Chai Hu Jia Long Gu Mu Li Tang - 柴胡加龍骨牡蠣湯 - Bupleurum Plus Dragon Bone And Oyster Shell Decoction
| English: | Bupleurum plus Dragon Bone and Oyster Shell Decoction |
| Also Known As: | Bupleurum and Dragon Bone Combination |
Herbs And Actions
| Pharmaceutical Latin | Pin Yin | Dosage | Actions |
| Rx. Bupleuri | Chai Hu | 5-20g | Disperses Wind-Heat, Reduces fever, Resolves the Shao Yang, Spreads Liver Qi and relieves Stagnation. With Huang Qin, restores the normal functioning of the Liver and Gallbladder and treats Heat in the Shao Yang. With Huang Qin and Zhi Ban Xia, for Shao Yang disorders with alternating chills and fever and a sensation of fullness in the hypochondria and chest With Huang Qin, Ren Shen and Zhi Ban Xia, for Heat in the Shao Yang. |
| Rx. Scutellariae | Huang Qin | 2.5-15g | Clears Lung Heat, drains Fire, dries Dampness and calms ascending Liver Yang. With Da Huang, for constipation. |
| Rz. Pinelliae Preparatum | Zhi Ban Xia | 4-15g | Descends rebellious Qi, dries Dampness, transforms Phlegm and assists Chai Hu and Huang Qin in resolving the Shao Yang. With Fu Ling, transforms fluids and opens the diaphragm. With Sheng Jiang, for vomiting due to Cold, thin mucus. With Huang Qin, for Phlegm-Heat induced Rebellious Qi with cough, nausea, and vomiting. |
| Rx. Ginseng | Ren Shen | 2.5-8g | Tonifies Qi, improves Wei Qi, tonifies Qi in Deficiency patients with Exterior conditions and calms the Spirit. With Fu Ling, strengthens and protects the Spleen. |
| (Rx. Codonopsis) | (Dang Shen) | (9-24g) | (Tonifies the Middle Jiao, augments Qi, tonifies the Lungs and restores the constitution and assists herbs that release the exterior or drain downward when there is significant Qi Deficiency - Substitutes for Ren Shen.) (With Fu Ling, for Spleen and Stomach Deficiencies with fatigue, a sensation of fullness in the abdomen, dizziness, lethargy, shortness of breath, anorexia and loose stools or diarrhea.) |
| (Rx. Pseudostellariae) | (Tai Zi Shen) | (9-24g) | (Strengthens the Spleen, tonifies the Lungs and tonifies Qi - Substitutes for Ren Shen.) |
| Rz. Zingiberis Recens | Sheng Jiang | 2.5-8g | Releases the exterior, disperses Cold, warms the Middle, stops vomiting, warms the Lungs, stops cough, reduces the toxicity of other herbs and adjusts the Ying and Wei. With Da Zao, regulates the Ying and Wei, treats External Wind-Cold, alleviates epigastric pain, nausea, and vomiting by strengthening the Spleen, protects the Stomach Qi and reduces irritation of the gastrointestinal. tract by other herbs, prevents tonics from generating Dampness in the Middle Jiao and prevents Phlegm accumulation. With Zhi Ban Xia, for vomiting and productive cough due to Phlegm-Dampness. With Gui Zhi, harmonizes the Ying and Wei to drive out pathogens. |
| Ram. Cinnamomi | Gui Zhi | 2.5-8g | Releases the exterior, assists the Yang to relieve sensations of heaviness, adjusts the Ying and We, releases the muscle layer, warms the channels and collaterals to relieve pain, warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels and warms the Middle and directs Turbid Yin downward. With Fu Ling, for palpitations and dyspnea due to Heart Yang Deficiency. With Chai Hu, for Tai Yang Stage moving to Shao Yang Stage. With Da Huang, for Blood Stasis (removes Stasis and unblocks the flow of Qi) and combined Interior/Exterior conditions with chills, headache, fever, sweating and abdominal fullness and pain. |
