Chai Hu Qing Gan Tang


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Pin Ying Name: Chai Hu Qing Gan Tang
English Name: Bupleurum & Rehmannia Decoction
Chinese Name: 柴胡清肝湯

Herbs & Actions

Pharmaceutical Latin
Pin Yin

Rx. Bupleuri
Chai Hu

Resolves the Shao Yang, disperses Wind-Heat, reduces fever, spreads Liver Qi and relieves Stagnation.
With Huang Qin, restores normal function of the Liver and Gallbladder, for Heat in the Shao Yang and Heat in the Womb with fever, chills and delirium.

Rx. Rehmanniae
Sheng Di Huang

Clears Heat, cools the Blood, nourishes Yin and Blood and generates fluids.

Rx. Angelicae Sinensis
Dang Gui

Tonifies,invigorates and harmonizes the Blood, reduces swelling, expels pus, generates flesh and alleviates pain
With Gan Cao, moderates spasms and relieves abdominal pain.

Rx. Paeoniae Rubra
Chi Shao Yao

Clears Heat, cools the Blood, activates Blood, dispels Blood Stasis, eliminates pain and clears Liver Fire.

Rx. Chuanxiong
Chuan Xiong

Activates the Blood, regulates Qi, alleviates pain. and treats headaches
With Chai Hu and Chi Shao Yao, for Liver Qi and Blood Stagnation generating headache and/or chest pain. With Dang Gui,harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis for Blood Deficiency causing menstrual problems including dysmenorrhea, scanty menses, and amenorrhea. With Chai Hu and Chi Shao, for Liver Qi and Blood Stagnation generating headache and/or chest pain. With Fang Feng and hie Geng, for headache due Wind-Cold Invasion.

Fr. Forsythiae
Lian Qiao

Clears Heat in the Upper Jiao, relieves toxicity, dissipates nodules, expels Wind-Heat and clears Blood Heat.
With Niu Bang Zi and Bo He, for Wei Stage Heat.

Fr. Arctii
Niu Bang Zi

Disperses Wind-Heat, benefits the throat, clears Heat, relieves toxicity and vents rashes.
With Bo He, for sores due to Wind-Heat, dry throat, cough with yellow sputum, incomplete expression of measles or pruritic rash With Jie Geng and Bo He, for throat inflammation and productive cough due to Wind-Heat. With Gan Cao, strongly clears throat and Lungs to treat Wind-Heat attacks the Lungs or Fire toxin flaring upwards. With Lian Qiao, unblocks and drains Heat toxin, disperses clumps and swellings for sore, swollen throat, swellings like mumps, boils and other Heat toxin lesions and ulcerations and abscesses of the tongue and mouth.

Rx. Scutellariae
Huang Qin

Clears Lung Heat, drains Fire, dries Dampness, detoxifies and calms ascending Liver Yang.
With Huang Lian, drains pathogenic Heat from the upper and middle Jiaos for high fever, redness, swelling and pain of the head and face, dry mouth, parched throat, ulcerations of the mouth and tongue, epistaxis, rashes and irritability in warm-febrile disease, toothache, explosive diarrhea and dysentery with burning pain in the anus or fitted, filthy stools and abdominal pain and nausea in pregnancy with Heat disturbing the fetus. With Huang Lian and Fang Feng, for Intestinal Wind with hemafecia. With Huang Lian and Zhi Zi, for acute febrile disease. With Zhi Zi, Powerfully clears and drains lurking Heat from the Lungs for fever, fullness in the chest, cough with yellow sputum and epistaxis or hematemesis, Damp-Heat and jaundice, sores due to Heat toxin and irregular vaginal bleeding due to Liver Fire. With Huang Lian, Huang Bai and Zhi Zi, for lesions and sores with redness, swelling and pain.

Fr. Gardeniae
Zhi Zi

Clears Heat, drains Damp-Heat, cools Blood, reduces swelling and activates Blood.

Rx. Trichosanthis
Tian Hua Fen

Drains Heat, transforms Phlegm, relieves toxicity and expels pus.

Rx. Saposhnikoviae
Feng Feng

Releases the exterior, expels Wind, Cold and Dampness and alleviates pain. (Bensky only)
With Jing Jie, expels Wind and stops itching for Wind-Cold, Exterior patterns in any season, pruritic rash and initial-stage boils.

Hb. Menthae
Bo He

Disperses Wind-Heat, clears the head and eyes, benefits the throat, vents rashes, and relieves Liver Qi Stagnation. (Not in Bensky)
With Niu Bang Zi for sores, dry throat, cough with yellow sputum, incomplete expression of measles or pruritic rash due to Wind-Heat.

Rx. Platycodi
Jie Geng

Expels Phlegm, expels pus, benefits the throat and directs the effects of other herbs to the upper body. (Not in Bensky)
With Gan Cao, disseminates Lung Qi, expels Phlegm, resolves toxicity, and expels pus for productive cough with hoarseness, pain and swelling of the throat due to Wind-Heat, Lung abscess with expectoration of pus and pain in the chest and flanks and Excess disorders in the Upper Jiao with no disorder in the Lower Jiao. With Gan Cao and Huang Qin, for hoarseness, pain and swelling of the throat due to Wind-Heat.

Rz. Coptidis
Huang Lian

Drains Fire, relieves toxicity and drains Dampness.)(Not in Bensky)
With Huang Lian and Zhi Zi, for high fever, irritability, dry mouth and throat, and dark urine due to Fire toxin in the three burners. With Sheng Di Huang, for insomnia and delirium due to unremitting Heat injuring the Ying level. With Sheng Di Huang and Tian Hua Fen, for wasting and thirsting disorder due to Excess Heat and Stomach Fire with Excess hunger.

Cx. Phellodendri
Huang Bai

Drains Damp-Heat and relieves toxicity. (Not in Bensky)
With Chi Shao, for hot, bloody dysenteric disorders. With Zhi Zi, resolves constraint and directs Qi downward for clearing Heat and Fire from the Liver channel, eliminates pathogenic Dampness from the Liver and Gallbladder for Yang type jaundice with noticeable fever, markedly yellow-orange skin and eyes, thirst, and a red tongue with a yellow coat and treats Lower Jiao Damp-Heat leading to hot, painful urinary dysfunction.

Rx. Glycyrrhizae
Gao Cao

Resolves Phlegm, clears Heat, relieves Fire toxicity, alleviates pain and moderates and harmonizes the properties of other herbs.
With Jie Geng, for pain and swelling of the throat, especially in acute, mild cases.

Formula Actions

Drains Fire
Relieves toxicity
Spreads the Liver Qi
Strengthens the Spleen
Disperses Wind-Heat
Improves the physical condition


Early-stage sores along the Shao Yang Channel on the head
Clumping of Fire toxin
Heat in the Liver and Gallbladder Channels

Clinical Manifestations

Severe headache
Flushed cheeks
Bad breath
Hearing loss
Coughing up viscous, thick sputum
Dark urine
Swollen lymph nodes
Abdominal tension and itching
Darkened skin
Formation of cellulitis
T: Red
C: Normal or Yellow
P: Wiry and rapid


Chronic tonsillitis
Skin diseases
Abdominal itch
Chronic uteritis
Infectious viral hepatitis
Abdominal tension
Loss of voice
Systemic lupus erythematosis
Chronic laryngitis
Bad breath


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Chai Hu Qing Gan Tang