HERB FORMULAS

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 Resolves the Shao Yang, disperses Wind-Heat, reduces fever, 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 Promotes urination, strengthens the Spleen, harmonizes the Middle Jiao, transforms Phlegm, calms the Spirit and soothes the nerves.
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 Drains Heat and purges accumulations, clears Heat, transforms Dampness, promotes urination, invigorates the Blood, dispels Blood Stasis and resolves Yang Ming Level disorders with delirious speech.
Fr. Zizyphi Jujube Da Zao 2.5-8g Strengthens the Spleen, tonifies Qi, nourishes Blood, calms the Spirit and moderates and harmonizes the other herbs.
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

  • Fullness and distention in the chest
  • Irritability
  • Occasional fright palpitations
  • Urinary difficulty
  • Constipation
  • Delirious speech
  • Insomnia
  • Subcardiac distention
  • Palpitations at the abdomen
  • Melancholia
  • Fear
  • Agitation
  • Unsteadiness
  • Tends toward mania and convulsions
  • Tends toward fatigue and clumsiness of limbs
  • Dysuria
  • Excitability
  • Dizziness
  • Anxiety
  • Depression
  • Tinnitus
  • Deafness
  • Profuse expectoration of Phlegm
  • Bitter taste in the mouth
  • Palpitations
  • Pale face
  • Oliguria
  • A sensation of extreme heaviness of the body
  • Fatigue
  • Inability to rotate the trunk
  • Difficulty moving the body
  • T: Red
  • C: Slippery
  • P: Wiry and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Do not use for Deficiency conditions.
  • Use with caution for those with Spleen and Stomach Deficiencies.
HERB/DRUG INTERACTIONS
  • Concurrent use of this formula has been shown to successfully suppress the cardiovascular and central nervous systems to alleviate theophylline-induced tachycardia, locomotion and convulsions.

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