HERB FORMULAS

CHAI HU SI WU TANG - 柴胡四物湯 - BUPLEURUM AND FOUR SUBSTANCE DECOCTION

English: Bupleurum and Four Substance Decoction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Bupleuri Chai Hu 8-24g Resolves Shao Yang disorders and reduces fever Spreads Liver Qi and relieves Stagnation.
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.
With Huang Qin. Zhi Ban Xia, Zhi Gan Cao and Ren Shen, for weak patients.
With Bai Shao, for Liver Blood Deficiency with Liver Qi Stagnation and vertigo, dizziness, thoracic and costal pain, due to Liver Qi Stagnation.
With Bai Shao, Dang Gui and Chuan Xiong, harmonizes the Blood for irregular menstruation.
Rx. Scutellariae     Huang Qin 3-9g Drains Fire and detoxifies.
Rz. Pinelliae Preparatum Zhi Ban Xia 3-9g Dries Dampness and transforms Phlegm.
With Ren Shen, for vomiting due to Stomach Deficiency.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 3-9g Tonifies the Spleen, augments Qi, clears Heat, relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs.
With Ren Shen, relieves palpitations and anxiety.
Rx. Ginseng Ren Shen 3-9g Tonifies Spleen and Stomach Qi.
With Shu Di Huang, for severe Qi and Blood Deficiency due to loss of Blood.
Rx. Paeoniae Alba Bai Shao 15-45g Nourishes the Blood, regulates menstruation, softens the Liver and relieves pain.
With Dang Gui and Shu Di Huang, for dizziness, blurred vision, and dysmenorrhea due to Blood Deficiency or Stasis.
With Zhi Gan Cao, for abdominal pain due to disharmony between the Liver and Stomach.
With Chai Hu, for flank pain due to Liver Qi Stagnation.
With Dang Gui, nourishes Yin and Blood.
Rx. Rehmanniae Preparata Shu Di Huang 15-45g Nourishes the Blood and nourishes Liver and Kidney Yin.
With Dang Gui, for Blood Deficiency marked by dizziness, palpitations, insomnia and menstrual dysfunction.
With Dang Gui, Bai Shao and Chuan Xiong, for anemia.
Rx. Angelicae Sinensis Dang Gui 15-45g Tonifies, invigorates and harmonizes the Blood, disperses Cold, stops pain due to Blood Stasis and regulates the menses.
With Shu Di Huang, for Heat symptoms due to Yin Deficiency and Devastated Blood.
With Shu Di Huang, Bai Shao and Chuan Xiong, for menstrual irregularity, amenorrhea, and dysmenorrhea due to Blood Deficiency or Blood Stasis.
With Chai Hu and Bai Shao, for dysmenorrhea from Liver Qi Stagnation and Blood Deficiency.
With Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis.
Rz. Chuanxiong    Chuan Xiong 15-45g Invigorates the Blood, promotes the movement of Qi, expels Wind and alleviates pain.
With Dang Gui, for Blood Deficiency causing menstrual problems including dysmenorrhea, scanty menses, and amenorrhea.

FORMULA ACTIONS

  • Spreads Liver Qi
  • Harmonizes the Blood
  • Alleviates pain

SYNDROMES

  • Jue Yin Stage
  • Chronic consumptive disorders
  • Blood Deficiency with Stasis

CLINICAL MANIFESTATIONS

  • Pain extending from the chest to the back
  • Alternating chills and fever
  • Symptoms worsen at night
  • Late menstruation
  • Menstrual discharge is scant, dark and clotted
  • Lower abdominal pain and distention
  • Flank discomfort
  • Breast discomfort
  • T: Pale with purple spots
  • C: Thin
  • P: Thready and wiry

TREATS

  • Chronic consumptive disorders
  • Colds during menstruation

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For delayed menstruation:  
-  Rx. Scutellariae
 Huang Qin    
- Rz. Pinelliae Preparatum Zhi Ban Xia    
   
-  Rx. Glycyrrhizae 
Preparata		 Zhi Gan Cao    
   
+ Rz. Cyperi X Xiang Fu    
+ Rx. Curcumae Yu Jin    
+ Rx. Salviae Miltiorrhizae  Dan Shen    
   
+ Fr. Citri Sarcodactylis Fo Shou    
+ Fr. Mume Wu Mei