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Da Chai Hu Tang: a good recipe for reconciling Shaoyang and treating internal diarrhea and heat accumulation

Writer's picture: Hongji MedicalHongji Medical

Da Chai Hu Tang, also known as Major Bupleurum Decoction, is a pearl in Chinese medicine prescriptions, which originated from the "Golden Guide". It is mainly used to treat Shaoyang and Yangming combined diseases, and has the effect of resolving Shaoyang and internal diarrhea and heat. This article will introduce the composition, efficacy, indications and modern application of Da Chai Hu Tang in detail, and explore the method of combining diet therapy with auxiliary treatment.


Composition of Da Chai Hu Tang prescription


Composition

Da Chai Hu Tang is composed of the following eight herbs:

  • Bupleurum 0.5 kg (15 g)

  • 3 liang of Scutellaria baicalensis (9 g)

  • Peony 3 liang (9g)

  • 1/2 liter of Pinellia ternata, washed (9g)

  • 50g ginger, cut (15g)

  • 4 pieces of Citrus aurantium, roasted (9g)

  • 12 jujubes, broken (4 pieces)

  • 2 liang of rhubarb (6g)


usage

Boil the above eight herbs in 1 dou 2 liters of water until 6 liters are left, remove the dregs, boil again, and take 1 liter warm three times a day. The modern method is to boil twice, remove the dregs, boil again, and take warm in two doses.


Da Chaihu Tang
大柴胡湯

Formula composition explanation


Da Chai Hu Tang is a Chinese medicine formula used to treat conditions caused by liver and gallbladder problems, especially when there is dampness, heat, and qi stagnation in the body. This formula is mainly composed of several Chinese herbs, each with its own specific function.

  1. Bupleurum : Mainly used to dredge the liver and gallbladder, relieve stress, and help the circulation of qi and blood. It is suitable for people who feel chest tightness or pain.

  2. Scutellaria baicalensis : It can clear away heat and detoxify, reduce dampness and heat in the body, and help relieve discomfort caused by liver and gallbladder problems.

  3. White Peony Root : It can soothe liver qi, reduce pain, and help nourish blood and protect the spleen and stomach.

  4. Pinellia : Used to stop vomiting and resolve phlegm. It is especially suitable for people with nausea or vomiting, helping to relieve stomach discomfort.

  5. Jujube : It can protect the spleen and stomach, reduce the side effects of other medicines, and replenish the body's energy.

  6. Citrus aurantium : helps to promote the flow of qi and eliminate stagnation, reduce abdominal distension and discomfort, and improve digestion.

  7. Ginger : It harmonizes the medicinal properties of prescriptions, reduces damage to the spleen and stomach, and can relieve vomiting.

The main function of this prescription is to harmonize the body, clear internal heat, and at the same time reduce the discomfort caused by poor blood circulation, so that the body can return to health.





Efficacy and Indications


effect


Reconciling Shaoyang and purging internal heat : Da Chaihu Tang can reconcile Shaoyang and purge internal heat, and is mainly used to treat Shaoyang and Yangming combined diseases. It can help relieve symptoms such as alternating cold and heat, fullness in the chest and ribs, vomiting, depression and slight restlessness, hardness or fullness under the heart, constipation or diarrhea with heat.

Soothing the liver and regulating qi, clearing away heat and detoxifying : The Bupleurum and Scutellaria in this prescription have the effects of soothing the liver and regulating qi, clearing away heat and detoxifying. They can relieve dampness and heat in the liver and gallbladder, help qi circulation, and relieve liver qi stagnation.

Laxative, analgesic, anti-inflammatory and lipid-lowering : Da Chaihu Tang has multiple effects such as laxative, analgesic, anti-inflammatory and lipid-lowering. It can help relieve symptoms such as constipation, abdominal pain, inflammation, and has been found in modern studies to have significant therapeutic effects on diseases such as acute pancreatitis, acute cholecystitis, and cholelithiasis.

Soothe the stomach and reduce adverse reactions, and harmonize the Ying and Wei : The pinellia tuber, ginger, and jujube in the prescription can soothe the stomach and reduce adverse reactions, harmonize the Ying and Wei, and help relieve symptoms such as stomach discomfort and vomiting. Ginger and jujube can also harmonize the various medicines, making the efficacy more comprehensive.


Through these effects, Da Chaihu Tang can effectively treat a variety of diseases, especially liver, gallbladder and gastrointestinal tract related problems, relieve symptoms and promote physical recovery.


Da Chaihu Tang
大柴胡湯

Indications


Da Chaihu Tang is mainly used to treat Shaoyang Yangming combined disease, liver and gallbladder and gastrointestinal problems, symptoms include: alternating hot and cold, chest and flank distension ( feeling full and uncomfortable in the chest and under the ribs on both sides ), vomiting, irritability, stomach hardening or distending pain, constipation or diarrhea, yellow tongue coating ( tongue has a layer of yellow tongue coating ), strong pulse ( feeling the pulse is beating strongly when touching ), etc. These symptoms indicate that pathogens have entered the gastrointestinal tract and there are signs of heat solidification.


Pathogenesis and application

Pathogenesis


Da Chaihu Tang is mainly used to treat Shaoyang and Yangming combined diseases, but it mainly targets Shaoyang problems. Symptoms include alternating hot and cold, and chest distension, which indicates that the problem is still in Shaoyang. If there is constant vomiting and irritability, it is more serious than Xiao Chaihu Tang. In addition, symptoms such as stomach hardening or bloating, constipation or diarrhea, yellow tongue coating, and strong pulse indicate that the pathogenic factors have entered Yangming and there are signs of heat accumulation.


