Many of the above signs indeed reflect disharmony of the Liver and Gall Bladder systems. Today, Xiao Chai Hu Tang is often used for diverse biomedical conditions as hepatitis, jaundice, common cold, and cholecystitis as they fit into the TCM pattern.
Modern scientific study of Xiao Chai Hu Tang reflects this Liver/Gall Bladder connection as well. Xiao Chai Hu Tang has been studied for its hepatoprotective (Liver protection) and antioxidative effects.1 Recent research on the chief herb in this formula, Chai Hu (Bupleurum) has shown promise for the treatment of Liver cancer.2
Xiao Chai Hu Tang consists of seven herbs. The chief Chinese herb, Chai Hu (Bupleurum) is an important herb for treating irritability due to Liver Qi stagnation. Chai Hu is cooling and soothes the Liver with an ascending action that prevents the pathogen from penetrating further into the interior. Here, Chai Hu is combined with Huang Qin (Scutellaria) which aids in draining heat from the Liver and Gall Bladder system and vents pathogenic influences. Together, these two herbs have a powerful calming effect.
Zhi Ban Xia (prepared Pinellia) and Sheng Jiang (Ginger) work together to harmonize the middle burner (Spleen/Stomach) by transforming phlegm, directing rebellious Qi downward, stopping nausea and improving appetite. Dang Shen (Codonopsis) is a powerful Qi and Blood tonic that assists in expelling pathogenic influences by restoring the body's own constitutional strength and ability to ward off pathogens. Da Zao (Jujube) and Gan Cao (Licorice) harmonize the bitter properties of some of the other medicinals in the formula and also mildly assist Chai Hu.
Together, these seven herbs have a remarkable synergistic effect that can be applied to a wide range of clinical presentations.
| Radix Bupleuri Chinensis |
Radix Scutellariae Baicalensis
Rhizoma Pinelliae Ternatae
Radix Codonopsis Pilosulae
Radix Glycyrrhizae Uralensis
Rhizoma Zingiberis Recens
|(Chai Hu) |
(Zhi Ban Xia)
Bupleuri Relaxe?has a mild action and therefore it usually takes time before its effects become apparent. It may take one month or more before symptoms begin to improve. An initial course of treatment is suggested as 6 bottles taken at the full dose.