da chai hu tang

Major Bupleurum Decoction

About da chai hu tang

Da Chai Hu Tang, Major Bupleurum Decoction, is Chai Hu, Huang Qin, Zhi Shi, Da Huang, Bai Shao, Ban Xia, Sheng Jiang and Da Zao. The catalogue classes it among the formulas that harmonise Shao Yang disorders.

Ingredients

Herb	Amount
chai hu	24 g
huang qin	9 g
zhi shi	6 g
da huang	6 g
bai shao	9 g
ban xia	24 g
sheng jiang	15 g
da zao	12 g

Actions and indications

Harmonizes and vents the Shao Yang

Shao Yang disorder combined with Yang Ming excess, with Heat and accumulation bound in the bowels; also Liver and Gallbladder Fire
Alternating chills and fever, or a fever that will not resolve
Fullness of the chest and flanks, with or without pain
Bitter taste, low spirits, and mild irritability and fidgeting
Headache, ringing in the ears, dulled hearing and vision, and red eyes
Manic behaviour or an unstable mental state
Tongue normal or red with a yellow or thick yellow coat; pulse wiry, rapid and forceful, or wiry, tight and forceful

Drains Heat and accumulation from the interior

Constipation or no bowel movement, or else burning diarrhea or watery rectal discharge
Hard focal distension of the epigastrium
Asthma

Harmonizes the Stomach and stops vomiting

Nausea and vomiting that keeps on and does not settle

Softens the Liver and eases abdominal spasm

Pain and fullness of the epigastrium and upper abdomen

Modern uses

Acute gastroenteritis
Gastrointestinal flu
Gastritis
Chronic gastritis
Sour stomach
Gastric ulcer
Duodenal ulcer
Peptic ulcer
Perforating ulcer
Gastroptosis
Indigestion
Anorexia
Nausea and vomiting
Diarrhea
Constipation
Intestinal obstruction
Dysentery
Hernia
Hemorrhoids
Cholecystitis
Cholelithiasis and biliary stones
Gallstone or hepatobiliary pain
Biliary ascariasis
Jaundice
Acute icteric hepatitis
Chronic hepatitis
Viral hepatitis
Fatty liver
Acute pancreatitis
Chronic pancreatitis
Pleurisy
Peritonitis
Fever
Malaria
Enteric fever
Scarlet fever
Acute tonsillitis
Otitis media
Tinnitus
Impaired hearing
Meniere's disease
Red eyes
Headache
Migraine
Trigeminal neuralgia
Intercostal neuralgia
Low back pain
Asthma
Malignant hypertension
Arteriosclerosis
Coronary heart disease
Stroke
Hyperlipidemia
Hyperglycemia
Diabetes
Obesity

Symptoms

Alternating chills and fever
Bitter taste in the mouth
Blurred vision
Chest fullness
Constipation
Depression
Diarrhea
Difficult defecation
Epigastric distention
Epigastric pain
Fever
Headache
Hearing loss
Hypochondriac distention
Hypochondriac pain
Irritability
Mania
Mood swings
Nausea
Red eyes
Restlessness
Shortness of breath
Tinnitus
Vomiting
Wheezing

Modifications

Marked pain and distention of chest and epigastrium: + mu xiang, + yu jin, + yin chen hao
Severe abdominal pain: + yan hu suo, + wu yao, + xiang fu
Manic behavior from Liver Fire: + qing dai, + zhi zi, + mu dan pi, + mang xiao
Vomiting that will not stop: + huang lian, + wu zhu yu
Acute jaundice: + zhi zi, + huang bai
Marked chills: + ma huang, + lian qiao, + chi xiao dou
Acute cholecystitis: + jin yin hua, + lian qiao, + pu gong ying, + zi hua di ding
Pancreatitis (combined with Ban Xia Xie Xin Tang)
Gallstones: + jin qian cao, + shi wei, + hai jin sha
Vomiting: + huang lian, + wu zhu yu, + zhu ru
Vomiting, second option: + jin qian cao, + hai jin sha, + ji nei jin, + yu jin
Severe nausea and vomiting: + huang lian, + xuan fu hua, + zhu ru

