Chai Hu Gui Zhi Gan Jiang Tang - 柴胡桂枝乾薑湯 - Bupleurum, Cinnamon Twig And Ginger Decoction

English:	Bupleurum, Cinnamon Twig and Ginger Decoction
Also Known As:	Bupleurum, Cinnamon Twig and Ginger Combination Chai Hu Gui Jiang Tang

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Bupleuri	Chai Hu	8-24g	Resolves Shao Yang disorders, reduces fever, harmonizes the Exterior and Interior, disperses Wind-Heat and resolves Phlegm and congestion. With Gan Cao, for hepatitis, upper right quadrant pain and Wind-Heat fever.
Ram. Cinnamomi	Gui Zhi	3-12g	Releases the Exterior, assists Yang, adjusts the Ying and Wei, releases the muscle layer, unblocks Yang, transforms Qi and thin mucus, assists Heart Yang, warms and facilitates the flow of Yang Qi in the chest, warms the Middle and directs Turbid Yin downward. With Chai Hu, for Tai Yang Stage moving to Shao Yang Stage.
Rz. Zingiberis	Gan Jiang	2-6g	Warms the Middle, expels Cold, dispels Wind-Dampness seeping into the Lower Jiao, expels Interior Cold, warms the Lungs and transforms thin mucus. With Gan Cao, for epigastric pain and vomiting due to Spleen and Stomach Deficiency Cold.
Rx. Trichosanthis	Tian Hua Fen	4-12g	Drains Heat, generates Fluids, clears and drains Lung Heat, transforms Phlegm, moistens Lung Dryness, relieves toxicity, expels pus and reduces swelling. With Mu Li, for irritability and mental disorientation due to Lung and Stomach Yin Deficiencies and ascending Heat, with thirst.
Rx. Scutellariae	Huang Qin	3-9g	Clears Heat, dries Dampness, drains Fire, detoxifies and calms ascending Liver Yang. With Chai Hu, for Heat in the Shao Yang with alternating chills and fever and nausea.
Concha Ostreae	Mu Li	2-20g	Heavily settles, calms the Spirit, calms the Liver, benefits Yin, anchors Floating Yang, softens hardness, dissipates nodules and prevents leakage of fluids.
Rx. Glycyrrhizae Preparata	Gan Cao	2-9g	Tonifies the Spleen, augments Qi, moistens the Lungs, resolves Phlegm, stops cough, clears Heat, relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs.

Formula Actions

• Harmonizes and releases the Shao Yang
• Disperses clumping
• Warms the Interior
• Dispels Cold
• Dispels water accumulation
• Clears Heat
• Moistens the Lungs
• Astringes sweating
• Relieves flushing up

Syndromes

• Shao Yang with Fluids Accumulating in the Interior
• Malarial disorders with more chills than fever
• Liver and Gallbladder Heat occurring simultaneously with Stomach Cold

Clinical Manifestations

Alternating chills and fever Pronounced chills with light fever or Chills without fever Cold extremities Aversion to Wind Headache Thirst Sweating on the head Irritability Insomnia Dry cough Tuberculosis Diarrhea Palpitations

Anxiety Loose stools Hypochondriac pain A feeling of fullness and clumping in the chest and hypochondrium Rapid Heart palpitations Dysuria Night sweats Gastric distention T: Moist C: White and slippery P: Wiry and tight on the left or Wiry and slow on the right or Thin and rapid or Irregular

Treats

Psycho emotional disorders Acne Scrofula Fibroadenoma of the breasts Early-stage cirrhosis of the Liver Pulmonary tuberculosis Bacillary dysentery Allergic colitis Cholecystitis Cholelithiasis Fibrocystic breast disease Bronchitis Pleurisy Oliguria Abdominal fullness and distention Fatigue Anxiety Indigestion Insomnia Meniere's disease Diabetes Gastric prolapse

Common cold Influenza Malaria Chronic hepatitis Acute hepatitis Meningitis Pneumonia Urinary tract infection Postcholecystectomy Diarrhea Gastritis Peptic ulcer Neurasthenia Stress Fever Palpitations Night sweats Cirrhosis of the Liver Perimenopausal syndrome Postpartum fever Erectile dysfunction Sinus tachycardia

Contraindications And Herb/Drug Interactions

Notes

Modifications

For early-stage malaria:		For vertigo:
+ Rx. Dichroae	Chang Shan	+ Rz. Atractylodis Macrocephalae	Bai Zhu
For a dry cough:
+ Rx. Asparagi	Tian Men Dong	+ Rz. Alismatis	Ze Xie
+ Rz. Polygonati Odorati	Yu Zhu	For thirst with edema:
For biliary disorders:		+ Five-Ingredient Powder with Poria Wu Ling San
+ Rz. Corydalis	Yan Hu Suo
+ Rz. Cyperi	Xiang Fu	For dysuria:
+ Fr. Toosendan	Chuan Lian Zi	+ Poria	Fu Ling
For neck stiffness and muscle tension:		+ Sm. Plantaginis	Che Qian Zi
+ Rx. Puerariae	Ge Gen	For anuria:
+ Rx. Paeoniae Alba	Bai Shao	+ Poria	Fu Ling
For headache and perspiration on the head:		+ Fr. Evodiae	Wu Zhu Yu
+ Rz. Chuanxiong	Chuan Xiong	For peritoneal tuberculosis:
+ Rx. Angelicae Dahuricae	Bai Zhi	+ Carapax Trionycis	Bie Jia
+ Rx. Paeoniae Alba	Bai Shao
For fever associated with tuberculosis:		For diarrhea or soft stools:
+ Rx. Astragali	Huang Qi	+ Poria	Fu Ling
+ Carapax Trionycis	Bie Jia	+ Rx. Ginseng	Ren Shen
For cough with thick, yellow Phlegm:		For chronic bronchitis:
+ Rz. Coptidis	Huang Bai	+ Rx. Ginseng	Ren Shen
+ Hb. Artemisiae Scopariae	Yin Chen Hao	+ Fr. Jujube	Da Zao
+ Fr. Aurantii	Zhi Shi