Formula 2 C scorched, formula. do not this use yellow orthick, coat, greasy either a has tongue the If formula. this it andpuffy, pale is do usenot dry, dull-red, or bright red, or if rough is tongue the If andfirm, contraindicated. D Formulais or deep, forceful, thin, interior.the tight, is pulse the If heat or constrained coldwith in conditions. excess in Do not use is contraindicated formula This C forceless,Full, floating. P white coat. slight red; moist, thin, with Tender to pink andnormal T • Retains essence • Harmonizes heart and • Rectifies yin and yang F on ormula ul ontrain kidney aution s g e ue s

A dic c tion ation s s Cinnamon Cinnamon / then Cinnamon DFormula likely will yield results. good patient’s complaint chief not is listed here, but the constitution amatch, is then Cinnamon DFormula contraindicated. is On the other the hand, if indications for this formula, but not does exhibit the right constitution, theIf patient presents the with symptoms some of listed among the changes can expected be after soon the treatment course of begins. constitution, then the formula appropriate is and the desired pattern but constitutional. the If patient presents with aCinnamon D-type D Formula (Gui Jia Zhi Long Gu Mu Li Tang) not is symptomatic, The mostimportant clinicalpoint for the proper application Cinnamon of Formula Discussion yin andyin yang are not fully present their in proper seats the in nor body are than simply manifesting deficiency, qualities theseindicate pulse that the deficiency, in the pattern this pulse is floating,full, and forceless. Rather yang deficiency, or a thin, rapid yin thepulse thatis hallmarks one of of a deficiency, butinstead the sunken of and weak pulse thatis typical of D Formula pattern, the and pulse other and signs symptoms confirm one might from expect true or yin yang deficiency. In the Cinnamon formula. The andsize location theare pulse almostof oppositewhat of should observed be that neither nor yin yang tonics are included the in formula. The pattern trueis yin and not one yangof deficiency, and it is importantan The pulse indicator for the proper application this of a sustained, excessive release of release them in proper proportion and at the proper time. If there has been organs, the and support the entire organism. By itsvirtue ability of to nourish the all of and sustainable quantities, which combine with post-natal qi to nourish jing (essence) from which yang qi springs. When functioning properly, yin, yang, qi, and Jing (essence) floating, anduncontained to the exterior. qualities; they emerge from the life, root of but shows this pulse them to be they proper in relationship to each other. Yin and yang are foundational will leak continuouslywill into the channels. This in asa reflects thepulse the jing (essence), the jing (essence) cannot contain the and yin yang. They presence the in superficial level. But when theunableis kidney to contain and forceful strength and has the in deep and middle levels, with some yang warms and activates the yin. In ahealthy body, the substantive is pulse proportion. The yin contains and anchors the yang, while theinfusion of When the healthy, is body and yin yang interpenetrate proper in jing (essence) nourishing the kidney; the organ no longer has the strength to retain the reproductive organs), then too little organs), or theout of body (through excessive ejaculation or trauma to these observations that the ancients came to understand that the role the of agitation,bit of seem to reach will out to each other and join. It from is gather together. Two water drops close of together, with the just slightest hand, attracted is to itself. It atendency has not only to sink, but to also atendencyhas to dissipate through rising expansion; water, on the other properly, fire requires the help of“water” from the kidney. In nature,fire position over the heart. In order for the heart to perform its functions In the Five Phases, water “controls” fire,so thein a is kidney controlling to together rise toward the exterior. “floating”insufficiently quality: anchored in the root,causing yin and yang jing (essence) all proceed from the kidney official in measured, appropriate, is the most basic yin substance the of body, and it is the source . When the empowers the kidney to retain its substances and jing (essence) jing into circulation (to support exhausted jing (essence) leaks out, the yin and yang leak with it. remains in the kidney for Cinnamon D Formula 3

iii There are several formulas that may be used, be used, may that formulas several are There ii

