Chái Hú Shū Gān Sǎn

Bupleurum Powder to Spread the Liver

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Category: Move Qi ⌕ 
Subcategory: Clear Stagnation  Source: Dan Xi Xin Fa  
Actions: Soothe Liver, move qi and blood, alleviate pain[Song]
Diagnosis
Tongue:       Pulse: wiry    Other: 
Patterns: Liver Qi Stagnation 
Indications: Liver Qi stagnation syndrome. Hypochondria pain, oppressed chest, sigh, irritability, abdominal distention, wiry pulse[Song]
Contraindications: 
Description
Name Variations:Chai Hu Shu Gan San, 柴胡疏肝散, Bupleurum Powder to Spread the Liver,
Herb List: Chai HuZhi KeBai ShaoChen PiXiang FuChuan Xiong
Commentary: Often compared to Xiao Yao San which deals with both deficiency and excess (Liver Qi Yu, Spleen Qi Deficiency, Blood Deficiency). Chai Hu Shu Gan San only deals with excess (Liver Qi Stagnation syndrome).
Related Formulas:
Herbs Cat/Dosage Actions Attributes
Chai Hu 
Thorowax • 柴胡
Release Exterior Wind Heat Harmonize interior and exterior • Reduce fevers • Reduce chills • Soothe liver Qi • Clear muscle layer heat • Tonify stomach Qi • Guide herbs to Shao Yang Jing Antibiotic • Antipyretic • Anti-inflammatory • Antibaterial • Antiviral • Analgesic • Hepatoprotective • Immunemodulatory • Chemoprotective • Anti-tumor • Cholagogic • Sedative • Immunostimulate
Zhǐ Ké 
Ripe Bitter Orange • 枳壳
Regulate Qi Dissolves Qi stagnation • Clear congestion • Relieve abdominal distention antiplatelet • antithrombatic • hypertensive • diuretic • bronchodilator • antineoplastic
Bai Shao 
White Root Peony • 白芍
Tonify Blood Nourish blood • Regulate menses • Soothes liver • Relieve pain • Preserve yin • Reduce spasms • Harmonize Ying and Wei Qi analgesic • antibacterial • anti-inflammatory • hepatoprotective • immune system boost • sedative
Chen Pi 
Dried Tangerine Rind • 陈皮
Regulate Qi Stop cough • Stop vomiting • Regulate Qi • Harmonize middle burner • Transform phlegm • Dry dampnessDao Di: Guang Dong • The older the Chen Pi, the better the quality • For moving Qi, Chen Pi is focus on moving Qi in the epigastric area regulate gastrointestinal smooth muscles, clear phlegm, hypertensive, aid digestion, hepatoprotective, anti-inflammatory, antioxidant, antiviral, expectorant
Xiang Fu 
Nut-Grass Rhizome 香附 
Regulate Qi Spreads and regulate Liver qi • Regulate menses • Relieve painFor moving Qi: Epigastric area - Chen Pi • Intestinal area - Mu Xiang • From epigastric all the way to the abdominal area - Zhi Shi and Zhi Ke • Lateral side area -Chai Hu, Xiang Fu, Qing Pi, and Fo Shou • Lower abdomen: Wu Yao warms kidney • Upper chest area: Tan Xiang, Xie Bai • REN4 & REN6 area: Chen Xiang
Chuan Xiong • Szechuan Lovage • 川芎  Invigorate Blood Relieve pain • Expel Wind • Invigorate blood • Moves qi • Guide herbs to Jue Yin JingDao Di: Si Chuan • Available as injections Anticoagulant • Antiplatelet • Analgesic • Antitussive • Anti-inflammatory • Hypotensive • Sedative
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions: 

Caution

ALERT: Contraindications of each herb - use with caution under these conditions:
Chai Hu: Dries Yin and can exacerbate the Yin deficiency • Do not use as intramuscular injections • Liver fire • Hyperactive liver yang • Cytochrome P450, 2C9, 2E1, 2D6, and 3A4 • Greater than 19g may lead to liver injury
Zhǐ Ké: pregnancy • anticoagulant or antiplatelet drugs • Spleen/Stomach deficiencies • gastric ulcers • duodenal ulcers
Bai Shao: Deficiency cold • Breast feeding • Pregnancy • Bleeding Disorder • Scheduled Surgery
Chen Pi: Excess internal heat • Dry cough from heat, yin deficiency or qi deficiency • Cough with blood • Red tongue • Fluid deficiency
Xiang Fu: Qi deficiency without stagnation • Yin deficiency • Blood heat
Chuan Xiong: Pregnancy • Blood thinners • Fire from yin deficiency • Dry tongue • Dry mouth • Fever • Profuse menstrual bleeding • Spleen deficiency • caution: LV yang xu since this herb tends to move Qi upward.

Notes

 

Bibliography: [3], [8], [9], [14]

Information in this post came from many sources, including class notes, practitioners, websites, webinars, books, magazines, and editor's personal experience.  While the original source often came from historical Chinese texts,  variations may result from the numerous English translations.   Always consult a doctor prior to using these drugs.  The information here is strictly for educational purposes. 

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