Da Chai Hu Tang大柴胡汤
Major Bupleurum Decoction
Autres nomsMajor Bupleurum Combination · Rhubarb and Bupleurum Combination · Decoction of Bupleuri for Regulating the Shao Yang and Yang Ming
- Substances
- 8
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Composition
Resolves Shao Yang disorders and reduces fever (harmonizes the Exterior and Interior).
clears Liver and Gallbladder Heat.strongly moves Qi.for Shao Yang disorders with alternating chills and fever and a sensation of fullness in the hypochondria and chest.- Bai Shao
Strongly moves Qi, breaks up Qi Stagnation and reduces distension and fullness in the chest and abdomen.
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.for dysenteric diarrhea with tenesmus due to Damp-Heat, especially due to Food Stagnation transforming into Damp-Heat.- Chai Hu, Huang Qin
Drains Stomach and Gallbladder Heat through the stool, transforms Blood Stasis, and facilitates the flow of bile.
Harmonizes the Middle Jiao and descends rebellious Stomach Qi.
stops vomiting.Warms the Middle, stops vomiting, reduces the toxicity of other herbs and seafood and adjusts the Ying and Wei.
alleviates epigastric pain, nausea, and vomiting by strengthening the Spleen, protects Stomach Qi and reduces irritation of the gastrointestinal tract by other herbs.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.
mildly regulates the Ying and Wei and aids the release of pathogens.
Actions
- Brings balance to the Shao Yang while dispersing what is bound there
- Purges Heat that has accumulated internally
Syndromes traités
- Shao Yang Fu-Organ Pattern (Shao Yang overlapping with Yang Ming)
- Fire blazing in the Liver and Gallbladder
Manifestations
- Chills and fever occurring in alternation
- A sensation of fullness through the chest and hypochondriac region, pain present or absent
- A bitter flavor perceived in the mouth
- A nauseated feeling
- Vomiting that persists without let-up
- A firm focal distension centered in the epigastric region
- Epigastric fullness accompanied by pain
- Diarrhea with a burning sensation, or alternatively an absence of bowel movements
- A despondent, downcast state of mind
- Mild restlessness marked by fidgeting
- A mild degree of irritability
- Pain in the head
- Constipation, or alternatively a rectal discharge of fluid
- A ringing perceived in the ears
- A reduced capacity to hear
- A reduced capacity to see clearly
- Redness of the eyes
- Behavior of a manic character
- A tendency toward asthmatic breathing
- An unstable state of mind
- Corps de la langue
- Ordinary in color, or red
- Enduit
- Yellow; or thick and yellow together
- Pouls
- Wiry and forceful; or wiry, tight and forceful together
Indications
- Gastroenteritis presenting acutely
- A febrile condition
- Influenza affecting the gastrointestinal tract
- A dysenteric condition
- Inflammation of the gallbladder
- The presence of gallstones
- Pancreatitis of acute onset
- Hepatitis of a chronic course
- Hepatitis caused by a virus
- Inflammation of the pleura
- Inflammation of the peritoneum
- A migraine-type headache
- Neuralgia of the trigeminal nerve
- Hypertension classified as malignant
- A malarial condition
- Fever of enteric origin
- Elevated blood lipid levels
- Ascariasis affecting the biliary tract
- Prolapse of the stomach
- Elevated blood glucose
- Hardening of the arteries
- Pain centered in the head
- Gastritis of a chronic course
- The inner-ear disorder known as Meniere's disease
- Neuralgia along the intercostal nerves
- Pancreatitis of a chronic course
- A loss of appetite
- A herniated condition
- Redness affecting the eyes
- Pain located in the lower back
- Obstruction of the intestines
- Stone formation in the biliary tract
- A sour, acidic sensation in the stomach
- Inflammation of the stomach lining
- An ulcer of the stomach
- An ulcer situated in the duodenum
- An ulcer that has perforated
- A constipated bowel pattern
- An asthmatic breathing pattern
- A diarrheal bowel pattern
- A diabetic condition
- Hearing that has become impaired
- An overweight, obese condition
- A jaundiced, yellowed condition
- The febrile illness scarlet fever
- Fatty infiltration of the liver
- Tonsillitis of acute onset
- Disease affecting the coronary arteries of the heart
- A cerebrovascular stroke event
- Nausea together with vomiting
- An ulcer of the peptic tract
- Inflammation of the middle ear
- A ringing sensation in the ears
- Hepatitis with jaundice, presenting acutely
- Gallbladder inflammation
- A hemorrhoidal condition
- A pattern of indigestion
Modifications
Applied when there is marked pain and distension across the chest and epigastrium
Used where manic behavior arises from Liver Fire
Indicated when chills are marked
- +Ma Huang
- +Lian Qiao
- +Chi Xiao Dou
Applied in cases of pancreatitis
Used where gallstones are present
Indicated for the presence of gallstones
Applied where Excess Dryness and Heat are present
- +Shi Gao
- +Zhi Mu
Used when Excess Heat and toxicity are present
Indicated in cases of otitis media
Applied where gastroenteritis presents together with fever
Used when constipation is present
