HERB FORMULAS

CHAI GE JIE JI TANG - 柴葛解肌湯 - BUPLEURUM AND KUDZU DECOCTION TO RELEASE THE MUSCLE LAYER

English: Bupleurum and Kudzu Decoction to Release the Muscle Layer
Also Known As: Bupleurum and Pueraria Decoction to Release the Muscle Layer
Bupleurum and Pueraria Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Bupleuri Chai Hu 3-18g Disperses Wind-Heat and resolves Phlegm and congestion.
With Gan Cao, for Wind-Heat fever.
Rx. Puerariae Ge Gen 6-20g Discharges Exterior conditions, releases the muscles, especially of the neck and upper back, relieves Heat and generates fluids.
With Chai Hu, for Exterior patterns where the the chills gradually improve while the fever gradually increases along with stiffening of the neck and upper back and absence of sweating
With Chai Hu, Shi Gao and Huang Qin, for Wind-Heat.
Rz. seu Rx. Notopterygii Qiang Huo 3-10g Releases the Exterior, disperses Cold, expels Wind-Cold-Dampness, unblocks painful obstruction, alleviates pain and guides Qi to the Tai Yang and Du channels.
With Bai Zhi, for headaches.
Rx. Angelicae Dahuricae Bai Zhi 3-10g Expels Wind, eliminates Dampness, unblocks the nasal passages, dispels Cold and alleviates pain.
With Ge Gen, for Wind-Cold trapped at the level of the muscles and interstices.
With Huang Qin, for Wind-Heat headache.
Rx. Scutellariae Huang Qin 6-12g Drains Fire, detoxifies, cools the Blood and stops bleeding.
With Qiang Huo, for Cold-Dampness at the Exterior with Heat in the Interior.
Gypsum Fibrosum Shi Gao 4.5-60g Clears Heat in the Qi Stage, drains Fire, relieves irritability, quenches thirst and clears Excess Heat from the Lungs.
With Sheng Jiang, decreases muscular swelling.
Rx. Platycodi Jie Geng 3-10g Opens the Lungs, spreads Lung Qi, expels Phlegm, benefits the throat and opens and raises Lung Qi, directing the effects of other herbs to the upper body.
With Gan Cao, disseminates Lung Qi, expels Phlegm, resolves toxicity, and expels pus for productive cough with hoarseness and pain and swelling of the throat due to Wind-Heat .
Rx. Paeoniae Bai Shao 6-10g Nourishes the Blood, Astringes Yin and adjusts the Ying and Wei.
With Chai Hu, for flank pain due to Liver Qi Stagnation.
Rx. Glycyrrhizae Gan Cao 3-6g Moistens the Lungs, resolves Phlegm, stops cough and moderates and harmonizes the harsh properties of other herbs.
Rz. Zingiberis Recens Sheng Jiang 3-6g Releases the Exterior, induces perspiration, disperses Cold, warms the Lungs, stops cough and reduces the toxicity of other herbs.
With Da Zao, for External Wind-Cold.
Fr. Jujube Da Zao 3-6g Moderates and harmonizes the harsh properties of other herbs.

FORMULA ACTIONS

  • Dispels Wind
  • Releases the muscle layer
  • Clears Interior Heat

SYNDROMES

  • Tai Yang - Yang Ming
  • Wind-Cold turning to Heat

CLINICAL MANIFESTATIONS

  • Fever and chills with fever increasing and chills decreasing
  • Headache
  • Anhidrosis
  • Stiffness and pain of the extremities
  • Orbital pain
  • Eye pain
  • Shoulder and neck tension
  • Dry nasal passages
  • Irritability
  • Insomnia
  • Thirst
  • Epistaxis
  • T: Normal
  • C: Thin and yellow
  • P: Floating and slightly flooding

