BLACK PEARL BP029 XIAO CHAI HU WAN MINOR BUPLEURUM

XIAO CHAI HU WAN
小柴胡丸
Minor Bupleurum Formula
Product Code: BP029

TCM Actions
Harmonises and releases Shao Yang stage disorders Harmonises the Gallbladder and Stomach.

Indications
Common cold or influenza with lingering low grade fever, chronic fatigue syndrome, post viral debility, bronchitis, tonsillitis, otitis media, cholecystitis, gastritis, duodenitis, hepatitis, puerperal fever, acute sinusitis, perimenopausal syndrome.

Dosage & Course Of Treatment
8 pills, 3 times daily, half to one hour away from food

Course of treatment: 3 – 6 months

Safe for long term use.

Signs and Syndromes
1. SHAO YANG STAGE PATHOGEN 2. GALLBLADDER QI INVASION OF THE STOMACH

1. SHAO TANG STAGE PATHOGEN

Alternating episodes of fever and chills

Distending pain over the chest and hypochondrium

Bitter taste in the mouth

Swollen lymph nodes

Dry throat

Dizziness

Normal tongue with a thin white coat

Wiry pulse

2. GALLBLADDER QI INVASION OF THE STOMACH

Irritability

Heartburn

Nausea or vomiting

Poor appetite

Normal tongue with a thin white coat

Wiry pulse

Cautions & Contraindications
Caution for those on anti-coagulant medications (i.e. heparin, warfarin or aspirin).

Caution for those on any type of sedative drug.

Contraindicated for patients taking interferon.

Comments
This formula was originally recorded in the ‘Treatise on Cold-induced Diseases’ (shang han lun), by Zhang Zhong-jing (circa 150 – 219 C.E.). It was originally used for the treatment of the lesser Yang syndrome (shao yang bing zheng) in acute febrile diseases due to invasion by exogenous Cold. The Cold pathogen has transformed to Heat and is at a level that is midway between the Exterior and the Interior, manifesting with alternating chills and fever, etc. Zhang recognised that this formula had a broad range of applications, and over the centuries Chinese physicians have found many more. In general, the common clinical feature is the alternating sensations of cold and heat, regardless of whether or not they occur in the course of a febrile illness due to invasion by exogenous Cold (e.g. as a base formula in the treatment of perimenopausal syndrome). The skilful combination of warming and cooling, as well as tonifying and dispersing ingredients lend this formula it’s unique and wide ranging therapeutic applications. Essentially the formula’s uses fall into two categories: 1. Lesser Yang syndrome of a Cold-induced disease 2. Gallbladder Qi invasion of the Stomach. The latter syndrome is a variant of Gallbladder stagnation with Phlegm disturbance (dan yu yan rao), which may arise due to intense or prolonged emotional strain, which leads to Qi stagnation in the Liver and Gallbladder. The stagnant Qi develops into Fire, which dries the Body Fluids generating Phlegm. A common use for this formula is in the treatment of post-viral debility, in which there is a latent pathogen at the lesser Yang stage (midway between the Exterior and the Interior). This manifests with fatigue and lethargy together with signs of lingering (i.e. subacute) infection: enlarged lymph nodes (principally in the neck and/ or groin) with intermittent fever (which may be as subtle as night sweating) as well as increased sensitivity to the cold. It is also used during the course of a severe or rapidly progressing viral upper respiratory infection when the disease location has moved from the nasal passages into the throat and has not yet reached the chest. The synergistic actions of the ingredients are as follows:

• Bupleurum root (chai hu), Scutellaria root (huang qin): dispel pathogens from

Ingredients
CODONOPSIS PILOSULA, ROOT (dang shen) – 黨參 – 89.3mg
SCUTELLARIA BAICALENSIS, ROOT (huang qin) – 黃芩 – 71.6mg
BUPLEURUM FALCATUM, ROOT (chai hu) – 柴胡 – 53.6mg
PINELLIA TERNATA, TUBER (ban xia) – 半夏 – 53.6mg
GLYCYRRHIZA URALENSIS, ROOT (gan cao) – 甘草 – 35.7mg
ZINGIBER OFFICINALE, RHIZ. (sheng jiang) – 生薑 – 35.7mg
ZIZIPHUS JUJUBA, FRUIT (da zao) – 大棗 – 35.7mg