Herb Formulas Notebook

Chai Hu Gui Zhi Tang

Bupleurum and Cinnamon Twig Decoction


Author: Zhang Zhong-Jing, 張仲景

Year: c. 220

Source: Discussion of Cold Damage (Shang Han Lun, 傷寒論)


Category: Formulas that Harmonise

Pattern: Wind in the Joints due to Shaoyang pathogen not properly released, simultaneous Taiyang - Shaoyang pattern

Key Symptoms: Crackling sensation in the joints, fever accompanied by chills and aversion to drafts.
Secondary Symptoms: Alternating chills and fever, dry throat, bitter taste in the mouth, hypochondriac pain, nausea

Pulse: Wiry, forceful


Ingredients

Chai Hu 12g
Gui Zhi 4.5g
Huang Qin 4.5g
Ren Shen 4.5g
Zhi Ban Xia 6-9g
Shao Yao 4.5g
Gan Cao 3g
Sheng Jiang 3sl
Da Zao 6pc


Preparation: Decoction.


Actions: Releases the muscle layer and Exterior (Taiyang), harmonises and releases Shaoyang disorders



Notes:
One liang is taken as 3g in modern sources but in Eastern Han times it was equivalent to 13.875g. This means that the dosages in classical formulae could have been more than 4x what is given today making them far higher than recommended safe dosages today but prompts consideration of what an effective dose may be (He, 2013).



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These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.