| Poria | Fu Ling | 3-15g | Calms the Spirit, Harmonizes the Middle Jiao, Promotes urination, Soothes the nerves, Strengthens the Spleen, Transforms Phlegm. With Zhi Ban Xia, expels Phlegm and stops nausea and vomiting, hiccups, coughs with clear, profuse Phlegm and loose and watery stools. . With Gui Zhi, warms and transforms fluids, unblocks Yang and promotes urination. |
| Fossilia Ossis Mastodi | Long Gu | 2.5-30g | Settles anxiety and calms the Spirit, calms the Liver and anchors and preserves floating Yang. |
| Concha Ostreae | Mu Li | 2.5-30g | Heavily settles and calms the Spirit, calms the Liver, benefits Yin and anchors floating Yang. With Long Gu and Qian Dan, calms the Spirit. With Long Gu and Gui Zhi, for restlessness, irritability, palpitations and spontaneous sweating due to Floating Yang. |
| Rx. et Rz. Rhei | Da Huang | 1-10g | Clears Heat, Dispels Blood Stasis, Drains Heat and purges accumulations, Invigorates the Blood, Promotes urination, Resolves Yang Ming Level disorders with delirious speech, Transforms Dampness. |
| Fr. Zizyphi Jujube | Da Zao | 2.5-8g | Calms the Spirit and moderates, Harmonizes the other herbs, Nourishes Blood, Strengthens the Spleen, Tonifies Qi. |
| Minium | Qian Dan | 4.5g | Descends Phlegm, suppresses spasms and stops malarial disorders. (Toxic - use caution). With Chai Hu, Long Gu and Huang Qin, for convulsions, palpitations, insomnia or malarial disorders. |
| (Haematitum) | (Dai Zhe Shi) | (4.5g) | (Calms the Liver, anchors Floating Yang, strongly descends rebellious Qi and clears Liver Fire - Substitutes for Qian Dan.) |
| (Frusta Ferri) | (Sheng Tie Luo) | (4.5g) | (Calms the Liver and sedates the Spirit - Substitutes for Qian Dan.) |
Formula Actions
- Harmonizes the Shao Yang
- Unblocks the three Yang Stages
- Sedates and calms the Spirit
- Relieves the chest and subcardiac regions
- Alleviates spasms
- Adjusts the Central Nervous System
Syndromes
- Improper use of purgatives before the pathogen enters Yang Ming or Shao Yang
- Shao Yang Fu with underlying Liver Qi Stagnation
- Disorders due to fright
- Phlegm in the Liver and Gallbladder
- Irregular heartbeat that occurs at rest
Clinical Manifestations
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Treats
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Contraindications And Herb/Drug Interactions
| CONTRAINDICATIONS |
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| HERB/DRUG INTERACTIONS |
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Notes
Modifications
| For nightmares, vertigo, fever and other symptoms of Liver Fire: | For cases with regular bowel movements or those with sensitive gastrointestinal systems: | ||
| + Rx. Gentianae | Long Dan Cao | - Rx. et Rz. Rhei | Da Huang |
| + Sp. Prunellae | Xia Ku Cao | For more pronounced Phlegm symptoms: | |
| For constipation and manic behavior: | + Rz. Acori Tatarinowii | Shi Chang Pu | |
| - Rx. Ginseng | Ren Shen | + Rx. Polygalae | Yuan Zhi |
| + More Rx. et Rz. Rhei | Da Huang | For severe irritability and difficult sleep: | |
