Chai Hu Qing Gan Tang
柴胡清肝汤

 

 

Bupleurum Decoction to Clear the Liver

 Disclaimer    For educational purposes only.  Do not use as medical advice

AboutHerbsCaution/Notes
Health Benefits
For: Chronic tonsillitis • Viral hepatitis • Uteritis • Adenoids • Dysmenorrhea • Acne • Systemic lupus • Lymphadenitis • Measles • Cellulitis • Eczema • Atopic dermatitis
Attributes: Choleretic • Hepatoprotective • Anti-inflammatory • Anti-allergic
Products (online examples)

Capsules

Granules

Capsules

Granules

Other Names: Bupleurum and Rehmannia Decoction • Tsai Hu Ching Kan Tang • Saiko Seikan To
Research (sample)
Categories (Click on ⌕ for other formulas in the category)
Category: Harmonize ⌕    Subcategory: Harmonize Liver and Spleen ⌕      Family: Chai Hu Lei Fang ⌕      Source: Yi Zong Jin Jian  ⌕       Related Formulas: Zhi Zi Qing Gan Tang
Actions
Clear liver heat • Clear gallbladder heat • Clear San Jiao Heat
Indications and Contraindications
Appearance: Tongue -Red • Normal or yellow coat      Pulse -Wiry • Rapid      Face/other 
Patterns: Liver heat • Gallbladder heat • San Jiao heat • Fire toxin 
Indications: Fever • Chills • Lymph node swelling • Hearing loss • Cellulitis • Itching • Acute nose bleed
Contraindications: 
Properties
Data adapted from product found online.  Categories 4% or less not shown.

