📚Educational reference only — not medical advice.
Bupleurum and Cinnamon Twig Decoction
傷寒論湯劑
Source-based · educational reference
Source
傷寒論
Original text
After six or seven days of Cold Damage, with fever, slight aversion to cold, vexing pain in the limbs and joints, slight vomiting, and a branch-like bind below the heart, when the exterior pattern has not gone, Chai Hu Gui Zhi Tang governs it. (Shang Han Lun (Treatise on Cold Damage))
-- After profuse sweating, with yang collapse and delirious speech, one must not purge; give Chai Hu Gui Zhi Tang to harmonize the nutritive and defensive [Qi], in order to free the Body Fluids, and afterward [the patient] will recover spontaneously. (Shang Han Lun (Treatise on Cold Damage))
Composition
Huang Qin 1.5 liang, Ren Shen 1.5 liang, Gan Cao 1 liang (honey-fried), Ban Xia 2.5 ge (washed), Shao Yao 1.5 liang, Da Zao 6 pieces (split), Sheng Jiang 1.5 liang (cut), Chai Hu 4 liang, Gui Zhi 1.5 liang (peeled). For the above nine ingredients, use 7 sheng of water, decoct to obtain 3 sheng, remove the dregs, and take 1 sheng warm. (Shang Han Lun (Treatise on Cold Damage))
Preparation
Decoct nine bowls of water to three bowls; Gui Zhi: Add later and decoct for only 15 minutes. Take one bowl warm after each meal.
Form
湯劑
Function
Release both the exterior and interior, and eliminate both cold and heat.
Traditional indications
Shaoyang disease combined with an exterior pattern. Exogenous wind-cold, fever with spontaneous sweating, slight aversion to cold or alternating cold and heat, nasal congestion and dry retching, headache and stiff neck, fullness and pain in the chest and hypochondrium, vexing pain in the four limbs, tongue pale red with thin white coating, and a floating, stringy pulse. It also treats sudden pain in the heart and abdomen.
Modifications
Sore throat, dry mouth and thirst, cough: add Platycodon 10, Gypsum 15.
-- Sore throat, dry mouth and thirst, cough, fever and high fever: add Platycodon 10, Gypsum 30.
-- Pediatric measles and chickenpox with sweating; or shoulder and back pain: add Pueraria 20.
-- Nasal congestion and clear rhinorrhea, or sore throat, tongue body pale, swollen, enlarged with tooth marks, and a wiry, tight chi pulse: combine with Ephedra, Prepared Aconite, and Asarum Decoction.
-- Cough, profuse white phlegm, sensation of a foreign body in the throat: combine with Pinellia and Magnolia Bark Decoction.
-- Blood deficiency, dizziness, pale lips, pale, soft, tender tongue body: combine with Angelica and Peony Powder.
-- Reflux gastritis with acid regurgitation, hyperacidity, heartburn: add Gardenia 10.
-- Breast lumps or breast cancer, thyroid adenoma, enlarged lymph nodes or lymphoma: add Oyster Shell 30, Arcae Concha 15.
-- Breast cancer that has ulcerated and ruptured, with foul odor, discharging black, foul water, red tongue with yellow coating: add Platycodon 15, Gypsum 30.
-- Depression, insomnia, white, thick, greasy or watery, slippery tongue coating: combine with Gallbladder-Warming Decoction.