Herb Formulas Notebook

Da Chai Hu Tang

Greater Bupleurum Decoction

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

Category: Formulas that Release Exterior-Interior Excess

Pattern: Concurrent Shaoyang and Yangming disorder

Key Symptoms: Alternating chills and fever, fullness in the chest and hypochondria (with or without pain), irritability
Secondary Symptoms: Bitter taste, dizziness, temporal headaches, tension in neck and shoulders, tinnitus, nausea, vomiting, constipation or burning diarrhoea, melancholy

Tongue: Dry and white or yellow coat
Pulse: Wiry and forceful, rapid and slippery, deep, excessive and slow
Abdomen: Hard focal distention or fullness and pain in the epigastrium extending to the flanks and abdomen

Chai Hu 15-24g
Huang Qin 9g
Zhi Ban Xia 9g
Bai Shao 9g
Zhi Shi 9g
Da Huang 6g
Sheng Jiang 10sl
Da Zao 4pc

Preparation: Decoction.

Actions: Harmonises and releases Shaoyang, drains internal clumbing due to Heat

Contraindications: Deficiency

Ploberger (2017), in Westliche und traditionell chinesische Heilkräuter, offers the following alternative using western herbs:

Herba Alchemillae(Lady's Mantle)3g(Emperor)
Herba Millefolii(Yarrow)3g(Minister)
Pericarpium Citri ret.(Orange peel)3g(Minister)
Radix et Rhizome Rhei (Rhubarb root)3g(Minister)
Radix Paeoniae alba(White Peony)4g(Assistant)
Rhizoma Zingiberis recens(Fresh Ginger)3g(Envoy)
Fructus Jujubae(Jujube berries)4pc(Assistant)

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.