Show all 87 modifications

Intercostal neuralgia (combined with Xiao Xian Xiong Tang)
Excess Dryness and Heat: + shi gao, + zhi mu
Shao Yang stage Heat in the chest: + huang lian
Excess Heat with toxin: + jin yin hua, + lian qiao, + pu gong ying
Abdominal fullness and distention: + hou po, + mu xiang, + qing pi
Otitis media: + long dan cao
Parotitis: + bo he, + ban lan gen
Gastroenteritis with fever: + zhu ru, + sha ren, + chen pi
Jaundice: + zhi zi, + huang bai, + yin chen hao
Constipation: + mang xiao
Constipation, second option: + yin chen hao, + zhi zi, + jin qian cao
Menstrual problems: + dang gui, + xuan shen
Severe pain: + yan hu suo, + chuan lian zi
Severe pain, second option (combined with Yin Chen Hao Tang)
Severe pain, third option: + huang bai, + yin chen hao, − sheng jiang, − da zao
Severe pain, fourth option: + yan hu suo, + dang gui, + chi shao, + tao ren
Hepatitis C with rib-side pain: + chuan lian zi
Hepatitis C, Blood stasis with menstrual cramps: + hong hua
Blood stasis in hepatitis C: + yu jin
Hepatitis C with Blood stasis, second option: + yi mu cao
Hepatitis C with Blood stasis, third option: + yan hu suo
Hepatitis C with Blood stasis, fourth option: + dan shen
Helping pass small stones: + ji nei jin
Hepatitis C, Blood stasis in the Luo vessels: + ze lan
Pancreatitis, second option: + pei lan
Biliary ascariasis with gallstones: + zhi ke, + jin qian cao, − zhi shi
Biliary ascariasis: + zhi ke, − zhi shi
Biliary ascariasis with jaundice: + zhi ke, + yin chen hao, + zhi zi, − zhi shi, − bai shao, − sheng jiang, − da zao
Acute pancreatitis: + xuan ming fen, + zi su geng
Acute pancreatitis, Qi stagnation: + xuan ming fen, + zi su geng, + chuan lian zi, + da fu pi
Acute pancreatitis, Damp-Heat of Liver and Gallbladder: + xuan ming fen, + zi su geng, + huang lian, + da fu pi
Acute pancreatitis, Excess Heat of Liver and Stomach: + xuan ming fen, + zi su geng, + chuan lian zi, + huang lian, + zhu ru, − zhi shi
Acute pancreatitis, Qi and Blood stasis: + zi su geng, + chi shao, + tao ren, + hong hua, + wu ling zhi, − zhi ban xia
Fatty liver: + dan shen, + jue ming zi, + shan zha
Fatty liver, fullness and distention of chest and flanks: + dan shen, + jue ming zi, + shan zha, + yu jin
Fatty liver, nausea and vomiting: + dan shen, + jue ming zi, + shan zha, + fu ling, + chen pi
Fatty liver, poor appetite and fatigue: + dan shen, + jue ming zi, + shan zha, + huang jing, + shan yao
Fatty liver, constipation, dry mouth and bitter taste: + dan shen, + jue ming zi, + shan zha, + da huang, + sheng di huang
Fatty liver, flank pain: + dan shen, + jue ming zi, + shan zha, + chuan lian zi, + yan hu suo
Fatty liver, abnormal liver function: + dan shen, + jue ming zi, + shan zha, + pu huang, + yin chen
Gastric prolapse: + zhi ke, + cang zhu, + hou po, + chen pi, + lu gen, + gan cao, − zhi shi
Gastric prolapse, burning heat in the stomach: + zhi ke, + cang zhu, + hou po, + chen pi, + lu gen, + gan cao, + huang lian, − zhi shi
Gastric prolapse, back swelling and flank pain: + zhi ke, + cang zhu, + hou po, + chen pi, + lu gen, + gan cao, + chuan lian zi, − zhi shi
Gastric prolapse, lower abdominal distention and dragging: + zhi ke, + cang zhu, + hou po, + chen pi, + lu gen, + gan cao, + sha ren, − zhi shi
Acute tonsillitis: + jin yin hua, + lian qiao
Acute tonsillitis, headache: + jin yin hua, + lian qiao, + bai zhi
Acute tonsillitis, sore throat: + jin yin hua, + lian qiao, + bai zhi, + ban lan gen, + she gan
Acute tonsillitis, cough: + jin yin hua, + lian qiao, + bai zhi, + zhe bei mu
Marked Spleen deficiency: + bai zhu, + fu ling, + dang shen
Biliary ascariasis from worm Heat: + bing lang, + shi jun zi, + jin qian cao, + wu mei
Biliary ascariasis from worm Heat, jaundice: + bing lang, + shi jun zi, + jin qian cao, + wu mei, + yin chen hao, + zhi zi, + huang bai
