Da+Chai+Hu+Tang+(Major+Bupleurum+Decoction)

Da Chai Hu Tang (Major Bupleurum Decoction)
 * Category:** Clear Heat [Shaoyang and Yangming signs]
 * Preparation:** Decoct with water.
 * Function:** Harmonizes and releases the lesser Yang, and drains internal clumping due to heat
 * Indications:** Alternating fever and chills, fullness in the chest and hypochondria (with or without pain), bitter taste in mouth, nausea, continuous vomiting, hard focal distention or fullness and pain in the epigastrium, burning diarrhea or no bowel movement, despondency, slight irritability, yellow tongue coat, wiry forceful pulse
 * Clinical Applications:** Acute gastroenteritis, gastrointestinal flu, dysentery, cholecystitis, cholelithiasis, acute pancreatitis, hepatitis, pleurisy, peritonitis, migraine headache, trigeminal neuralgia, malignant hypertension, malaria (esp. with fever predominant), enteric fever, scarlet fever, diabetes, hyperlipidemia, fatty liver, obesity
 * Contraindications:** Interior cold

**Ingredients:**
Chai Hu (24g.) Da Huang (6g.) Huang Qin (9g.) Zhi Shi (6-9g.) Bai Shao (9g.) Ban Xia (24g.) Sheng Jiang (15g.) Da Zao (12pcs)

**Analysis:**
//Chief:// Chai Hu: pungent, bitter, slightly cold -Clears heat in Liver and Gallbladder

Da Huang: clears heat

//Deputy:// Huang Qin: clears heat Zhi Shi: moves Qi

//Assistant:// Bai Shao: nourishes blood, softens Liver, stops pain Ban Xia: harmonizes the middle jiao, descends Stomach Qi and stops vomiting

//Envoy:// Sheng Jiang, Da Zao: harmonizes the middle jiao

**Modifications:**
Marked chest and epigastric pain & distention: + Mu Xiang, Yu Jin, Yin Chen Severe abdominal pain: + Yan Hu Suo, Wu Yao, Xiang Fu Uncontrolled, continuous vomiting: + Huang Lian, Wu Zhu Yu Manic behavior due to Liver fire: + Qing Dai, Zhi Zi, Mu Dan Pi, Ming Xiao Acute jaundice: + Zhi Zi, Huang Bai Marked chills: + Ma Huang, Lian Qiao, Chi Xiao Dou Acute cholecystitis: + Jin Yin Hua, Lian Qiao, Pu Gong Ying, Zi Hua Di Ding Gallstones: + Jin Qian Cao, Shi Wei, Hai Jin Sha Pancreatitis: + Ban Xia Xi Xin Tang Intercostal neuralgia: + Xiao Xian Xiong Tang