| For periodic spasms of the hands and feet, with light-headedness, dry mouth, dry stool, a greasy yellow tongue coat and a deep forceless pulse: | + Succinum | Hu Po | |
| - Rx. Ginseng | Ren Shen | + Sm. Zizyphi Spinosae | Suan Zao Ren |
| + Rx. Pseudostellariae | Tai Zi Shen | + Caulis Polygoni Multiflori | Ye Jiao Teng |
| + A large dose of Rx. Salviae Miltiorrhizae | Dan Shen | For seizures: | |
| For vertigo and headache after trauma to the head: | + More Rx. Bupleuri | Chai Hu | |
| - Rx. et Rz. Rhei | Da Huang | + A large dose of Rx. Salviae Miltiorrhizae | Dan Shen |
| + Wine-treated Rx. et Rz. Rhei | Jiu Zhi Da Huang | For Blood Stasis with stabbing pains in the chest, dark stools and a dark, purple tongue: | |
| + Rx. et Rz. Ligustici | Gao Ben | + Flos Carthami | Hong Hua |
| + Flos Chrysanthemi | Ju Hua | + Sm. Persicae | Tao Ren |
| For Liver Fire with bouts of severe anger, a red complexion and red eyes: | + Rx. Paeoniae Rubra | Chi Shao | |
| - Ram. Cinnamomi | Gui Zhi | + Rz. Cyperi | Xiang Fu |
| - Rx. Ginseng | Ren Shen | + Per. Citri Reticulatae Viride | Qing Pi |
| - Rz. Zingiberis Recens | Sheng Jiang | For seizures or epilepsy characterized by Phlegm with dizziness, disorientation, constipation and a thick, greasy tongue coat: | |
| - Fr. Jujube | Da Zao | - Ram. Cinnamomi | Gui Zhi |
| + Rx. Gentianae | Long Dan Cao | - Rx. Ginseng | Ren Shen |
| + Fr. Gardeniae | Zhi Zi | - Rz. Zingiberis Recens | Sheng Jiang |
| + Sm. Plantaginis | Che Qian Zi | + Lapis Chloriti | Qing Meng Shi |
| + Rz. Alismatis | Ze Xie | + Lignum Aquilariae | Chen Xiang |
| + Caulis Akebiae | Mu Tong | + Frusta Ferri | Sheng Tie Luo |
| + Rx. Rehmanniae | Sheng Di Huang | + Rz. Acori Tatarinowii | Shi Chang Pu |
| For palpitations and insomnia due to hypertension: | For irritability and fullness in the chest: | ||
| + Ram. Uncariae cum Uncis | Gou Teng | + Rx. Coptidis | Huang Lian |
| + Cx. Eucommiae | Du Zhong | + Rx. Trichosanthis | Tian Hua Fen |
| For delirious speech: | For dysuria: | ||
| + Rz. Gastrodiae | Tian Ma | + Caulis Akebiae | Mu Tong |
| + Ram. Uncariae cum Uncis | Gou Teng | + Rx. Stephaniae Tetrandrae | Han Fang Ji |
| For fatigue due to Qi Deficiency: | For low back pain: | ||
| + More Rx. Ginseng | Ren Shen | + Ram. Uncariae cum Uncis | Gou Teng |
| + Rx. Astragali | Huang Qi | + Rx. Achyranthis Bidentatae | Niu Xi |
| For goiter: | For depression: | ||
| + Rx Glycyrrhizae Preparata | Zhi Gan Cao | + Frusta Ferri | Sheng Tie Luo |
| For schizophrenia: | |||
| For pelvic inflammatory disease: | + Rx. Salviae Miltiorrhizae | Dan Shen | |
| + Flos Lonicerae | Jin Yin Hua | ||
| + Hb. Taraxaci | Pu Gong Ying | For pelvic inflammatory disease with Kidney Yang Deficiency: | |
| For pelvic inflammatory disease with Kidney Yang Deficiency: | |||
| + Flos Lonicerae | Jin Yin Hua | ||
| + Flos Lonicerae | Jin Yin Hua | + Hb. Taraxaci | Pu Gong Ying |
| + Hb. Taraxaci | Pu Gong Ying | + Cx. Eucommiae | Du Zhong |
| + Two-Solstice Pill Er Zhi Wan | + Sm. Euryales | Qian Shi | |
| + Sm. Cuscutae | Tu Si Zi | ||
| For pelvic inflammatory disease with Qi Stagnation: | For pelvic inflammatory disease with Dampness: | ||