Indicated for menstrual disorders
when pain becomes severe
in situations of severe pain
- +Yan Hu Suo
- +Dang Gui
- +Chi Shao
- +Tao Ren
Used for hepatitis C where Blood Stagnation is giving rise to menstrual cramping
Applied to hepatitis C in which Blood Stagnation produces menstrual cramping
Indicated for hepatitis C with Blood Stagnation manifesting as menstrual cramps
Used to help pass small stones
Applied where pancreatitis is present
Indicated for roundworm infestation of the bile duct accompanied by gallstones
Used in cases of acute pancreatitis
Applied to acute pancreatitis where Qi Stagnation is present
Indicated for acute pancreatitis with Excess Heat lodged in the Liver and Stomach
Used in cases of fatty infiltration of the Liver
Applied to fatty Liver accompanied by fullness and distention in the chest and hypochondrium
Indicated for fatty Liver with poor appetite and fatigue
Used for fatty Liver where hypochondriac pain is present
Applied in cases of gastric prolapse
Indicated for gastric prolapse accompanied by back swelling and hypochondriac pain
Used in cases of acute tonsillitis
Applied to acute tonsillitis where headache is present
Indicated for acute tonsillitis accompanied by coughing
- +Jin Yin Hua
- +Lian Qiao
- +Bai Zhi
- +Zhe Bei Mu
Used where constipation is present
Applied to roundworm infestation of the bile duct arising from worm Heat
Indicated for biliary ascariasis from worm Heat when vomiting accompanies it
Used for biliary ascariasis from worm Heat when constipation accompanies it
Applied to jaundice from obstruction of the Gallbladder channel, with severe pain present
Indicated for gallbladder inflammation with stones where appetite is poor
Used for gallbladder inflammation with stones where Phlegm-Dampness is present
Applied to gallbladder inflammation with stones when constipation is more pronounced
Indicated for gallbladder inflammation with stones accompanied by Blood Stagnation
Used for pancreatitis where jaundice is severe
Applied to pancreatitis accompanied by constipation
Indicated for pancreatitis with severe abdominal pain present
Used for pancreatitis where nausea and an aversion to food are present
Applied in cases of gallstones
Indicated for gallstones accompanied by vomiting
Used when abdominal pain is severe
Applied where vomiting is continuous and uncontrolled
Indicated for jaundice of acute onset
Used in cases of acute gallbladder inflammation
Applied where vomiting is present
Indicated when nausea and vomiting are severe
Used in cases of intercostal neuralgia
- +Xiao Xian Xiong Tangformule
Applied where Heat lodges in the chest during the Shao Yang stage
Indicated for fullness and distention of the abdomen
Used in cases of parotitis
Applied in cases of jaundice
Indicated where jaundice is present
Applied when a patient presents with jaundice
Indicated in the presence of jaundice
Used for hepatitis C accompanied by costal pain
Applied to hepatitis C where Blood Stagnation is present
Indicated for hepatitis C accompanied by Blood Stagnation
Used for hepatitis C when Blood Stagnation is present
Applied to hepatitis C with Blood Stagnation lodged in the Luo channels
Indicated for hepatitis C where Blood Stagnation sits in the Luo channels
Used in cases of biliary ascariasis
Applied to biliary ascariasis accompanied by jaundice
Indicated for acute pancreatitis with Damp-Heat in the Liver and Gallbladder
Used for acute pancreatitis where Qi and Blood Stagnation are present
Applied to fatty Liver accompanied by nausea and vomiting
Indicated for fatty Liver with constipation, dryness of the mouth, and a bitter taste
Used for fatty Liver where liver function is abnormal
Applied to gastric prolapse accompanied by a burning Heat sensation in the Stomach
Indicated for gastric prolapse with sensations of distention and prolapse felt in the lower abdomen
Used for acute tonsillitis accompanied by a sore throat
Applied for menstrual disorders
Indicated where Spleen Deficiency is marked
- +Bai Zhu
- +Fu Ling
- +Dang Shen
Used for biliary ascariasis from worm Heat accompanied by jaundice
Applied to jaundice arising from obstruction of the Gallbladder channel
Indicated for gallbladder inflammation with gallstones
Used for gallbladder inflammation with stones accompanied by Spleen Deficiency
Applied to gallbladder inflammation with stones where constipation is absent
Indicated for gallbladder inflammation with stones when Heat is more pronounced
Used for gallbladder inflammation with stones accompanied by nausea and vomiting
Applied to pancreatitis accompanied by jaundice
Indicated for pancreatitis accompanied by vomiting
Used for pancreatitis with severe pain and distention along the costal region
Applied where jaundice is present
Indicated for gallstones accompanied by a fever
Précautions
Not to be used in cases of Spleen and Stomach Deficiency; this formula is contraindicated there.
Interactions
This formula demonstrates a marked ability to address gastric hemorrhage brought on by aspirin and ethanol, offering a protective benefit on par with sucralfate (Carafate), cimetidine (Tagamet), and 16, 16-dimethyl-prostaglandin E2 (DMPGE2).