HERBS Cat/Dose Actions Properties
Huang Qin • Baical Skullcap • 黄芩   Clear Heat Dry Dampness
3g
Clear heat • Dry dampness • Stop bleeding • Calm fetus • Calm liver yang rising • Clear damp heat Antibiotic • Anti-inflammatory • Antioxidative • Antipyretic • Cholagogic • Hepatoprotective • Hypoglycemic • Hypotensive • Neuroprotective • Sedative
• •
3g
Huang Bo • •  
3g
Zhi Zi • Gardenia • 栀子 Clear Heat Drain Fire
4.5g
Clear heat • Drain liver fire • Cool blood • Dry dampness • Resolve toxins • Stop bleeding • Reduce injury swelling Sedative • Hypotensive • Antibiotic • Laxative • Anti-inflammatory • Antibacterial • Antipyretic
Sheng Di Huang • Rehmannia • 生地黄 Clear Heat Cool Blood
4.5g
Clear heat • Cools hot blood (nosebleeds, bloody vomit, bloody urine, bloody stool) • Nourish Yin • Cool heart fire • Generate fluids Immune system booster • coagulant • antidiabetic • hepatoprotective • hypotensive • anti-aging • antioxidant • antihistamine • emmenagogue
Dang Gui • Chinese Angelica • 当归 Tonify Blood
6g
Tonify blood • Move Blood and Qi • Regulate menses • Invigorate blood • Dispel cold • Unblock bowels • Reduce abscess swelling • Alleviate pain • Clear pus • Generate flesh • Moisten intestines Dang Gui Shen (body) - tonify blood • Quan Dang Gui - harmonize blood (tonify and invigorate) • Dang Gui Wei (tail) - invigorate blood • According to the Board Exams, this herb does not affect estrogen because it has not yet been determined in which way it does affect it. However, there are numerous research articles on Dang Gui and estrogen. phytoestrogen • antispasmodic • cholagogue • antibaterial • antiviral • antiobesity • anti-inflammatory • antifungal • mild laxative • immune system boost
Bai Shao • White Root Peony • 白芍 Tonify Blood
4.5g
Nourish blood • Regulate menses • Soothes liver • Relieve pain • Preserve yin • Reduce spasms • Harmonize Ying and Wei QiSheng - calm Liver, preserve yin • Chao - nourish blood, regulate menses analgesic • antibacterial • anti-inflammatory • hepatoprotective • immune system boost • sedative
Chuan Xiong • Szechuan Lovage • 川芎 Regulate Blood - Invigorate
3g
Relieve pain • Expel Wind • Invigorate blood • Moves qiAvailable as injections Anticoagulant • Antiplatelet • Analgesic • Antitussive • Anti-inflammatory • Hypotensive • Sedative
Chai Hu • Thorowax • 柴胡 Release Exterior Wind Heat
4.5g
Harmonize interior and exterior • Reduce fevers • Reduce chills • Soothe liver Qi • Clear muscle layer heat • Tonify stomach QiPungent and dispersing Antibiotic • Antipyretic • Anti-inflammatory • Antibaterial • Antiviral • Analgesic • Hepatoprotective • Immunemodulatory • Chemoprotective • Anti-tumor • Cholagogic • Sedative • Immunostimulate
Jie Geng  • Platycodon Root • 桔梗 Phlegm Cold
3g
Disperse Lung qi • Expel mucus • Soothe sore throat • Guide other herbs to upper body • Treat abscesses Expectorant • Hypoglycemic • Anticholesterol • Antifungal
Niu Bang Zi • •
4.5g
Lian Qiao • •
6g
Tian Hua Fen • •
3g
Bo He • Field Mint • 薄荷 Release Exterior Wind Heat
3g
Clear liver heat • Clear gallbladder heat • Clear San Jiao Heat Anti-inflammatory • Antipyretic • Diaphoretic • Carminative • Antiandrogenic • Antiemetic • Antidiarrheal • Analgesic • Anticholesterol • Antidiabetic • Antimicrobial • Gastrointestinal • Emmenagogue • Increase local blood circulation • Decongestant
Gan Cao • Licorice Root • 甘草 Tonify Qi
3g
Tonify Spleen Qi • Tonify Heart qi • Clear heat • Resolve toxicity • Stop cough • Dispel phlegm • Lubricate lungs • Stop wheezing • Reduce spasm • Relieve pain • Harmonize other herb effectsEnters all 12 channels, often serve as envoy in a formula. Hypoglycemic • Antiarrhythmic • Expectorant • Antidiarrheal • Antiulcer • Hepatoprotective • Antiulcer • Immunostimulant • Antitussive • Antiviral • Detox • Demulcent • Anti-inflammatory • Laxative • Emmenagogue • Antimicrobial • Spasmolytic
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions: Cook herbs in 2 cups of water until 1.6 cups remain.  Take after meals.22 
Modifications For
+ Qiang Huo + Jing Jie Wind heat signs 3, 22
+ Hou Po + Mei Gui Hua + He Huan Hua Soothe liver 3,
+ Bai He + Dan Shen Dispersing stagnation and tonifying heart 3,
+ Chuan Lian Zi Decending Qi 3,

Caution
ALERT: Contraindications of each herb - use with caution under these conditions:
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
Zhi Zi: Spleen and Stomach deficiency cold • Loose stool • Poor appetite • Diarrhea
Sheng Di Huang: Yang deficiency • Blood deficiency • Spleen deficiency • Stomach deficiency • Can be sticky and cloying, careful with digestive disorders
:
Chai Hu: 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
Dang Gui: Autoimmune disorder • Pregnancy • Blood thinner drugs (Wafarin) • Diarrhea • Yin deficiency with heat • Dampness abdominal distention
Bai Shao: Deficiency cold • Breast feeding • Pregnancy • Bleeding Disorder • Scheduled Surgery
Gan Cao: High blood pressure • Low potassium • Pork • Seaweed • Chinese cabbage • Anti-diabetic drugs • Diuretic drugs
Jie Geng : Blood-stained mucus • Hypoglycemia • Tuberculosis • Anti-diabetic drugs
Notes
There are two variations of this formula depending on the source.  The one from Wai Ke Zheng Zong leaves out Huang Bai, Bo He, and Huang Lian along with different dosages than from the source text Yi Guan Tang.  The one featured in this blog is from Yi Guan Tang and is the stronger formula to drain heat from gallbladder, liver and the triple burners22 

 

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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