Chai Xian Tang - 柴陷湯 - Bupleurum Decoction To Raise The Sunken

English:	Bupleurum Decoction to Raise the Sunken Bupleurum Chest Bind Decoction
Also Known As:	Bupleurum and Scute Combination

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rz. Pinelliae Preparatum	Zhi Ban Xia	6g	Dries Dampness, transforms Phlegm, descends Qi and alleviates nausea. With Huang Lian, for epigastric distention and indigestion due to a simultaneous invasion of Hot and Cold pathogenic influences into the Stomach. With Huang Lian and Gua Lou Ren, for Phlegm-Heat clumping in the chest and epigastrium with a stifling, distended sensation in the epigastrium that is aggravated by pressure, coughing of viscous, yellow sputum, a greasy, yellow tongue coat and a slippery, rapid pulse. With Huang Qin, for Phlegm-Heat induced Rebellious Qi with cough, nausea, and vomiting. With Gus Lou Ren, for focal distention in the chest and diaphragm due to clumping of Phlegm and Heat leading to Qi Stagnation and chest Bi due to clumping of sticky, thick and turbid Phlegm.
Rz. Zingiberis Recens	Sheng Jiang	3g	Releases the Exterior, induces perspiration, disperses Cold, warms the Lungs and stops cough. With Zhi Ban Xia, for productive cough due to Phlegm-Dampness.
Rz. Coptidis	Huang Lian	2g	Clears Heat, drains Dampness, drains Fire and resolves Fire toxicity. With Huang Qin, drains pathogenic Heat from the Upper and Middle Jiaos for high fever, redness, swelling and pain of the head and face, dry mouth, parched throat, ulcerations of the mouth and tongue, epistaxis, rashes and irritability in warm-febrile disease.
Rx. Scutellariae	Huang Qin	2g	Clears Heat, dries Dampness, drains Fire, detoxifies, cools the Blood, stops bleeding and calms ascending Liver Yang. With Chai Hu, for Heat in the Shao Yang with alternating chills and fever, and nausea.
Rx. Bupleuri	Chai Hu	4g	Resolves Shao Yang disorders and reduces fever (harmonizes the Exterior and Interior). With Huang Qin clears Liver and Gallbladder Heat. With Huang Qin and Jiang Ban Xia, for Shao Yang disorders with alternating chills and fever and a sensation of fullness in the hypochondria and chest.
Sm. Trichosanthis	Gua Lou Ren	15g	Clears Heat, transforms Hot Phlegm and expands the chest. With Jiang Ban Xia, Huang Qin, Huang Lian and Chai Hu, for cough with chest pain and difficult to expectorate sputum with extreme Heat.
Rx. Ginseng	Ren Shen	1.5g	Tonifies Lung Qi.
Rx. Glycyrrhizae	Gan Cao	1g	Moistens the Lungs, resolves Phlegm, stops cough and moderates and harmonizes the harsh properties of other herbs.
Fr. Jujube	Da Zao	2g	Moderates and harmonizes the harsh properties of other herbs. With Sheng Jiang, prevents Phlegm accumulation.

Formula Actions

• Clears Heat
• Transforms Phlegm
• Expands the chest
• Releases the Shao Yang

Syndromes

• Shao Yang disorders with Phlegm-Heat Stagnation in the chest

Clinical Manifestations

Alternating chills and fever Fullness and focal distention in the chest and diaphragm Pain in the chest and diaphragm with pressure Thick, sticky, difficult-to-expectorate Phlegm Panting

A bitter taste in the mouth Chest pain with coughing or on deep inhalation Anorexia T: Normal C: Yellow P: Wiry and rapid

Treats

Intermittent fever Common Cold Bronchial Asthma Pneumonia Cholecystitis Cholelithiasis COPD

Hypochondriac pain Influenza Bronchitis Pleurisy Chronic hepatitis Acute hepatitis Cough

Contraindications And Herb/Drug Interactions

Notes

Modifications

For increased Phlegm, cough and hypochondriac pain:		For vomiting and chest pain:
+ Caulis Bambusae in Taeniam	Zhu Ru
+ Fr. Aurantii Immaturus	Zhi Shi
+ Rx. Platycodi	Jie Geng	+ Per. Citri Reticulatae	Chen Pi
For palpitations, chest pain and tightness in the Lungs:		For Phlegm and cough with pain:
+ Fr. Aurantii	Zhi Ke
+ Rx. Glycyrrhizae Preparata	Zhi Gan Cao	+ Rx. Platycodi	Jie Geng
For thirst and a sore throat:
For excessive Phlegm and pain during coughing:		+ Gypsum Fibrosum	Shi Gao
+ Warm the Gallbladder Decoction Wen Dan Tang		+ Rz. Anemarrhenae	Zhi Mu
For stomatitis, oral sores and a sore throat:
+ Clear the Epigastrium and benefit the Diaphragm Decoction Qing Xin Li Ge Tang