Major Bupleurum Decoction
Chinese Prescription: Da Chai Hu Tang
English Translation: Major Bupleurum Decoction
Formula Type: Harmonize Lesser-Yang Stage Disorder
Actions: Harmonizes & releases the lesser yang, & drains internal clumping due to heat.
Indications: Alternating fever & chills, fullness in the chest & hypochondria (with or without pain), a bitter taste in the mouth, nausea, continuous vomiting, hard focal distention or fullness & pain in the epigastrium, burning diarrhea or no bowel movements, melancholy, slight irritability, a yellow tongue coating, & a wiry, forceful pulse.
Contraindications: Unknown.
Pinyin | English | Suggested Dosage |
---|---|---|
view: Chai Hu |
Bupleurum | 24g |
view: Huang Qin |
Scutellaria Baicalensis | 9g |
view: Zhi Shi |
Bitter Orange, Unripened | 6-9g |
view: Da Huang |
Rhubarb | 6g |
view: Bai Shao Yao |
Peony | 9g |
view: Ban Xia |
Pinellia | 24g |
view: Sheng Jiang |
Fresh Ginger | 15g |
view: Da Zao (Hong / Hei) |
Red or Black Date | 12 pieces |
Chai Hu / Bupleurum Root | |||
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Taste: Bitter, Acrid • Temperature: Cool • Category: Exterior Releasing - Cool • Sub Category: | |||
Dosage3-12g |
Actions1. Resolves lesser yang disorders & reduces fever: for alternating chills & fever accompanied by a bitter taste in the mouth, flank pain, irritability, vomiting, & a stifling sensation in the chest associated with the lesser yang stage of externally contracted disorders.2. Spreads Liver qi & relieves constraint: for constrained Liver qi with such symptoms as dizziness, vertigo, chest & flank pain, emotional instability, or menstrual problems. Also used for disharmonies between the Liver & the Spleen with such symptoms as epigastric & flank pain, a stifling sensation in the chest, abdominal bloating, nausea, & indigestion. 3. Raises the yang qi in patterns of Spleen or Stomach deficiency: for hemorrhoids, anal or uterine prolapse, & diarrhea due to collapse of the Spleen qi. |
MeridiansGallbladder, Liver, Pericardium, Triple Burner |
CautionsContraindicated in cases of yin deficiency cough or Liver fire ascending to the head. May occasionally cause nausea or vomiting; should this occur, use only a very small dose. |
Huang Qin / Scute or Baical Skullcap Root | |||
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Taste: Bitter • Temperature: Cold • Category: Clear Heat • Sub Category: Drain Damp | |||
Dosage6-15g |
Actions1. Clears heat & drains fire, especially from the upper burner: for heat patterns with high fever, irritability, thirst, cough, & expectoration of thick, yellow sputum, or hot sores & swellings. In treating the latter it can be applied topically or taken internally.2. Clears heat & dries dampness: a major herb for damp-heat in the Stomach or Intestines, which manifests as diarrhea or dyenteric disorder; damp warm-febrile disease, which presents with fever, stifling senstaion in the chest, & thirst but inability to drink; or for damp-heat in the lower burner with painful urinary dysfunction. Used as a an auxiliary herb for damp-heat jaundice. |
MeridiansGallbladder, Large Intestine, Lung, Stomach |
CautionsContraindicated in cases of heat from deficiency in the Lungs, cold diarrhea o any other condition with cold in the middle burner, & restless fetus due to cold in the blood. May counteract mu dan pi & li lu. |
Zhi Shi / Orange (Bitter) unripened, immatured fruit | |||
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Taste: Bitter, Acrid • Temperature: Slightly Cold • Category: Regulate Qi • Sub Category: | |||
Dosage3-9g |
Actions1. Breaks up stagnant qi & reduces accumulation: for epigastric or abdominal pain & distention or indigestion with focal distention or gas.2. Directs the qi downward & unblocks the bowels: frequently used for abdominal pain & constipation caused by accumulation & stagnant qi. Also used for dystentric diarrhea that is difficult, with or without tenesmus. 3. Transforms phlegm & expels focal distention: for focal distention & fullness in the chest & epigastrium due tp phlegm obstructing the qi mechanism. 4. Also used with qi tonifying herbs for gastriectasis, gastroptosis, rectal prolapse, or uterine prolapse. recently used to raise blood pressure. |
MeridiansLarge Intestine, Spleen, Stomach |
CautionsUse with caution during pregnancy, or in cases where the normal qi is weak or there is Stomach cold from deficiency. |
Da Huang / Rhubarb Rhizome | |||
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Taste: Bitter • Temperature: Cold • Category: Downward Draining • Sub Category: Purgative | |||
Dosage3-12g |
Actions1. Drains heat & purges accumulations: for high fever, profuse sweating, thirst, constipation, abdominal pain & distention, delirium, yellow tongue coating, & a full pulse. This presentation is referred to either as Intestinal heat excess or the yang brightness organ-stage of the six stages of disease.2. Drains damp-heat via the stool, especially in cases of damp-heat jaundice or acute, hot dysentric disorders. Also for painful urinary dysfunction. 3. Drains heat from the blood: for blood in the stool either from bleeding hemorrhoids or heat accumulating in the Intestines. Also for reckless movement of hot blood that overflows, manifested in vomiting blood or nosebleed accompanied by constipation. 4. Invigorates the blood & dispels blood stasis: for amenorrhea, immobile abdominal masses, or fixed pain due to blood stasis. Also for blood stasis due to traumatic injury or Intestinal abscess. This is an important herb for treating both recent & long-terms blood stasis. 5. Clears heat obstructing the blood level: for fever, hot, swollen & painful eyes, or fire toxin sores due to heat excess obstructing the blood level. 6. Clears heat & reduces fire toxicity: used either topically or internally for burns or hot skin lesions. |
