Jiao Tai Wan交泰丸
Grand Communication Pill
Ingredients2 herbs
Indications
Heart and Kidney not communicatingwith Heart fire relatively hyperactive above and Kidney yang insufficient below — the classic split presentation of heat in the upper body and cold in the lower.
Clinical Manifestations
- Insomnia with irritability above and cold below
- Palpitations at night with restless heat in the chest
- Recurrent mouth and tongue ulcers with a cold, sore lower back
- Difficulty falling asleep despite exhaustion
- Nocturia or cold feet accompanying the sleeplessness
Health Categories
Modern Applications
Common adjustments
- Yin depletion more prominent than yang weakness — add Sheng Di Huang 生地黄 and Mai Men Dong 麦门冬, and reduce the Rou Gui 肉桂
- Sleep broken through the night rather than delayed at onset — combine with Suan Zao Ren 酸枣仁 and Fu Shen 茯神
- Pronounced Kidney yang weakness — pair with a warming Kidney base rather than raising the Rou Gui dose, since the ratio is what makes the formula work
Contraindications
Not for insomnia from pure yin deficiency with heat and no cold signs below, where Rou Gui adds to the heat, and not for damp-heat patterns in the lower burner. The two-herb ratio is deliberate — using Rou Gui at anything like the dose of Huang Lian changes the formula into something else.
For licensed practitioners’ reference only — not a self-treatment guide.
Pregnancy
Avoided in pregnancy. Rou Gui is hot and moving and is on the standard pregnancy-caution list, and Huang Lian is strongly bitter and cold; a safer approach to sleep in pregnancy should be chosen instead.
References
Source Han Shi Yi Tong 《韩氏医通》 · Ming
- 《韩氏医通》 — public-domain classical source.
2. Scheid, Bensky, Ellis & Barolet. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. — composition & dosage cross-checked.
3. 《方剂学》（全国中医药行业高等教育规划教材）— chapter placement and pattern analysis cross-checked.
Professional reference notice. Entries are scholarly references for licensed TCM practitioners and students — not medical advice, and not a recommendation to self-prescribe. Chinese herbal formulas should be used under the guidance of a qualified practitioner. Content is an original editorial compilation by Cura x Cura, cross-checked against the cited references.