iv D Formula Cinnamon and D Formula Bupluerum disorders of a variety psycho-emotional treating When symptoms menopausal irritability, and anxiety including considered, often are formulas two insomnia, and difference The major . D Cinnamon D and Bupluerum of two these applications appropriate the between of the constitution underlying is based the on formulas who individual an treats D Formula Bupluerum patient. including possibly symptoms, excess liver more exhibits a treats D Formula Cinnamon symptoms. heat excess Formula Comparisons Formula Emotional Disorders Emotional anxiety, neurosis, neurasthenia, disorders, Nervous neurological This of set and : emotional irritability of xue or dao category xue fallsthe under disorders or diseases” “nervous as translates zhengdao which may syndrome This syndrome.” complaints “erractic dizziness, anxiety, as: such symptoms varied include poor memory, or confusion mental insomnia, headaches, and/or flashes hot palpitations, neurosis, sweats, night sweating. depending on the combination of symptoms in each in each of symptoms combination the on depending Cinnamon and D Formula Bupluerum Both individual. The zheng dao xue . treat be used to may D Formula D Formula Bupleurum that is differentiation primary phlegm, qi stagnation, involving conditions excess treats a deficiency treats D Formula Cinnamon while heat, and the differentiate correctly to is essential It pattern. the for pulse The formula. correct the choose pulse to in the strong feel may pattern D Formula Cinnamon ofas it most but will lose strength its level, superficial The Bupleurum pulse root. the deeper toward press you rapid. pulse will possibly be wiry full, and D Formula Disorders Gynecological of variety A symptoms : Syndrome Perimenopausal mood changes, including: syndrome this accompany night headaches, poor concentration, in libido, changes disturbances, sleep vaginal dryness, flashes, hot sweats, and urination, frequent aches, muscle and joint of those to premenstrual similar symptoms sometimes some all or experience may Women syndrome. onset of the to prior of symptoms these combination is woman the When menopause. during or menopause experiencing deficient, yang yin and kidney primarily flushing occasional with symptoms, cold jiao lower or alleviate may D Formula Cinnamon of qi, up yang symptoms. these eliminate is D Formula Cinnamon tradition, herbal Kampo the In symptoms menopausal experiencing patients for utilized floating with constitution, overall a weak have who insufficiency blood. qi and and of qi yang vacuous palpitations, as sweating, such symptoms Vasomotor of result weak a are flashes hot and dizziness, headrushes, yinand deficient by anchored is poorly which qi, yang blood. i Premature ejaculation, nocturnal emission, emission, nocturnal ejaculation, Premature yang kidney the As : impotence and spermatorrhea displacing , jiao lower the into sinks cold increases, vacuity is compromised, kidney jing The fire. ministerial the essence. kidney restrain to ability its weakens which abdominal include: warmer lower in the symptoms Cold of tip in the the sensation cold pain, and contraction are symptoms These umbilicus. the penis below or ejaculation, premature by accompanied sometimes in men. spermatorrhea and emission nocturnal : If urinary incontinency is due is due If incontinency urinary : incontinence Urinary affecting particularly deficiency, yang yin and kidney to of flow urine, the retain qi to of bladder ability the the D Cinnamon be used. may D Formula Cinnamon then lower the warm yang, yin and kidney rectify can Formula leakage. stop to essence restrain and warmer : When there are signs of are dual there When : (bedwetting) Enuresis leakage essence kidney and vacuity kidney yang yin and essence restrain be used can to D Formula Cinnamon deficiency. yang yin and kidney balance and support and Modern Applications Modern Disorders Urogenital Essentials from Essentials from Zhang wrote since centuries The greatly have Lue) Yao Gui (Jin the Cabinet Golden D Formula of Cinnamon applications the expanded refined have and Tang) Li Mu Gu Long Zhi Jia (Gui loss The works. of formula this how understanding the in originate to have does not of (essence) jing kidney also can organs sex the to Trauma lust. with heart the in toxin hysterectomy, Prostatectomy, loss. this engender loss in significant result all can organs, reproductive the . of (essence) jing kidney The Five Phase system is not the only one which exerts exerts which one only the not is Phasesystem Five The heart The organs. between relationships in the control of ruler shen is the organ all the within emperor as the of master networks, all organ general the As . zang the heart the When kidney. the over hasit position a ruling an to simultaneously lead can this lusts, habitually over-consumption an and of fire heart over-abundance develop to this for long take does not It of. jing kidney heart excess where feedback, of a kind into pathogenic which of kidney, the (essence) jing the consumes fire Either fire. heart the restrain sufficiently cannot then kidney the in decrease or a fire heart in the increase an lose to dynamic heart-kidney the cause can (essence) jing cycle. feedback the engage and equilibrium kidney in