HERB FORMULAS

DA CHAI HU TANG

English: Major Bupleurum Decoction
Also Known As: Major Bupleurum Combination
Rhubarb and Bupleurum Combination
Decoction of Bupleuri for Regulating the Shao Yang and Yang Ming   

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Bupleuri Chai Hu 6-24g Resolves Shao Yang disorders and reduces fever (harmonizes the Exterior and Interior).
With Huang Qin clears Liver and Gallbladder Heat.
With Zhi Shi, strongly moves Qi.
With Huang Qin and Zhi Ban Xia, for Shao Yang disorders with alternating chills and fever and a sensation of fullness in the hypochondria and chest.
With Bai Shao, for Liver Blood Deficiency with Liver Qi Stagnation and vertigo, dizziness, thoracic and costal pain, and menstrual irregularity due to Liver Qi Stagnation.
Rx. Scutellariae Huang Qin 3-12g Clears Heat, dries Dampness, drains Fire, detoxifies, cools the Blood, stops bleeding and calms ascending Liver Yang.
With Bai Shao, for dysenteric disorders with abdominal pain due to Heat entering the Interior.
With Da Huang, for constipation.
Fr. Aurantii Immaturus Zhi Shi 1-9g Strongly moves Qi, breaks up Qi Stagnation and reduces distension and fullness in the chest and abdomen.
With Da Huang, drains Heat retained in the interior, constipation and abdominal swelling due to Food Stagnation and Qi Stag-nation and diarrhea, dysentery, and abdominal pain due to Damp-Heat.
With Da Huang and Huang Qin, for dysenteric diarrhea with tenesmus due to Damp-Heat, especially due to Food Stagnation transforming into Damp-Heat.
With Chai Hu, Huang Qin and Zhi Ban Xia, for cholecystitis.
Rx. et Rz. Rhei Da Huang 1-9g Drains Stomach and Gallbladder Heat through the stool, transforms Blood Stasis, and facilitates the flow of bile.
Rx. Paeoniae Alba Bai Shao 3-9g Nourishes the Blood, softens the Liver and treats abdominal pain and distension.
With Zhi Shi and Da Huang, treats pain in the abdomen due to Excess.
With Chai Hu, for flank pain due to Liver Qi Stagnation.
Rz. Pinelliae Preparatum Zhi Ban Xia 3-24g Harmonizes the Middle Jiao and descends rebellious Stomach Qi.
With Sheng Jiang, stops vomiting.
Rz. Zingiberis Recens Sheng Jiang 4-15g Warms the Middle, stops vomiting, reduces the toxicity of other herbs and seafood and adjusts the Ying and Wei.
With Da Zao, alleviates epigastric pain, nausea, and vomiting by strengthening the Spleen, protects Stomach Qi and reduces irritation of the gastrointestinal tract by other herbs.
Fr. Jujube Da Zao 3-12pc Helps Bai Shao soften the Liver, reduces abdominal spasms, protects the Yin from injury by pathogenic Heat and protects against the harsh properties of Da Huang and Zhi Shi.
With Sheng Jiang, mildly regulates the Ying and Wei and aids the release of pathogens.

FORMULA ACTIONS

  • Harmonizes and Disperses the Shao Yang
  • Drains Internal Heat Retention

SYNDROMES

  • Shao Yang Fu (Shao Yang-Yang Ming.)
  • Liver and Gallbladder Fire

CLINICAL MANIFESTATIONS

  • Alternating fever and chills
  • Fullness in the chest and hypochondrium (with or without pain)
  • Bitter taste in mouth
  • Nausea
  • Continuous vomiting
  • Hard focal distension in the epigastrium
  • Fullness and pain in the epigastrium
  • Burning diarrhea or no bowel movement
  • Despondency
  • Slight fidgeting
  • Slight irritability
  • Headache
  • Constipation or discharge of fluids rectally
  • Tinnitus
  • Diminished hearing
  • Diminished vision
  • Red eyes
  • Manic behavior
  • Asthma
  • Mental instability
  • T: Normal or red
  • C: Yellow or Thick and yellow
  • P: Wiry and forceful or Wiry tight and forceful

TREATS

  • Acute gastroenteritis
  • Gastrointestinal flu
  • Dysentery
  • Cholecystitis
  • Cholelithiasis
  • Acute pancreatitis
  • Hepatitis C
  • Pleurisy
  • Peritonitis
  • Migraine headache
  • Trigeminal neuralgia
  • Malignant hypertension
  • Malaria
  • Enteric fever
  • Hyperlipidemia
  • Biliary ascariasis
  • Gastric prolapse
  • Intestinal obstruction
  • Biliary calculus
  • Sour stomach
  • Gastritis
  • Gastric ulcer
  • Duodenal ulcer
  • Perforating ulcer
  • Constipation
  • Asthma
  • Diarrhea
  • Diabetes
  • Impaired hearing
  • Obesity
  • Jaundice.
  • Scarlet fever
  • Fatty liver
  • Acute tonsillitis

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Spleen and Stomach Deficiencies.
HERB/DRUG INTERACTIONS
  • This formula shows a notable effect to treat aspirin-and ethanol- induced gastric hemorrhage. Its protective effect is comparable to sucralfate (Carafate), cimetidine (Tagamet) and 16, 16-dimethyl-prostaglandin E2 (DMPGE2)