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicate for those with no Interior Heat.
  • Do not use if the Yang Ming has been already attacked with constipation and abdominal pain.
  • Avoid acrid, oily or spicy foods while taking this formula.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For severe chills without sweating: For severe chills without sweating during the summer and fall:
- Rx. Scutellariae Huang Qin
+ Hb. Ephedrae Ma Huang - Rx. Scutellariae Huang Qin
For cases without chills, headache or pain: + Fol. Perillae Zi Su Zi
- Rz. et Rx. Notopterygii Qiang Huo For cases without chills but with more severe Heat:
- Rx. Angelicae Dahuricae Bai Zhi
+ Fr. Forsythiae Lian Qiao
For a dry mouth and tongue: + Flos Lonicerae Jin Yin Hua
+ Rz. Anemarrhenae Zhi Mu + More Gypsum Fibrosum Shi Gao
+ Rx. Trichosanthis Tian Hua Fen
For coughing of viscous Phlegm: For a Wind-Cold headache:
+ Per. Trichosanthis Gua Lou Pi + Rx. Saposhnikoviae Fang Feng
+ Bul. Fritillariae Thunbergii Zhe Bei Mu + Rz. Chuanxiong Chuan Xiong
For vomiting an excessive amount of saliva and Phlegm:
or
+ Fr. Trichosanthis Gua Lou + Rz. Pinelliae Preparatum Zhi Ban Xia
+ Bul. Fritillariae Cirrhosae Chuan Bei Mu
+ Poria Fu Ling
For fever: For fever with cough:
+ Cx. Lycii Di Gu Pi + Cx. Lycii Di Gu Pi
For fever with sore throat: + Per. Trichosanthis Gua Lou Pi
+ Cx. Lycii Di Gu Pi + Cx. Mori Sang Bai Pi
+ Rx. Sophorae Tonkinensis Shan Dou Gen For fever with Food Stagnation:
+ Cx. Lycii Di Gu Pi
+ Rx. Isatidis Ban Lan Gen + Sm. Arecae Bing Lang
For fever with diarrhea: + Endothelium Corneum Gigeriae Galli Ji Ne Jin
+ Cx. Lycii Di Gu Pi
+ Rz. Coptidis Huang Lian For fever with dry stool:
+ Sm. Plantaginis Che Qian Zi + Cx. Lycii Di Gu Pi
For tonsillitis: + Rx. et Rz. Rhei Da Huang
- Rx. Paeoniae Alba Bai Shao + Sm. Armeniacae Xing Ren
+ 10g Hb. Solani Nigri Long Kui For sinus congestion:
+ 10g Hb. Menthae Bo He + Hb. Ephedrae Ma Huang
+ 15g Fol. Nelumbinis He Ye + Flos Magnoliae Xin Yi Hua
For a headache: For chronic Lung Heat:
+ Fr. Viticis Man Jing Zi + Cx. Mori Sang Bai Pi
+ Rz. Chuanxiong Chuan Xiong For limb and joint pain:
+ Flos Chrysanthemi Ju Hua + Rz. Arisaematis Preparatum Zhi Tian Nan Xing
For a sore throat:
+ Hb. Menthae Bo He + Succus Bambusae Zhu Li
+ Fr. Aurantii Zhi Ke For neck pain with a headache:
For neck pain with a fever: + 10g Rz. Chuanxiong Chuan Xiong
+ more (15g) Rx. Bupleuri Chai Hu + 10g Fr. Viticis Man Jing Zi
For neck pain with yellow nasal discharge:
+ 10g Rx. Peucedani Qian Hu + 10g Flos Lonicerae Jin Yin Hua
For neck pain with thirst: + 10g Rx. Saposhnikoviae Fang Feng
+ 10g Rz. Anemarrhenae Zhi Mu
For neck pain with restlessness:
For AIDS/HIV: + 10g Rz. Coptidis Huang Lian
- Rx. Angelicae Dahuricae Bai Zhi + 10g Fr. Gardeniae Zhi Zi
   
- Rx. Platycodi Jie Geng    
- - Rx. Paeoniae Alba Bai Shao    
+ 30g Rx. Isatidis Ban Lan Gen    
+ 15g Flos Lonicerae Jin Yin Hua