relation to the other organs is one of collection, ofis organs one collection, other the to in relation kidney the Hence, as as well nourishment. storage, and bracing, and inhalation, during lung the from qi” “receives kidney over-expansion. from fire heart the restrains water kidney restrain and together ofto gather kidney Thisthe power . (essence) jing in the resides innamon ormula Yue, Chongxi and Foster, Steven, Herbal Emissaries, Bringing Chinese Herbs West tothe , Healing Arts Press, 1992. Yeung, Him-che, Handbook ofChinese Herbs , Institute Medicine, Chinese of 1996. Yeung, Him-che, Handbook ofChinese Herbal Formulas, Institute Medicine, Chinese of 1998. Wiseman, Wiseman and Ye, Feng, APractical ofChinese Medicine Dictionary , Paradigm Publications, 1998. Sperber, Greg with Flaws, Bob, Integrated Combining with Chinese Medicine Modern Pharmacology: Pharmacology , Blue Poppy Press, 2007. Sionneau, Philippe (auth.), Cote, Bernard, (trans.), Flaws, Bob (ed.), Yao: Dui The of CombiningArt Chinese Medicinals, Blue Poppy Press, 1997. Scott, John, Monda, Lorena, Heuertz, John. Clinical Guide toCommonly Used Chinese Herbal Formulas. 5th ed. Placitas, Herbal NM: Medicine Press, 2009. McGuffin, Michael, Mg.Ed., American Herbal Products Association’s: Herbs ofCommerce, 2nd., Ed American Herbal Product’s Association and Michael Kong, Flora Y., Ng, Daniel K., Chan, Chung-hong, Yu, Wan-lan, Chan, Danny, Kwok, Ka-li, Chow, Pok-yu. Parental the term of use Jiao Qi” Shu-De“Hot (auth.), to describe Wiseman, Nigel (ed.), Ten Lectures Use on the ofFormulas from Personal ofJiao the Experience Paradigm Shu-De, Publications, 2009. Huang, Huang (auth.), Max, Michael (ed.), Ten Key Formula Families in Chinese Medicine, Eastland Press, 2009. Fratkin, Jake Paul; Leaky Gut Syndrome, Modern the Epidemic, http://www.drjakefratkin.com/pdf/lgs.pdf Ellis, Andrew, Notes from South Mountain: AGuide toConcentrated Herb Granules , Thin Moon Publishing, 2003. Dharmananda, Subhuti, Pueraria Combination, Flower Ge Hua Jiexing Tang, Herbal Formula for Hangover and for Reactions toRich Foods, Herbs and, Drugs Chen, John K. and Chen Tina T. Chinese Medical, and Industry, Herbology Pharmacology City of CA: MedicineArt of Press, 2004. Bensky, Dan, Clavey, Steven, Stöger, Erich, Chinese Medicine Materia Medica, 3rd Ed, Eastland Press, 2004. Beers, Mark H. and Robert Berkow, Ed. The Merck ManualDiagnosis of and Therapy, 17th Ed. Whitehouse Station, NJ: Merck Research Laboratories, 1999. R v iv iii ii i E C D F 4 Gui Jia Zhi Long Gu Mu Li Tang, Studies, Case Sun Ten Newsletter , November-December 2003. A Clinical trialA utilizing Clinical China, in these two formulas combined to treat perimenopausal syndrome showed a91%effectiveness rate. Flaws,Bob, op. cit. Dharmananda, Subhuti, Xue Dao Zheng, Erratic Complaints Syndrome, International Journal Medicine ofOriental , Vol. 20, No. 3. pp. 113-125, September Shibata, Y., Wu, J., Kampo Treatment for Disorders: Climacteric AHandbook for Practitioners, Paradigm Publications, 1997, p. 164. Flaws, Bob, Perimenopausal Syndrome, Blue Poppy Press, 2006. yin yin and blood, and supplementing the heart yin to soothe Heavenly Emperor’s Formula directed is to nourishing differencesin how each formula bestused.wouldbe the heart and kidney meridians, there are significant Thoughboth formulas and harmonizecan shen calm Formula Cinnamon D Formula and Heavenly Emperor’s ndnotes with leakage of kidney essence ofkidney with leakage vacuity andheart thatspermatorrhea isdueto kidney For incontinence, enuresis, urinary impotence, For Perimenopausal Syndrome signs thatsigns are secondary to cold. heat, but there may accompanying be deficiency heat blood deficiency. Cold symptoms are morelikely than combination and yin yang of with deficiency qi and/or person with aweakened constitution, who may have a ef erenc McGuffin, 2000. symptoms their in children Hong in Kong: across-sectional survey Qi”“Hot children, in Journal and Ethnomedicine ofEthnobiology , 2006, 2:2. http://www.itmonline.org/arts/pueraria.htm,. May 2003. 1995. And Dharmananda, Subhuti, Towards aSpirit at Peace, www.itmonline.org/shen/chap8.htm es U seful C ombinations Sang PiaoUse with Sang Xiao San Use withErZhi Wan be normalbe to slightly red with athin, white coat. a full, forceless, and floating and pulse the tongue would most from Cinnamon DFormula would present with would thin be and rapid. The patient who wouldbenefit would red, be with scanty or no coat, and the pulse benefitfrom Heavenly Emperor’s Formula the tongue andpulse tongue presentation. In the that case would effective. A significant difference inwould beseen the patient for whom Cinnamon D Formula more heart and kidney deficient yin symptoms than the to treated be with this formula would have significantly menopausal symptoms, but the most appropriate patient and calm the. shen This formulaused be to can treatalso v orTrue Yin Formula. would most be