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AboutChinese MedicineCaution/Notes
| Health Benefits |
| For: Cholecystitis • Pancreatitis • Gastroenteritis • Gastritis • Hypertension • Diabetes • Alternating fever and chills • Vomiting • Nausea • Constipation |
| Atributes: |
| Products |
|
Tablets |
Pills |
Capsules |
Granules |
| Other Names: |
| Category: Harmonize ⌕ |
| Subcategory: Lesser Yang-Stage Disorders Source: Shang Han Lun |
| Actions: Harmonize Shaoyang, purge interior heat [31] Harmonizes lesser yang • Drains clumping from heat |
| Diagnosis |
| Tongue: yellow coat Pulse: wiry, rapid Other: |
| Patterns: Shao Yang Disorder + Yang Ming Disorder |
| Indications: Concurrent Shaoyang with Yangming syndromes [35] • Shaoyang + Yangming: Alternate chills and fever, fullness in chest and hypochondria, vomiting, slight restlessness, distention or pain in epigastria, constipation or diarrhea, yellow tongue coating, wiry rapid forceful pulse. Commonly used for GB heat, GB Qi stagnation, and GB obstruction. Cholecystitis, pancreatitis [31]
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| Contraindications: |
| Description |
| Name Variations: Da Chai Hu Tang, 大柴胡汤, Major Bupleurum Decoction, |
| Herb List: Chai Hu(K) • Huang Qin(K) • Da Huang(M) • Zhi Shi(M) • Ban Xia(A) • Bai Shao(A) • Sheng Jiang(A) • Da Zao(E) |
| Commentary: This is for shao yang and yang ming syndrome where the pathogenic invasion that was in Shao Yang starts to show GI symptoms (stomach ache, constipation, diarrhea, but not fever). Shao Yang/Yang Ming 和病(having both) Heat starts to move from shao yang to yang ming) |
| Related Formulas: |
| NCCAOM: The 2 NCCAOM formulas for harmonizing Shao Yang are Xiǎo Chái Hú Tāng and Dà Chái Hú Tāng • Xiao Chai Hu Tang is Shao Yang syndrome manifesting in alternate chills and fever, chest and hypochondria distention pain, poor appetite, bitter taste, nausea, and thin white coat. • Da Chai Hu Tang is Shao Yang + Yang Ming syndrome (constipation, epigastric pain, yellow coat). Commonly used for Gall Bladder heat and Qi obstruction leading to cholecystitis and pancreatitis. |
| 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 |
| Huang Qin • Baical Skullcap Root • 黄芩 |
Clear Heat Dry Dampness |
Clear heat • Dry dampness • Stop bleeding • Calm fetus • Calm liver yang rising • Clear damp heat • Guide herbs to Shao Yang Jing |
Antibiotic • Anti-inflammatory • Antioxidative • Antipyretic • Cholagogic • Hepatoprotective • Hypoglycemic • Hypotensive • Neuroprotective • Sedative |
| Da Huang • Rhubarb • 大黄 |
Downward Draining |
Strongly purges heat accumulations (yangming organ heat, treats “shi” aka hardness) • Drain damp heat • Invigorate and cool blood • Promote menstruation • Promote urination • Stop bleeding • Clear heat, reduce toxicity (used topically for fire toxin sores, hot skin lesions, carbuncles, boils and burns)
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Anti-inflammatory • Antibiotic • Antipyretic • Choleretic • Cholagogic • Hemostatic • Immunity booster • Laxative • Nephroprotective |
| Zhi Shi • Immature Bitter Orange • 枳实 |
Regulate Qi |
Breaks up Qi stagnation, move Qi downward, clear accumulation, resolve phlegm obstruction, unblock bowelsFor moving Qi: from epigastric all the way to the abdominal area - Zhi Shi and Zhi Ke |
hypertensive, acidic, enhances circulation, diuretic, increase intestinal peristalsis, uterine stimulant |
| Sheng Jiang • Ginger (Raw) • 生姜 |
Release Exterior Wind Cold |
Release exterior • Stops vomiting • Relieve Nausea • Stops cough • Reduce herb toxicity • Regulate central flow of Qi |
Expectorant • Cough Suppressant • Digestive • Hypotensive • Antiplatelet • Stimulant • Analgesic • Anti-inflammatory • Antipyretic • Cholagogic • Antiemetic • Antimutagenic |
| Ban Xia • Pinellia Root • 半夏 |
Phlegm Cold |
Transforms damp-phlegm • Direct stomach Qi downward• Stop cough/ wheezing • Relieve nausea & vomiting • Dissolve nodules and swellings |
reprotoxic, warming, drying, antitussive, antiemetic |
| Bai Shao • White Root Peony • 白芍 |
Tonify Blood |
Tonify Liver blood - regulate menses • Tonify Liver Yin • Relief pain and spasms • Harmonize Ying and Wei QiDao Di: Zhe Jiang • AKA Shao Yao |
analgesic • antibacterial • anti-inflammatory • hepatoprotective • immune system boost • sedative |
| Da Zao • Jujube • 大枣 |
Tonify Qi |
Tonify Spleen Qi • Calm the spirit • Harmonize other herb's properties • Nourish blood |
antibaterial • antidepressant • anti-inflammatory • anodyne • antifungal • hepatoprotective • hypotensive • sedative |
| ♠ King/Chief ♥ Minister/Deputy ♣ Assistant ♦ Envoy |
| Directions: |
| Modifications |
For |
| + Ban Lan Gen + Jin Yin Hua + Lian Qiao |
Severe Gallbladder heat 31 |
| + Yin Chen Hao + Zhi Zi |
Severe Gallbladder damp heat 31 |
| + Mu Xiang + Hou Po or Jin Ling Zi San |
Qi stagnation 31 |
| + Jin Qian Cao + Ji Nei Jin (+ Bai Shao + Yang Hu Suo + Yu Jin if severe pain) |
Gallbladder stones/obstruction 31 |
| 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
Huang Qin: Pregnancy • Children • Breast feeding • Deficiency heat in lungs • Middle burner cold • Restless fetus from cold • Edema • Blood deficiecy abdominal pain • Spleen deficiency • Kidney deficiency diarrhea • Poor appetite • Blood deficiency • High risk pregnancy • Fetal heat
Da Huang: Qi deficiency • Blood deficiency • Stomach deficiency cold • Spleen deficiency cold • Normal or loose stool • Normal blood flow • Postpartum • Caution with pregnancy, lactation, menstruation [21]
Zhi Shi: pregnancy, Spleen and Stomach deficiencies, gastric or duodenal peptic ulcers[18]
Sheng Jiang: Lung heat • Dry cough • Phlegm heat • Full heat • Yin deficiency with heat • Vomiting from stomach heat • Gallstones • Exterior deficiency with unexplained sweating • Horse meat
Ban Xia: Yin deficiency cough • Bleeding • Dehydration • Heat • Pregnancy • Incompatible with Wu Tou and Fu Zi • Antidepressant drugs • Blood pressure medication • Terfenadine (antihistamine) • Foods: lamb, goat
Bai Shao: Deficiency cold • Breast feeding • Pregnancy • Bleeding Disorder • Scheduled Surgery
Da Zao: Epigastric discomfort and bloating • Food stagnation • Damp excess • Damp Phlegm • Intestinal worms |
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