Biliary ascariasis from worm Heat, vomiting: + bing lang, + shi jun zi, + jin qian cao, + wu mei, + huang lian, + wu zhu yu
Biliary ascariasis from worm Heat, constipation: + bing lang, + shi jun zi, + jin qian cao, + wu mei, + mang xiao
Jaundice from blocked Gallbladder channel: + zhi ke, + yin chen hao, − zhi shi
Jaundice from blocked Gallbladder channel, severe pain: + zhi ke, + yin chen hao, + yan hu suo, + chuan lian zi, − zhi shi
Cholecystitis and gallstones: + zhi ke, + yu jin, + hai jin sha, + ji nei jin, + mu xiang, + gan cao, − zhi shi, − zhi ban xia
Cholecystitis and gallstones, poor appetite: + zhi ke, + yu jin, + hai jin sha, + ji nei jin, + mu xiang, + gan cao, + mai ya, + shan zha, + shen qu, − zhi shi, − zhi ban xia
Cholecystitis and gallstones, Spleen deficiency: + zhi ke, + yu jin, + hai jin sha, + ji nei jin, + mu xiang, + zhi gan cao, + dang shen, + fu ling, + bai zhu, − zhi shi, − zhi ban xia
Cholecystitis and gallstones, Phlegm-Damp: + zhi ke, + yu jin, + hai jin sha, + ji nei jin, + mu xiang, + gan cao, + fu ling, + chen pi, − zhi shi
Cholecystitis and gallstones, no constipation: + zhi ke, + yu jin, + hai jin sha, + ji nei jin, + mu xiang, + gan cao, − da huang, − zhi shi, − zhi ban xia
Cholecystitis and gallstones, worse constipation: + zhi ke, + yu jin, + hai jin sha, + ji nei jin, + mu xiang, + gan cao, + mang xiao, − zhi shi, − zhi ban xia
Cholecystitis and gallstones, more marked Heat: + zhi ke, + yu jin, + hai jin sha, + ji nei jin, + mu xiang, + gan cao, + jin yin hua, + lian qiao, − zhi shi, − zhi ban xia
Cholecystitis and gallstones, Blood stasis: + zhi ke, + yu jin, + hai jin sha, + ji nei jin, + mu xiang, + gan cao, + dan shen, + chi shao, + mu dan pi, − zhi shi, − zhi ban xia
Cholecystitis and gallstones, nausea and vomiting: + zhi ke, + yu jin, + hai jin sha, + ji nei jin, + mu xiang, + gan cao, + zhu ru, − zhi shi
Pancreatitis, jaundice: + yin chen hao, + zhi zi, + huang bai
Pancreatitis, severe jaundice: + yin chen hao
Pancreatitis, constipation: + mang xiao
Pancreatitis, vomiting: + zhu ru, + wu zhu yu, + huang lian
Pancreatitis, severe abdominal pain: + yan hu suo, + chuan lian zi, + xiang fu
Pancreatitis, severe rib-side pain and distention: + yu jin, + chuan lian zi, + qing pi
Pancreatitis, nausea and food aversion: + zhu ru, + ji nei jin, + shan zha, + huang lian
Jaundice (combined with Yin Chen Hao Tang): + mu xiang, + yu jin, + che qian zi, − zhi shi
Gallstones (combined with Yin Chen Hao Tang): + jin qian cao, + mu xiang, + hu zhang, − zhi ban xia
Gallstones with fever (combined with Yin Chen Hao Tang): + jin qian cao, + mu xiang, + hu zhang, + jin yin hua, + lian qiao, − zhi ban xia
Gallstones with vomiting (combined with Yin Chen Hao Tang): + jin qian cao, + mu xiang, + hu zhang, + zhu ru

Cautions

contraindication Not for weakness of the Spleen and Stomach
contraindication Avoid with Spleen and Stomach deficiency-Cold, loose stools or diarrhea: with no true accumulation, the downward purge of Da Huang and Zhi Shi is inappropriate
contraindication Not for deficiency or Cold patterns; given without a real excess and accumulation it drains Spleen and Stomach Qi for no benefit
caution Stop once the accumulation has cleared; purging beyond the acute stage can injure Stomach Qi
caution Ban Xia must be the processed form; the raw rhizome is toxic and irritating
pregnancy Contains the strong purgative Da Huang; in pregnancy use only under professional guidance

Preparation

Decoction, taken warm in divided portions; Da Huang goes in late when a stronger purge is wanted, and Ban Xia is used processed; also made as granules or powder

Names

Pinyin	da chai hu tang
English Name	Major Bupleurum Decoction

Classification

Category: Harmonize Lesser Yang Stage Disorders