Da Chai Hu Tang (Major Bupleurum Decoction)

Da Chai Hu Tang (大柴胡湯) harmonises the lesser yang while purging interior heat excess; for a combined shaoyang and yang-ming (organ) pattern.

Dà Chái Hú Tāng  ·  大柴胡湯  ·  Major Bupleurum Decoction

English Name

Major Bupleurum Decoction

Classical Source

Shang Han Lun, c. 220 CE

Ingredients

Actions & Functions

  • Harmonises the lesser yang (shaoyang)
  • Drains interior heat excess (yang-ming)

Indications

Combined shaoyang-yangming excess: alternating chills and fever, fullness and pain of the chest and hypochondrium and epigastrium, a bitter taste, nausea or vomiting, irritability, and constipation. Widely used for gallbladder and biliary disorders.

Tongue & Pulse

Tongue: yellow coat. Pulse: wiry and forceful (or rapid).

Modifications

For gallstones and jaundice, add Yin Chen Hao and Jin Qian Cao.

Cautions & Contraindications

Drains downward; contraindicated in pregnancy and in deficiency without interior excess heat.

About Attilio

Doctor of Chinese medicine, acupuncture expert and author of My Fertility Guide and My Pregnancy Guide.

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