| + Flos Lonicerae | Jin Yin Hua | ||
| + Flos Lonicerae | Jin Yin Hua | + Hb. Taraxaci | Pu Gong Ying |
| + Hb. Taraxaci | Jin Yin Hua | + Sm. Coicis | Yi Yi Ren |
| + Rx. Curcumae | Yu Jin | + Rz. Atractylodis | Cang Zhu |
| + Fr. Aurantii | Zhi Ke | For seizures and epilepsy: | |
| For seizures and epilepsy with Excess Phlegm: | - Minium | Qian Dan | |
| - Minium | Qian Dan | For seizures and epilepsy insomnia due to Deficiency and restlessness: | |
| + Rz. Acori Tatarinowii | Shi Chang Pu | ||
| + Rx. Polygalae | Yuan Zhi | - Minium | Qian Dan |
| + Arisaemae cum Bile | Dan Nan Xing | + Sm. Zizyphi Spinosae | Suan Zao Ren |
| For seizures and epilepsy due to Liver Yang Rising with Liver Wind: | + Caulis Polygoni Multiflori | Ye Jiao Teng | |
| - Minium | Qian Dan | + Cx. Albizziae | He Huan Pi |
| + Concha Haliotidis | Shi Jue Ming | + Ram. cum Uncis Uncariae | Gou Teng |
| For seizures and epilepsy due to Yin Deficiency: | |||
| - Minium | Qian Dan | + Frusta Ferri | Sheng Tie Luo |
| + Rx. Glehniae/ Adenophorae | Sha Shen | + Rz. Coptidis | Huang Lian |
| For insomnia: | |||
| + Rx. Ophiopogonis | Mai Men Dong | - Rx. Ginseng | Ren Shen |
| + Rx. Scrophulariae | Xuan Shen | - Ram. Cinnamomi | Gui Zhi |
| For insomnia with Liver Fire Rising: | - Minium | Qian Dan | |
| - Rx. Ginseng | Ren Shen | + 20g Flos Albizziae | He Huan Hua |
| - Ram. Cinnamomi | Gui Zhi | For insomnia with Stomach Disharmony: | |
| - Minium | Qian Dan | - Rx. Ginseng | Ren Shen |
| + 20g Flos Albizziae | He Huan Hua | - Ram. Cinnamomi | Gui Zhi |
| + Rx. Gentianae | Long Dan Cao | - Minium | Qian Dan |
| + Fr. Gardeniae | Zhi Zi | + 20g Flos Albizziae | He Huan Hua |
| For insomnia with Yin Deficiency Fire: | + Massa Medicata Fermentata | Shen Qu | |
| - Rx. Ginseng | Ren Shen | ||
| - Ram. Cinnamomi | Gui Zhi | + Sm. Raphani | Lai Fu Zi |
| - Minium | Qian Dan | For insomnia with Heart and Spleen Qi Deficiency: | |
| + 20g Flos Albizziae | He Huan Hua | ||
| + Rz. Coptidis | Huang Lian | - Rx. Ginseng | Ren Shen |
| + Colla Corii Asini | E Jiao | - Ram. Cinnamomi | Gui Zhi |
| For Post ischemic brain injury: | - Minium | Qian Dan | |
| + Coptis Decoction to Relieve Toxicity Huang Lian Jie Du Tang | + 20g Flos Albizziae | He Huan Hua | |
| + Rx. Codonopsis | Dang Shen | ||
| + Cinnamon Twig and Poria Pill Gui Zhi Fu Ling Wan | + Rx. Angelicae Sinensis | Dang Gui | |
| For dietary regulation: | |||
| + Fr. Rosae Laevigatae | Jin Ying Zi | ||
| + Ootheca Mantidis | Sang Piao Xiao | ||
From Class
- Chai Hu Jia Long Gu Mu Li Tang: Shang Han Lun formula for Shao Yang with fright and delirious speech, now used for GAD; warm and drying, so not for heart/kidney deficiency. (Piao)
- Chai Hu Jia Long Gu Mu Li Tang (Shaoyang pivot) for hyperthyroid: Chai Hu + Huang Qin harmonize Shaoyang, Ban Xia + Fu Ling resolve phlegm/nodules, Da Huang purges Yang Ming heat, Long Gu and Mu Li settle Shen; use Da Huang cautiously long-term. (Rabinowitz)
- Wood formulas by pulse: Xiao Yao San / Jia Wei Xiao Yao San / Xiao or Da Chai Hu Tang / Chai Hu Jia Long Gu Mu Li Tang / Yi Pearls: Tense→tight wood pulses suggest Xiao Yao San types; tense and pounding suggest Da Chai Hu Tang or Chai Hu Long Gu Mu Li Tang, very sedating to wood.