Herb Formulas Notebook

Chai Hu Bai Hu Tang

Bupleurum White Tiger Decoction

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Source: Revised Popular Guide to the Discussion of Cold Damage (Qing dynasty)
Author: Yu Gen-Chu / He Bing-Yuan

Category: Formulas that Clear Heat

Pattern: Concurrent Shaoyang and Yangming disorder.

Key Symptoms: Severe fever that alternates with mild chills, sweating, irritability, thirst.

Pulse: Wiry, forceful and rapid

Chai Hu 3g
Shi Gao 24g
Tian Hua Fen 9g
Huang Qin 4.5g
Zhi Mu 12g
Gan Cao 2.4g
Jing Mi 9g
He Ye 1pc (fresh)

In the UK Shi Gao must be substituted but no other substances really suffice in this instance, especially since the decoction already contains Zhi Mu which is the only thing that can occasionally take its place in other formulae.

Preparation: Decoction.

Actions: Harmonises Shaoyang and clear Yangming Heat, generates fluids, alleviates thirst

Contraindications: Cold disorders. Should be discontinued if signs of headache, stiffness in the neck, icy-cold limbs, subjective sensations of cold or impairment of mental faculties occur

This presentation is more common when the disease is on its way to resolving that during its early stages.

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.