Xiao Chai Hu Tang
Classical TCM Formula Profile
Part of the HJMEDICAL TCM Discovery Center
小柴胡汤 · Xiǎo Chái Hú Tāng
The foundational Shaoyang harmonising formula. Alternating chills and fever, bitter taste, dry throat, dizziness, chest and rib-side fullness, and a wiry pulse are classic presentations.
Read the complete guide →Quick Facts
- Formula Category
- Harmonising Formulas
- Primary Pattern
- Qi Stagnation
- Primary Function
- Harmonise Shaoyang, release the pivot
- Primary Therapeutic Principle
- Harmonise the Shaoyang pivot and regulate cold-heat
- Classical Source
- Shang Han Lun (Zhang Zhongjing, Eastern Han)
- Available as Granules
- Yes
Formula Overview
The foundational Shaoyang harmonising formula. Alternating chills and fever, bitter taste, dry throat, dizziness, chest and rib-side fullness, and a wiry pulse are classic presentations.
Therapeutic Principle
Traditionally selected as the first-line formula for clear Shaoyang presentations — the pivot-harmonising standard from which many Chai Hu family formulas derive.
Composition: Sovereign, Minister, Assistant, Envoy
Every herb in the formula, grouped by the job it does in the classical hierarchy.
- clears heat from the half-interior aspect of shaoyang
- harmonizes the stomach and directs counterflow downward to stop vomiting
- dries dampness and activates the spleen to avoid qi stagnation and fluid congestion
- boosts qi and reinforces zheng qi
- assists zheng qi to dispel pathogens prevent the inward transmission of pathogens
- harmonizes the stomach and directs counterflow downward to stop vomiting
- assists chai hu to vent the external pathogens
- assists ren shen and da zao to boost qi
- harmonizes the other ingredients
- assists ren shen and da zao to boost qi
- harmonizes the other ingredients
Classical Composition
- Bupleuri Radix (Chai Hu) 0.5 jin (24g)
- Scutellariae Radix (Huang Qin) 3 liang (9g)
- Ginseng Radix et Rhizoma (Ren Shen) 3 liang (9g)
- Pinelliae Rhizoma (Ban Xia) 0.5 sheng (9g)
- Glycyrrhizae Radix et Rhizoma(Zhi Gan Cao) 3 liang (9g)
- Zingiberis Rhizoma Recens (Sheng Jiang) 3 liang (9g)
- Jujubae Fructus (Da Zao) 12 pieces (3g)
Dosages follow the classical source and are shown for study, not as a prescription.
Related Conditions
Related Health Topics
Actions
- Harmonizes the shaoyang.
Indications
- 1.
- Cold damage entering the shaoyang.
- The symptoms are alternating chills and fever, fullness and discomfort in the chest and rib-side, no desire to eat or drink, vexation and frequent vomiting, bitter taste in the mouth, dry throat, dizzy vision, a thin white tongue coating, and a wiry pulse. 2.
- Heat entering the blood chamber (uterus).
- The symptoms are feminine wind-invasion syndrome, inhibited menstrual flow, periodic alternating chills and fever, malaria, and jaundice when the patient shows signs of a shaoyang pattern.
Traditional Pathogenesis
Cause & mechanism
- The shaoyang channel passes through the chest and covers the rib-side, and is located between the taiyang and yangming.
- When cold damage invades the shaoyang, which belongs to half-exterior half-interior, struggle between pathogenic qi and zheng qi causes alternating chills and fever.
- The foot shaoyang channel starts from the inner canthus, a branch enters the chest and diaphragm, connects the liver and gallbladder, and circulates though the rib side of body.
- Pathogens constrained in the shaoyang transform into heat.
- Gallbladder fire harasses the upper body, which causes fullness and discomfort in the chest and rib-side, vexation, a bitter taste in the mouth, dry throat, and dizzy vision.
- When gallbladder heat invades the stomach, it leads to the failure of the stomach qi to harmonize and direct counterflow downward.
- If women contract wind pathogens during their menstrual period, the combination of the inward transmission of pathogenic heat with blood stasis may cause their qi to flow irregularly, cease their menstruation and develop periodic alternating chills and fever.
- The sweating method can be used to release exterior pathogens, and the emetic and purgative methods are applicable for interior pathogens.
- However, since the pathogen is located at half exterior and half interior, the sweating, emetic, and purgative methods are all inappropriate.
- Only the harmonizing method can be used.
Clinical presentation
- This causes qi to rise and the patient may lose their desire to eat or drink and develop frequent vomiting and a bitter taste in the mouth.
Treatment strategy
- The treatment principle is to harmonise the Shaoyang pivot and regulate cold-heat.
How does this formula compare?
Clinical Perspective
Xiao Chai Hu Tang is the base Shaoyang formula. Da Chai Hu Tang combines Shaoyang and Yangming purge. Chai Hu Gui Zhi Gan Jiang Tang addresses Shaoyang with fluid accumulation. Chai Hu Jia Long Gu Mu Li Tang adds heavy settling for spirit disturbance.
Clinical Differentiation
- Xiao Chai Hu Tang is not only the fundamental formula for treating shaoyang syndrome, but also a representative formula for harmonizing shaoyang.
- This clinical pattern is marked by alternating chills and fever, fullness and discomfort in the chest and rib-side, no desire to eat or drink, vexation and frequent vomiting, bitter taste in the mouth, dry throat, dizzy vision, thin white coating, wiry pulse.
Safety notes: In this formula, chai hu has an ascending and dissipating action, while huang qin and ban xia have a drying action. Therefore, it should not be prescribed to treat patients with yin or blood deficiency.
For educational reference only, based on traditional pattern differentiation — not a substitute for professional advice.
Frequently Asked Questions
What are the actions of Xiao Chai Hu Tang?
Which modern diseases is Xiao Chai Hu Tang suited to?
Is Xiao Chai Hu Tang suitable for improving alternating chills and fever, bitter taste, and chest/hypochondriac fullness?
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Xiao Chai Hu Tang: Classic TCM Formula for Shao Yang Disorder, Alternating Fever & Chills
Chai Hu Jia Long Gu Mu Li Tang: Classic TCM Formula for Fullness in Chest, Irritability & Shen Disturbance
Da Chai Hu Tang: Classic TCM Formula for Combined Shaoyang & Yangming Disorder
Chai Hu Gui Zhi Gan Jiang Tang: Classic TCM Formula for Shao Yang Disorder with Fluid Retention & Cold
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Medical Disclaimer
For general TCM education only — not medical advice. Consult a qualified TCM practitioner or licensed healthcare provider before use, especially if pregnant, nursing, on medication, or managing a chronic condition.
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