Chai Hu Zhi Jie Tang - 柴胡枳桔汤 - Bupleurum, Bitter Orange And Platycodon Decoction

English:	Bupleurum, Bitter Orange and Platycodon Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Bupleuri	Chai Hu	3-9g	Resolves Shao Yang disorders, reduces fever, harmonizes the Exterior and Interior, spreads Liver Qi, relieves Stagnation, disperses Wind-Heat and resolves Phlegm and congestion. With Huang Qin, for 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.
Rz. Pinelliae Preparatum	Zhi Ban Xia	4.5-9g	Descends Rebellious Qi and stops vomiting, Dries Dampness, Transforms Phlegm.
Rx. Scutellariae	Huang Qin	4.5-9g	Clears Heat, dries Dampness and calms ascending Liver Yang.
Fr. Aurantii	Zhi Ke	4.5-9g	Promotes the movement of Qi and reduces distention and pressure.
Per. Citri Reticulatae	Chen Pi	3-9g	Regulates Qi, adjusts the Middle, relieves the diaphragm, dries Dampness and transforms Phlegm. With Sheng Jiang, for vomiting and hiccups due to Disharmony of the Stomach Qi and Cold-Dampness Obstructing the Middle with nausea and hiccup. With Zhi Ban Xia, for a stifling sensation in the chest and cough with excessive white, viscous sputum due to Phlegm-Damp Obstruction.
Rz. Zingiberis Recens	Sheng Jiang	3-6g	Releases the Exterior, induces perspiration, disperses Cold, warms the Middle, stops vomiting, warms the Lungs, stops cough and reduces the toxicity of other herbs. With Zhi Ban Xia, for vomiting due to many causes including Stomach Cold and productive cough due to Phlegm-Dampness.
Rx. Platycodi	Jie Geng	3-6g	Opens the Lungs, spreads Lung Qi, expels Phlegm and benefits the throat. With Zhi Ban Xia, for cough due to Wind-Cold Invasion or long-standing Phlegm-Dampness.
(Tea, picked before early May)	(Gu Yu Chai)	3g

Formula Actions

• Harmonizes and releases the Shao Yang
• Promotes the smooth flow of Qi in the chest and diaphragm

Syndromes

• Shao Yang syndrome
• Shao Yang-stage disorder with Stagnation of Qi

Clinical Manifestations

Alternating chills and fever Headache in the lateral aspect of the forehead Diminished hearing Vertigo Fullness in the chest and hypochondrium Chest pain Dizziness

Hypoacusis Pain of the hypochondrium Parietal headache T: Normal C: White P: R: Wiry and slippery, L: Wiry, floating and large

Treats

Irritable bowel syndrome with concurrent Shao Yang syndrome Indigestion

Headache Chronic gastroenteritis

Contraindications And Herb/Drug Interactions

Notes

Modifications