HERB FORMULAS

CHAI HU GUI ZHI GAN JIANG TANG - 柴胡桂枝乾薑湯 - BUPLEURUM, CINNAMON TWIG AND GINGER DECOCTION

English: Bupleurum, Cinnamon Twig and Ginger Decoction
Also Known As: Bupleurum, Cinnamon Twig and Ginger Combination
Chai Hu Gui Jiang Tang

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Bupleuri Chai Hu 8-24g Resolves Shao Yang disorders, reduces fever, harmonizes the Exterior and Interior, disperses Wind-Heat and resolves Phlegm and congestion.
With Gan Cao, for hepatitis, upper right quadrant pain and Wind-Heat fever.
Ram. Cinnamomi Gui Zhi 3-12g Releases the Exterior, assists Yang, adjusts the Ying and Wei, releases the muscle layer, unblocks Yang, transforms Qi and thin mucus, assists Heart Yang, warms and facilitates the flow of Yang Qi in the chest, warms the Middle and directs Turbid Yin downward.
With Chai Hu, for Tai Yang Stage moving to Shao Yang Stage.
Rz. Zingiberis Gan Jiang 2-6g Warms the Middle, expels Cold, dispels Wind-Dampness seeping into the Lower Jiao, expels Interior Cold, warms the Lungs and transforms thin mucus.
With Gan Cao, for epigastric pain and vomiting due to Spleen and Stomach Deficiency Cold.
Rx. Trichosanthis Tian Hua Fen 4-12g Drains Heat, generates Fluids, clears and drains Lung Heat, transforms Phlegm, moistens Lung Dryness, relieves toxicity, expels pus and reduces swelling.
With Mu Li, for irritability and mental disorientation due to Lung and Stomach Yin Deficiencies and ascending Heat, with thirst.
Rx. Scutellariae Huang Qin 3-9g Clears Heat, dries Dampness, drains Fire, detoxifies and calms ascending Liver Yang.
With Chai Hu, for Heat in the Shao Yang with alternating chills and fever and nausea.
Concha Ostreae Mu Li 2-20g Heavily settles, calms the Spirit, calms the Liver, benefits Yin, anchors Floating Yang, softens hardness, dissipates nodules and prevents leakage of fluids.
Rx. Glycyrrhizae Preparata Gan Cao 2-9g Tonifies the Spleen, augments Qi, moistens the Lungs, resolves Phlegm, stops cough, clears Heat, relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs.

FORMULA ACTIONS

  • Harmonizes and releases the Shao Yang
  • Disperses clumping
  • Warms the Interior
  • Dispels Cold
  • Dispels water accumulation
  • Clears Heat
  • Moistens the Lungs
  • Astringes sweating
  • Relieves flushing up

SYNDROMES

  • Shao Yang with Fluids Accumulating in the Interior
  • Malarial disorders with more chills than fever
  • Liver and Gallbladder Heat occurring simultaneously with Stomach Cold

CLINICAL MANIFESTATIONS

  • Alternating chills and fever
  • Pronounced chills with light fever or
  • Chills without fever
  • Cold extremities
  • Aversion to Wind
  • Headache
  • Thirst
  • Sweating on the head
  • Irritability
  • Insomnia
  • Dry cough
  • Tuberculosis
  • Diarrhea
  • Palpitations
  • Anxiety
  • Loose stools
  • Hypochondriac pain
  • A feeling of fullness and clumping in the chest and hypochondrium
  • Rapid Heart palpitations
  • Dysuria
  • Night sweats
  • Gastric distention
  • T: Moist
  • C: White and slippery
  • P: Wiry and tight on the left or Wiry and slow on the right or Thin and rapid or Irregular

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • This formula is for mixed Excess and Deficiency it is contraindicated for pure Excess or pure Deficiency.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For early-stage malaria: For vertigo:
+ Rx. Dichroae Chang Shan + Rz. Atractylodis Macrocephalae Bai Zhu
For a dry cough:
+ Rx. Asparagi Tian Men Dong + Rz. Alismatis Ze Xie
+ Rz. Polygonati Odorati Yu Zhu For thirst with edema:
For biliary disorders:
+ Five-Ingredient Powder with Poria
Wu Ling San
+ Rz. Corydalis Yan Hu Suo
+ Rz. Cyperi Xiang Fu For dysuria:
+ Fr. Toosendan Chuan Lian Zi + Poria Fu Ling
For neck stiffness and muscle tension: + Sm. Plantaginis Che Qian Zi
+ Rx. Puerariae Ge Gen For anuria:
+ Rx. Paeoniae Alba Bai Shao + Poria Fu Ling
For headache and perspiration on the head: + Fr. Evodiae Wu Zhu Yu
+ Rz. Chuanxiong Chuan Xiong For peritoneal tuberculosis:
+ Rx. Angelicae Dahuricae Bai Zhi + Carapax Trionycis Bie Jia
+ Rx. Paeoniae Alba Bai Shao
For fever associated with tuberculosis: For diarrhea or soft stools:
+ Rx. Astragali Huang Qi + Poria Fu Ling
+ Carapax Trionycis Bie Jia + Rx. Ginseng Ren Shen
For cough with thick, yellow Phlegm: For chronic bronchitis:
+ Rz. Coptidis Huang Bai + Rx. Ginseng Ren Shen
+ Hb. Artemisiae Scopariae Yin Chen Hao + Fr. Jujube Da Zao
   
+ Fr. Aurantii Zhi Shi