NOTES

MODIFICATIONS

For marked chest and epigastric pain and distension: For severe abdominal pain:
+ Rx. Aucklandiae Mu Xiang + Rz Corydalis Yan Hu Suo
+ Tub. Curcumae Yu Jin + Rx. Linderae Wu Yao
+ Hb. Artemisiae Scopariae Yin Chen Hao + Rx. Cyperi Xiang Fu
For manic behavior due to Liver Fire:
For uncontrolled, continuous vomiting:
+ Indigo Naturalis Qing Dai + Rz. Coptidis Huang Lian
+ Fr. Gardeniae Zhi Zi + Fr. Evodiae Wu Zhu Yu
+ Cx. Moutan Mu Dan Pi
For acute jaundice:
+ Natrii Sulfas Mang Xiao + Fr. Gardeniae Zhi Zi
For marked chills:
 +Cx. Phellodendri Huang Bai
+ Hb. Ephedrae Ma Huang
For acute cholecystitis:
+ Fr. Forsythiae Lian Qiao + Flos Lonicerae Jin Yin Hua
+ Sm. Phaseoli Chi Xiao Dou + Fr. Forsythiae Lian Qiao
For pancreatitis:
 + Hb. Taraxaci Pu Gong Ying
+ Pinelliae Decoction to Drain the Epigastrium
Ban Xia Xie Xin Tang
+ Hb. Violae Zi Hua Di Ding
For gallstones
For vomiting:
+ Hb. Lysimachiae Jin Qian Cao + Rz. Coptidis Huang Lian
+ Fol. Pyrrosiae Shi Wei + Fr. Evodiae Wu Zhu Yu
+ Spora Lygodii Hai Jin Sha +Caul Bambusae in Taeniam Zhu Ru
or
For severe nausea and vomiting:
+ Hb. Lysimachiae Jin Qian Cao + Rz. Coptidis Huang Lian
+ Spora Lygodii Hai Jin Sha + Flos Inulae Xuan Fu Hua
+ End, Corneum Gigeriae Galli Ji Nei Jin +Caul Bambusae in Taeniam Zhu Ru
+ Rx. Curcumae Yu Jin
For Intercostal neuralgia:
For Excess Dryness and Heat:
+ Minor Decoction for (Pathogens) Stuck in the Chest
Xiao Xian Xiong Tang
+ Gypsum Fibrosum Shi Gao
For Heat in the chest in the shao Yang Stage:
+ Rz. Anemarrhenae Zhi Mu + Rz. Coptidis Huang Lian
For Excess Heat and toxicity:
For abdominal fullness and distention:
+ Flos Lonicerae Jin Yin Hua + Cx. Magnoliae Officinalis Hou Po
+ Fr. Forsythiae Lian Qiao + Rx. Aucklandiae Mu Xiang
+ Hb. Taraxaci Pu Gong Ying + Per. Citri reticulatae Viride Qing Pi
For otitis media:
For parotitis:
+ Rx. Gentianae Long Dan Cao + Hb. Menthae Bo He
For gastroenteritis and fever:
+ Rx. Isatidis Ban Lan Gen
+Caul Bambusae in Taeniam Zhu Ru
For jaundice:
+ Fr. Amomi Sha Ren + Fr. Gardeniae Zhi Zi
+ Per. Citri Reticulatae Chen Pi + Cx. Phellodendri Huang Bai
For constipation:
 + Hb. Artemisiae Scopariae Yin Chen Hao
+ Natrii Sulfas Mang Xiao
or
For menstrual problems:
 + Hb. Artemisiae Scopariae Yin Chen Hao
+ Rx. Angelicae Sinensis Dang Gui + Fr. Gardeniae Zhi Zi
+ Rx. Scrophulariae Xuan Shen + Hb. Lysimachiae Jin Qian Cao
for severe pain:
or
+ Rz. Corydalis Yan Hu Suo
+ Artemisia Scopariae Decoctio0n
Yin Chen Hao Tang
+ Fr. Toosendan Chuan Lian Zi
or
or
- Rz. Zingiberis Recens Sheng Jiang
+ Rz. Corydalis Yan Hu Suo - Fr. Jujube Da Zao
+ Rx. Angelicae Sinensis Dang Gui + Cx. Phellodendri Huang Bai
+ Rx. Paeoniae Rubra Chi Shao + Hb. Artemisiae Scopariae Yin Chen Hao
+ Sm. Persicae Tao Ren
For hepatitis C with costal pain:
For hepatitis C with Blood Stagnation causing menstrual cramps:
 + Fr. Toosendan Chuan Lian Zi
+ Flos Carthami Hong Hua
For hepatitis C with Blood Stagnation:
or
 + Rx. Curcumae Yu Jin
+ Hb. Leonuri Yi Mu Cao
or
or
 + Rz. Corydalis Yan Hu Suo
+ Rx. Salviae Miltiorrhizae Dan Shen
or
    + Rz. Corydalis Yan Hu Suo
   
For hepatitis C with Blood Stagnation in the Luo channels:
    + Hb. Lycopi Ze Lan
   
or
    + Hb. Eupatorii Pei Lan