Therefore, in terms of treatment methods, although the Shaoyang problem usually does not require purgation, when there is real heat in the Yangming, it is necessary to take care of the exterior and interior at the same time, and adopt the method of reconciling the Shaoyang and internalizing the purgative heat.


Da Chaihu Tang
大柴胡湯病機

Application

  1. Key points for syndrome differentiation : This prescription is a commonly used prescription for treating Shaoyang and Yangming combined diseases. The key points for syndrome differentiation are alternating chills and fever, bitterness and fullness in the chest and abdomen, fullness and pain under the heart, vomiting, constipation, yellow tongue coating, and stringy and rapid pulse.

  2. Modern application : It can be used for acute pancreatitis, acute cholecystitis, cholelithiasis, gastric and duodenal ulcers, etc., which are combined diseases of Shaoyang and Yangming.


Diet therapy combined with adjunctive therapy


While using Da Chaihu Tang for treatment, appropriate diet therapy can play a supporting role:


  • Spleen and stomach qi deficiency type :

    • Symptoms : Fatigue, loss of appetite, bloating, loose stools.

    • Dietary therapy suggestions : You can use Shenling Baizhu powder and combine it with astragalus, dangshen, yam, poria, Euryale ferox, white hyacinth bean, lotus seed, coix seed and other medicinal materials to cook porridge or soup to cooperate with dietary therapy conditioning.


  • Lung and stomach yin deficiency/Qi and yin deficiency type :

    • Symptoms : Fatigue, chest tightness, dry mouth, palpitations, dry cough.

    • Diet therapy suggestions : You can use Adenophora and Ophiopogon soup, Shengmai drink, and cook sweet soup with other herbs such as Rhodiola rosea, American ginseng, Ophiopogon japonicus, lily, Tremella fuciformis, mulberry, etc., which can nourish yin and moisten the lungs and relieve heat.

  • Hepatic depression and stagnation type :

    • Symptoms : depression, anxiety, insomnia, foreign body sensation in the throat.

    • Diet therapy suggestions : You can use Jiawei Xiaoyao Powder, Chaihu Jia Longgu Muli Soup, and pair it with lavender, rose, tangerine peel, bergamot, etc. to make tea to achieve the effect of nourishing qi and calming the mind.

  • Clear Qi does not rise type :

    • Symptoms : Difficulty concentrating, brain fog, memory loss.

    • Dietary therapy suggestions : You can use Yiqi Congming Soup and Shengyang Yiwei Soup, and add herbs such as Astragalus, Codonopsis, Gastrodia, and Cistanche, add them to chicken soup and stew or cook porridge, all of which have dietary therapy effects.


These dietary therapies can not only help relieve the discomfort during the Da Chaihu Tang treatment, but also promote the body's recovery and health.




Modern Applications


In modern medicine, Da Chaihu Tang is mainly used to treat liver, gallbladder and gastrointestinal diseases. It has significant therapeutic effects on liver and gallbladder diseases such as liver abscess, cholelithiasis, cholecystitis and acute intrahepatic cholestasis. It can also effectively treat acute pancreatitis and gastrointestinal problems such as gastritis, gastric ulcer and constipation.


In addition, Da Chaihu Tang is also used to treat cardiovascular diseases such as hypertension, and respiratory diseases such as wheezing. It also has a certain improvement effect on metabolic diseases such as diabetes and obesity, showing its potential in the treatment of multiple diseases.

The main effects of Da Chaihu Tang include antipyretic, bile-stimulating, laxative, anti-inflammatory and improved metabolic function, making it a multifunctional therapeutic prescription.


Da Chaihu Tang
大柴胡湯的現代應用

Notes

When using Dabuihu decoction, you need to pay attention to the following matters:

  1. Adverse reactions :

    • Da Chaihu Decoction may cause some adverse reactions, such as dizziness, peritonitis, bleeding, pancreatic abscess, nausea, etc.

  2. Contraindications :

    • It is contraindicated for those with Yin deficiency, fire inflammation and rising Qi. It should be used with caution and is recommended to be prescribed by a professional Chinese medicine practitioner.

  3. Professional guidance :

    • Da Chaihu Tang must be used under the guidance of a professional Chinese medicine practitioner to ensure its safety and effectiveness.

  4. Note :

    • When using Da Chaihu Decoction, attention should be paid to the patient's specific symptoms and constitution to avoid unnecessary risks.

These precautions will help ensure the safe use of Da Chaihu Tang and maximize its therapeutic effects.


Conclusion


As a classic Chinese medicine prescription, Da Chaihu Tang has shown a wide range of application prospects in modern medicine with its unique efficacy of resolving Shaoyang and relieving internal diarrhea and heat. Whether it is liver and gallbladder disease, pancreatitis, or gastrointestinal problems, Da Chaihu Tang can play a significant therapeutic effect.


Its multifunctional therapeutic effects are not only reflected in antipyretic, bile-promoting, laxative, and anti-inflammatory effects, but also show great potential in improving metabolic function and promoting physical recovery. With the deepening of research on traditional Chinese medicine, Da Chaihu Tang will surely demonstrate its unique value in more fields and protect people's health.



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