HERB FORMULAS

CHAI LING TANG - 柴苓湯 - BUPLEURUM AND PORIA DECOCTION

English: Bupleurum and Poria Decoction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Bupleuri Chai Hu 3-12g Resolves Shao Yang disorders, reduces fever, harmonizes the Exterior and Interior, disperses Wind-Heat and resolves Phlegm and congestion.
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 Huang Qin, Ren Shen, Gan Cao and Zhi Ban Xia, for weak patients.
With Gan Cao, for Wind-Heat fever.
Rz. Pinelliae Preparatum Zhi Ban Xia 3-14g Dries Dampness, transforms Phlegm, descends Rebellious Qi, stops vomiting and harmonizes the Stomach.
With Fu Ling, expels Phlegm and stops nausea and vomiting, hiccups, coughs with clear, profuse Phlegm and loose and watery stools.
With Huang Qin, for Phlegm-Heat induced Rebellious Qi with cough, nausea, and vomiting.
Rx. Scutellariae Huang Qin 3-18g Clears Heat and dries Dampness.
With Chai Hu, for Heat in the Shao Yang with alternating chills and fever and nausea.
Rx. Ginseng Ren Shen 1-9g Tonifies Spleen and Stomach Qi and tonifies Qi in Deficiency patients with Exterior conditions.
With Bai Zhi, tonifies the transformation and transportation functions of the Spleen.
Rx. Glycyrrhizae Gan Cao 1.5-14g Tonifies the Spleen, augments Qi and moderates and harmonizes the harsh properties of other herbs.
Rz. Atractylodis Macrocephalae Bai Zhu 3-15g Tonifies the Spleen, augments Qi, dries Dampness , promotes water metabolism, stabilizes the Exterior and stops sweating.
With Fu Ling and Gui Zhi, for Spleen Deficiency with chest distention and edema.
With Fu Ling and Ze Xie, for edema due to Internal Dampness.
With Fu Ling and Gan Cao, for Spleen and Stomach Qi Deficiency.
With Fu Ling, Gui Zhi and Gan Cao, for Accumulation of Phlegm
Polyporus Zhu Ling 5-18g Promotes urination and leaches out Dampness.
With Fu Ling, for Lin syndrome, scanty urine, edema, loose stools, vaginal discharge, jaundice, leg Qi and diarrhea.
With Fu Ling and Ze Xie, for edema due to Spleen Deficiency.
Poria Fu Ling 9-18g Promotes urination, leaches out Dampness, strengthens the Spleen and harmonizes the Middle Jiao.
With Gui Zhi, Bai Zhu and Ze Xie, for Dampness Obstruction causing Lin Syndrome, edema, heaviness of the body, and irritability.
With Bai Zhu, strengthens the Spleen and resolves Dampness.
With Ren Shen and Bai Zhu, for a weak and deficient Spleen with fatigue, anorexia and loose stools.
With Gan Cao, for Spleen and Heart Deficiency causing facial edema, palpitations, and shortness of breath.
Rz. Alismatis Ze Xie 4.5-16g Promotes urination and leaches out Dampness.
With Bai Zhu, for Spleen Deficiency leading to accumulation of Dampness with urinary difficulty, loose stools, diarrhea, Milky Lin or vaginal discharge.
With Fu Ling, facilitates the removal of water and leaches out Dampness to treat stagnant water and Dampness leading to edema, jaundice, diarrhea, Milky Lin, and scanty, difficult urination with abdominal distention.
With Fu Ling and Zhu Ling, for generalized edema.
Ram. Cinnamomi Gui Zhi 3-10g Releases the Exterior, assists Yang, adjusts the Ying and Wei, releases the muscle layer, unblocks Yang, transforms Qi and thin mucus, warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels, warms the channels and collaterals to relieve pain, warms the Middle and directs Turbid Yin downward.
With Fu Ling, unblocks the Yang and facilitates the removal of congested fluids associated with Yang Deficiency edema.
With Fu Ling and Bai Zhu, for Heart and Spleen Yang Deficiency with palpitations, edema and shortness of breath.
With Chai Hu, for Tai Yang Stage moving to Shao Yang Stage.
With Fu Ling, Zhu Ling, Ze Xie and Bai Zhu, for edema and dysuria due to Yang Deficiency.
With Fu Ling, Gan Cao and Bai Zhu, for Phlegm accumulation with dizziness, fullness in the chest and hypochondrium, vertigo and palpitations
Fr. Jujube Da Zao 3-6g Moderates and harmonizes the harsh properties of other herbs.
With Sheng Jiang, enhances the effects of other Qi and Blood tonifying herbs by facilitating their digestion and absorption.
Rz. Zingiberis Recens Sheng Jiang 3-6g Reduces the toxicity of other herbs.

FORMULA ACTIONS

  • Harmonizes the Exterior and the Interior
  • Relieves the Shao Yang
  • Dispels Water Accumulation
  • Resolves Phlegm Accumulation

SYNDROMES

  • Shao Yang Stage with Water Accumulation
  • Wei Stage: Summerheat and Dampness

CLINICAL MANIFESTATIONS

  • Alternating chills and fever
  • Thirst
  • A bitter taste in the mouth
  • Anorexia
  • Edema
  • Vomiting and diarrhea with water intake
  • Dysuria
  • Fullness and oppression in the chest and hypochondrium
  • Diarrhea
  • T: Pink
  • C: White
  • P: Superficial and wiry

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Use care when combining this formula with drugs as it inhibits Liver metabolism.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For irritability and a dry mouth: For vomiting and thirst:
+ Rz. Coptidis Huang Lian + Caulis Bambusae in Taeniam Zhu Ru
+ Rx. Ophiopogonis Mai Men Dong
For diarrhea and a dry mouth: + Fr. Aurantii Immaturus Zhi Shi
+ Rz. Zingiberis Gan Jiang For diarrhea and vomiting due to Food Stagnation:
+ Cx. Phellodendri Huang Bai
For diarrhea and vomiting due to Summerheat Accumulation:
+ Calm the Stomach Powder
Ping Wei San

+ Mosla Three Decoction
San Wu Xiang Ru Yin

For diarrhea and vomiting due to Deficiency Cold:
For urethritis, cystitis, glomerulonephritis, pyelonephritis, and Reiter's syndrome:
+ Evodia Decoction
Wu Zhu Yu Tang
+ 12g Fr. Forsythiae Lian Qiao    
+ 12g Hb. Taraxaci Pu Gong Yin    
+ 9g Flos Chrysanthemi Indici Ye Ju Hua