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Herbs & Cultures

Harmonizing formulas

Da chai hu tang

Major Bupleurum Decoction

Chinese name
大柴胡汤
Group
Harmonizing formulas
English name
Major Bupleurum Combination

Treats excess in the 'shao yang' stage (gallbladder) and drains internal heat via the bowel.

Indications

For 'shao yang' and 'yang ming' complaints: alternating fever and chills, constipation or diarrhoea, a bitter taste, nausea and vomiting and a blocked, full feeling in the abdomen with cramping pain. The book mentions constipation, acute pancreatitis and cholecystitis and gallstones.

Ingredients

IngredientsAmount
Chai hu (bupleurum)9–12 g
Huang qin (Baikal skullcap)9–12 g
Immature bitter orange (zhi shi)6–9 g
Rhubarb root (da huang)6–9 g
Ban xia, prepared (pinellia)6–9 g
White peony root (bai shao)6–9 g
Fresh ginger (sheng jiang)3–6 g
Jujube (da zao)3–5 stuks
Tongue
yellow coating
Pulse
tight and forceful

Variations

  • For jaundice and hepatitis: add yin chen hao, gardenia and huang bai.
  • For vomiting and nausea: add huang lian and wu zhu yu.
  • For more severe constipation: add Glauber's salt.