Bupleurum Powder to Spread the Liver
Chinese Prescription: Chai Hu Shu Gan San
English Translation: Bupleurum Powder to Spread the Liver
Formula Type: Regulate and Harmonize the Liver and Spleen
Actions: Spreads the Liver qi, harmonizes the blood, & alleviates pain.
Indications: Flank pain, a stifling sensation in the chest causing one to heave deep sighns, suppressed emotions & feelings of frustration that easily give rise to anger, belching, abdominal distention & fullness, alternating fever & chills, & a wiry pulse.
Contraindications: This formula is aromatic, acrid, & drying. It readily injures the qi & yin, & is therefore contraindicated for long-term use or in patients with Liver qi stagnation-type pain due to qi or yin deficiency.
Pinyin | English | Suggested Dosage |
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view: Chai Hu |
Bupleurum | 6g |
view: Bai Shao Yao |
White Peony | 4.5g |
view: Chuan Xiong |
Sichuan Lovage / Ligusticum Wallichi | 4.5g |
view: Xiang Fu |
Cyperus / Nut-grass | 4.5g |
view: Zhi Ke |
Bitter Orange, ripened | 4.5g |
view: Gan Cao |
Licorice | 1.5g |
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. |
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. |
Chuan Xiong / Lovage Root (Ligusticum) | |||
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Taste: Acrid • Temperature: Warm • Category: Regulate Blood • Sub Category: Invigorate Blood | |||
Dosage3-6g, up to 9g for irregular menstruation |
Actions1. Invigorates the blood & promotes the movement of qi: for any blood stasis pattern. This is an important herb in gynecology & is used for such problems as dysmenorrhea, amenorrhea, difficult labor, or lochioschesis. It is also indicated for patterns of stagnant qi & blood stasis with pain & soreness in the chest, flanks, & hypochondria.2. Expels wind & alleviates pain: a leading herb for any externally contracted wind disorder characterized by headache, dizziness, or painful obsstruction. Also used for a variety of skin problems caused by wind. 3. Headaches: moves the qi upward & alleviates pain. Depending with which other herbs it is combined, it can be used for headaches due to wind, heat, cold, or blood deficiency. |
MeridiansLiver, Gallbladder, Pericardium |
CautionsContraindicated in cases of yin deficiency with heat signs, headaches due to ascendant Liver yang, qi deficiency, or excessive menstrual bleeding. Vomiting & dizziness may occur from overdosage. May antagonize shan zhu yu & huang qi, may counteract hua shi & huang lian, & may be incompatible with li lu. |
Xiang Fu / Cyperus Rhizome "Nut-grass" | |||
---|---|---|---|
Taste: Acrid, Slightly Bitter, Slightly Sweet • Temperature: Neutral • Category: Regulate Qi • Sub Category: | |||
Dosage4.5-12g |
Actions1. Spreads & regulatew Liver qi: for constrained Liver qi patterns with hypochondriac pain & epigastric distention, as well as disharmony between the Liver & Spleen. The neutral property of this herb together with its ability to dispers & harmonize account for its widespread use.2. Regulates menstruation & alleviates pain: used to facilitate the flow of Liver qi in gynecological disorders with such signs as dysmenorrhea or irregular menstruation. |
MeridiansLiver, Triple Burner |
CautionsContraindicated in cases of qi deficiency without stagnation, & yin deficiency or heat in the blood. |
Zhi Ke / Orange (Bitter), ripened fruit | |||
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Taste: Bitter • Temperature: Cool • Category: Regulate Qi • Sub Category: | |||
Dosage3-9g |
ActionsSee zhi shi. Milder in action than zhi shi, zhi ki is used to move the qi & reduce distention & pressure. It is especially appropriate when the patient is deficient or weak. If there is constipation, zhi shi is a more approoppriate choice. |
MeridiansSpleen, Stomach |
CautionsUse with caution during pregnancy, or in cases where the normal qi is weak or there is Stomach cold from deficiency. |
Gan Cao / Licorice Root (Chinese) | |||
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Taste: Sweet • Temperature: Neutral (raw root) • Category: Tonic / Harmonize • Sub Category: Tonify Qi | |||
Dosage2-12g |
Actions1. Tonifies the Spleen & augments the qi: commonly used for Spleen deficiency with shortness of breath, lassitude, & loose stools. Also for qi or blood deficiency patterns with an irregular or intermittent pulse & /or palpitations.2. Moistens the Lungs & stops coughing: for coughing & wheezing. Because of its neutral properties, it can be used for either heat or cold in the Lungs. 3. Clears heat & relieves fire toxicity: used raw for carbuncles, sores, or sore throat due to fire toxin. For this purpose, it can be taken internally or applied topically. 4. Moderates spasms & alleviates pain: for painful spasms of the abdomen or legs. 5. Moderates & harmonizes the characteristics of other herbs: by virtue of its sweet, neutral, & moderating properties, this herb moderates hot & cold herbs, & mitigates the violent properties of other herbs. Since it is said to enter all 12 primary channels, it can lead & conduct other herbs into the channels. 6. Used as an antidote for a variety of toxic substances, both internally & topically. 7. The raw root clears heat & relieves toxicity, the honey-fried tonifies the middle & moderates spasms. |
MeridiansAll 12 channels (principally the Heart, Lung, Spleen, & Stomach) |
CautionsContraindicated in cases of excess dampness, nausea, or vomiting. May be in compatible with jing da ji, yuan hua, gan sui, & hai zao, & may antagonize yuan zhi. The toxicity of gan cao is very low, but if taken long-term it may cause hypertension &/or edema. Glycyrrhetinic acid has been reported to cause a reduction in the activity of the thyroid & a reducation in the basal metabolic rate. |