Herb Formulas Notebook

Chai Hu Jia Long Gu Mu Li Tang

Bupleurum Plus Dragon Bone and Oyster Shell Decoction

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Source: Discussion of Cold Damage (c. 220)
Author: Zhang Ji / Zhong-Jing

Category: Formulas that Harmonise

Pattern: Shaoyang constraint with Heat agitating the Shen

Key Symptoms: Fullness in the chest, emotional instability and mood swings involving irritability, fear and anger, heaviness or stiffness in the upper body
Secondary Symptoms: Insomnia, depressive moods, headaches or heavy-headedness, dizziness, pain or tension in the shoulder or neck, palpitations or rapid heartbeat, urinary difficulty, constipation

Tongue: Red tip, slippery and white or yellow coating
Pulse: Wiry, rapid, forceful
Abdomen: Tenderness in hypochondrium, palpable periumbilical pulsations

Chai Hu 12g
Huang Qin 3g
Zhi Ban Xia 9g
Ren Shen 4.5g
Gui Zhi 4.5g
Fu Ling 4.5g
Long Gu 4.5g
Mu Li 4.5g
Da Huang 6g (add just before end)
Sheng Jiang 3sl
Da Zao 6pc

In the UK several of the chief ingredients need to be substituted:
Long Gu == Bai Shao + Wu Wei Zi
Mu Li == Xuan Shen + Bai Shao + Wu Wei Zi.
If calcium deficiency is suspected to be the rationale for using Long Gu + Mu Li then supplementation may advisable.

Preparation: Decoction.

Actions: Unblocks the Taiyang and Yangming via the Shaoyang, drains Heat, sedates and calms the Shen

Contraindications: Deficiency conditions, pregnancy, long term use

Research Links:
Science Direct
Google Scholar
Journal of Chinese Medicine
American Dragon

Reference Notes: (click to display)

These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.