MeridiansHeart, Large Intestine, Liver, Stomach |
CautionsContraindicated in cases of exterior disorders, qi or blood deficiency, cold from deficiency of the Spleen & Stomach. Use with exteme caution during pregnancy, menstruation, or post partum. Contraindicated for nursing mothers because the active ingredients enter the milk. |
Bai Shao Yao / Peony (White) | |||
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Taste: Bitter, Sour • Temperature: Cool • Category: Tonic • Sub Category: Tonify Blood | |||
Dosage6-15g, very large doses up to 30 g |
Actions1. Nourishes the blood & regulates the menses: for blood deficiency with such symptoms as menstrual dysfunction, vaginal discharge, & uterine bleeding. This is a very commonly used herb for treating women's disorders.2. Calms & curbs the Liver yang & alleviates pain: for such symptoms as flank, chest, or abdominal pain from either constrained Liver qi or disharmony between the Liver & Spleen. In general, this herb is used to "soften & comfort" the Liver, stop painful spasms in the abdomen, stop cramping pain or spasms in the hands & feet, & alleviate abdominal pain associated with dysentric disorders. It is also used for headache & dizziness due to ascendant Liver yang. 3. Preserves the yin & adjusts the nutritive & protective levels: for vaginal discharge & spermatorrhea, as well as exterior wind-cold from deficiency patterns with continuous sweating that does not resolve the problem. It is also used for yin deficiency where the yang floats to the surface causing spontaneous sweating or night sweats. |
MeridiansLiver, Spleen |
CautionsUse with caution in cases of diarrhea due to cold from deficiency, & in patients with weak yang & cold from deficiency. May antagonize shi hu & mang xiao, may counteract with bie jia & xiao ji, & may be incompatible with li lu. |
Ban Xia / Pinellia (Prepared) | |||
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Taste: Acrid • Temperature: Warm • Category: Transform Phlegm & Stop Coughing • Sub Category: Warm & Transform Phlegm Cold | |||
Dosage4.5-12g |
Actions1. Dries dampness, transforms phlegm, & causes rebellious qi to descend: for cough with copious sputum, as in conditions of phlegm-cold in the Lungs. Especially effective in transforming phlegm due to dampness of the Spleen.2. Harmonizes the Stomach & stops vomiting: for lingering phlegm-dampness in the Stomach that rebels upward, causing nausea & vomiting. 3. Dissipates nodules & reduces distention: for nodules, pressure, distention, or pain due to phlegm lingering in the chest, phlegm nodules in the neck (such as those of goiter & scrofula), or obstructions caused by phlegm anywhere in the body. Also for focal distention in the chest & epigastrium. |
MeridiansLung, Spleen, Stomach |
CautionsContraindicated in all cases of bleeding, cough due to yin deficiency, or depleted fluids. Use with caution in all cases with heat. May be incompatible with wu tou. Toxic: overdosage symptoms include feeling of burning & numbness in the throat, lips, queasy stomach & nausea, & a feeling of pressure in the chest. For recovery, administer raw ginger orally. |
Sheng Jiang / Ginger (market fresh) Rhizome | |||
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Taste: Acrid • Temperature: Warm • Category: Exterior Releasing - Warm • Sub Category: | |||
Dosage3-9g |
Actions1. Releases the exterior & disperses cold: for exterior cold patterns.2. Warms the middle burner & alleviates vomiting: for cold in the Stomach, especially where there is vomiting. 3. Disperses cold & stops coughing: for coughing due to both acute wind-cold cough patterns & chronic Lung disorders with phlegm. 4. Reduces the toxicty of other herbs: for detoxifying or treating overdoses from other herbs such as fu zi or ban xia. 5. Adjusts the nutritive & protective qi: for patients suffering from exterior deficiency who sweat without an improvement in their condition. |
MeridiansLung, Spleen, Stomach |
CautionsContraindicated in cases of Lung heat, or Stomach heat with vomiting. |
Da Zao (Hong / Hei) / Red or Black Jujube Date | |||
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Taste: Sweet • Temperature: Neutral • Category: Tonic / Harmonize • Sub Category: Tonify Qi | |||
Dosage3-12 pieces (10-30 grams) |
Actions1. Tonifies the Spleen & augments the qi: for weakness, shortness of breath, lassitude, reduced appetite, & loose stools due to Spleen & Stomach deficiency.2. Nourishes the blood & calms the spirit: for wan appearance, irritability, & severe emotional lability due to restless organ disorder. 3. Moderates & harmonizes the harsh properties of other herbs. |
MeridiansSpleen, Stomach |
CautionsSince hong zao aids dampness, generates heat, & may readily induce fullness in the middle burner, it is contraindicated in cases of excess dampness, food stagnation, intestinal parasites, or damp-phlegm disorders with such symptoms as epigastric distention & bloating. |