Theory

Xiao Chai Hu Tang Wan Minor Bupleurum Decoction - TCM Herbal Formula


Xiao Chai Hu Tang Wan Names

  • English Name: Minor Bupleurum Decoction
  • Pinyin Name: Xiao Chai Hu Tang Wan
  • Alternate Names: Xiao Chai Hu Wan, Hsiao Tsai Hu Tang, Minor Bupleurum Combination



Xiao Chai Hu Tang Wan Clinical Usages and Indications

  • Shao Yang Syndrome (or "lesser yang stage") - alternating fever and chills, hypochondriac pain, irritability, bitter taste in mouth, poor appetite, nausea.  Often used for illnesses (chronic or short-term) such as the flu, etc. that have "cleared" but not completely.  People will describe not feeling quite right or having a range of low level symptoms for months or longer after a particular illness.  Instead of fever and chills alternating they may manifest with cold extremities and warm interior or other variations.
  • A range of liver related conditions including malaria, jaundice, hepatitis, liver cancer, meniere's disease, general protection from medicines that may harm the liver, etc. among issues with other digestive organs - pancreatitis, stomatitis, gastritis.
  • Liver/speen disharmonies resulting in broader issues such as depression, chronic fatigue syndrome, menstrual irregularities (PMS, cramping, etc.).
  • Other general immune issues such as the common cold, flu, tonsillitis, general seasonal allergies with the right underlying factors.

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Xiao Chai Hu Tang Wan Cautions

    Contraindication Notes:

    • Use with caution with yin and/or blood deficiencies.
    • Avoid cold, raw, and spicy foods while taking xiao chai hu tang.



Clinical Formula Combinations and Modifications


Xiao Chai Hu Tang Wan Has 7 Ingredients

Ban Xia

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  • Pinellia Rhizome
    • Dries dampness, transforms cold-phlegm, descends rebellious qi - cough with copious sputum especially due to dampness of spleen.
    • Harmonizes stomach, stops vomiting due to lingering phlegm-dampness in the stomach.
    • Dissipates nodules, reduces distension - phlegm in chest or neck or anywhere in the body, focal distention in the chest.
  • Herbs That Transform Phlegm Cold
  • Cautions

Chai Hu

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  • Thorowax Root, Bupleurum
    • Clears shao yang disorders and reduces fever - alternating chills and fever, bitter taste in the mouth, irritability, vomiting, stifling sensation in the chest.
    • Relieves liver qi stagnation (often used with Bai Shao) - vertigo, menstrual disorders, chest and flank pain, the most common herb to treat stress, irritability, depression, etc.; also for liver and spleen disharmony - bloating, nausea, indigestion, flank pain.
    • Raises yang qi in spleen and stomach deficiency patterns (often used with Sheng Ma) - prolapsed organ, diarrhea, hemorrhoids.
  • Herbs That Release The Exterior Wind Heat
  • Cautions
    • Due to its rising and dispersing nature avoid in yin deficiency or liver yang rising.
    • May cause nausea or vomiting - use a smaller dose if necessary.

Da Zao

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  • Chinese Date, Jujube
    • Tonifies spleen qi - weakness, shortness of breath, reduced appetite, loose stools.
    • Nourishes the blood, calms the spirit - irritability, pale complexion, emotional disturbances, restlessness.
    • Useful to harmonize the harsh properties of other herbs.
  • Herbs That Tonify Qi
  • Cautions
    • May cause heat, dampness, and phlegm leading to fullness in the middle jiao, food stagnation.

Huang Qin

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  • Baical Skullcap Root, Scutellaria
    • Clears heat, drains fire, especially from the upper warmer - heat patterns with fever, irritability, thirst, cough, thick, yellow sputum, hot sores and swellings.
    • Clears heat, dries dampness - damp-heat in the stomach or intestines, diarrhea, dysentery; damp warm-febrile disease with fever, stifling sensation in the chest, thirst with no desire to drink; damp-heat in the lower jiao - lin syndrome; damp-heat jaundice.
    • Clears heat, stops bleeding - vomiting and/or coughing of blood, nosebleed, blood in the stool.
    • Clears heat, calms the fetus - restless fetus due to heat.
    • Sedates liver yang rising - headache, irritability, red eyes, bitter taste, flushed face.
  • Herbs That Clear Heat and Dry Dampness

Ren Shen

  • Ginseng Root
    • Strongly tonify yuan qi - extreme collapse of qi, shortness of breath, cold limbs, profuse sweating, weak pulse (often used alone for this condition after severe blood loss).
    • Tonify lung qi - wheezing, shortness of breath, w/kidneys failing to grasp the qi.
    • Strengthen the middle warmer - lethargy, no appetite, chronic diarrhea, prolapse of organs, distended chest/abdomen.
    • Generates fluids, stops thirst - xiao ke, damaged fluid due to high dever and profuse sweating.
    • Benefits heart qi, calms the spirit - palpitations, anxiety, insomnia, poor memory, restlessness due to qi and/or blood deficiency.
  • Herbs That Tonify Qi
  • Cautions
    • Avoid tea and turnips while taking ginseng.
    • Antagonist with Wu Ling Zhi, Incompatible with Li Lu.
    • Avoid with high blood pressure and/or liver yang rising.

Sheng Jiang

  • Fresh Ginger Rhizome
    • Release the exterior, wind-cold, regulate ying and wei qi
    • Warms the middle jiao - stomach cold/vomiting
    • Alleviates coughing, warms lung
    • Reduces toxicity of other herbs
  • Herbs That Release The Exterior Wind Cold
  • Cautions
    • Avoid w/heat in LU or ST
    • Use cautiously in patients with hypertension

    Zhi Gan Cao

    • Honey Fried Licorice Root
      • This preparation increases the qi tonifying aspects of the heart and spleen along with its general harmonizing function within formulas.  See Gan Cao for complete information.
    • Herbs That Tonify Qi



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