Chai Hu Jia Long Gu Mu Li Tang 柴胡加龙骨牡蛎汤
Siho Ga Yong Gol Mor Yeo Tang (Japanese)
Bupleurum, Dragon Bone and Oyster Shell Decoction

Tradition:

TCM

Source / Author:

Source: Discussion of Cold-induced Disorders (Shang Han Lun)

* Hematite is usually substituted for Minium in modern times.

Preparation:

Decoction. The Rhubarb is added in the last few minutes of decocting.

Function:

Clears Heat, Settles Wind, Calms the Mind and Spirit

Use:

Irritability with palpitations, fullness in the chest, constipation, delirious, red tongue with a greasy coating and a rapid pulse
1. Palpitations
2. Anxiety
3. Insomnia
4. Neurosis
5. Hysteria
6. Epilepsy
7. Tinnitus (see research)
8. Hypertension
9. A-V block
10. Hyperthyroidism
11. Menopausal Syndrome
12. Post Concussion Syndrome
13. Post Stroke Depression (see research)
14. ADHD

Dose:

To be taken in 3 divided doses over the day.

Comment:

This was originally designed for a disorder caused by improper purging, where an external pathogen is drawn deeper into the body and obstructs the Yang Qi.

Cautions:

Not used for Cold or Deficiency conditions

Modifications:

1. Minium is omitted or substituted with Hematite, Magnetite or Iron oxide (rust).
2. Codonopsis Dang Shen is usually used in place of Ginseng in 2–3 times the dose.
3. Mania or Psychosis, increase the dose of Rhubarb
4. Strong Liver Heat with Vertigo, Headache, Nightmares, add Gentian Long Dan Cao and Self Heal (Xia Ku Cao).
5. Seizures, add Salvia Dan Shen
6. Seizures, Epilepsy with Phlegm obstruction, add Calamus (Shi Chang Pu), Polygala (Yuan Zhi), Bile-prepared Ariseama Dan Nan Xing.
7. Postconcussion Syndrome, use wine-fried Rhubarb and add Ligusticum Chuan Xiong, Notoginseng San Qi.
8. Palpitations and Insomnia associated with Hypertension, add Uncaria Gou Teng and Gastrodia Tian ma.

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