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: CholereticHepatoprotective • 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 QinBaical 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 • AntipyreticCholagogic • Hepatoprotective • Hypoglycemic • Hypotensive • Neuroprotective • Sedative
Huang Lian • Coptis • 黄连 Clear Heat Dry Dampness
3g
Clear heat • Drain fire • Dry dampness • Clear vexation • Detoxify • Clear damp heat Antibiotic • Antiulcer • Stimulant • Digestive • Anti-inflammatory • Hypotensive • Antipyretic • Cholagogic
Huang Bo • •  
3g
Zhi Zi • Gardenia • 栀子 Clear Heat Drain Fire
4.5g
Clear heat • Drain damp heat • Drain fire • 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 blood • Nourish Yin • Cool heart fire • Add fluids Immune system booster • coagulant • antidiabetic • hepatoprotective • hypotensive • anti-aging • antioxidant • antihistamine • emmenagogue
Dang GuiChinese Angelica • 当归 Tonify Blood
6g
Tonifies blood • Regulate menstruation • Invigorate blood • Disperse cold • Moisten intestines • Unblock bowels • Reduce swelling of sores • Alleviate pain from blood stasis 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
Tonify blood • Regulate menses • Soothes liver • Relieve pain • Preserve yin analgesic • antibacterial • anti-inflammatory • hepatoprotective • immune system boost • sedative
Chuan Xiong • Szechuan Lovage • 川芎 Invigorate Blood
3g
Stop pain • Expel Wind • Invigorate blood • Moves qiAvailable as injections AnticoagulantAntiplatelet • Analgesic • Antitussive • Anti-inflammatory • Hypotensive • Sedative
Chai Hu • Thorowax • 柴胡 Release Exterior Wind Heat
4.5g
Reduce fevers • Reduce chills • Clear heat • Tonify liver qi • Tonify stomach qi • Tonify gallbladder qi • Harmonize lesser yang stage disorderPungent and dispersing Antibiotic • Antipyretic • Anti-inflammatory • Antibaterial • Antiviral • Analgesic • Hepatoprotective • Immunemodulatory • Chemoprotective • Anti-tumor • Cholagogic • Sedative • Immunostimulate
Jie Geng  • Platycodon Root • 桔梗 Transform Phlegm Stop Cough
3g
Moves lung qi • Expel pus • Expel mucous • Soothes sore throat 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 • DiaphoreticCarminative • Antiandrogenic • Antiemetic • Antidiarrheal • Analgesic • Anticholesterol • Antidiabetic • Antimicrobial • Gastrointestinal • Emmenagogue • Increase local blood circulation
Gan CaoLicorice Root • 甘草 Tonify Qi
3g
Tonify spleen • Tonify qi • Tonify blood • Clear heat • Stop cough • 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: Loose stool • Poor appetite • Diarrhea • Spleen deficiency
Sheng Di Huang: Yang deficiency • Blood deficiency • Spleen deficiency • Stomach deficiency
Huang Lian: Allergic reaction to berberine • Buttercup flower allergies • Long term use can damage spleen or stomach • Spleen deficiency cold • Stomach deficiency cold
Chai Hu: Do not use as intramuscular injections since some may be allergic • Damaged true yin • 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 • Abdominal distention from dampness
Bai Shao: 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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