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.

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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.

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?

Compare Xiao Chai Hu TangDa Chai Hu TangChai Hu Gui Zhi Gan Jiang TangChai Hu Jia Long Gu Mu Li Tang
Primary Function Harmonise Shaoyang, release the pivotHarmonize Shaoyang, drain interior heat, move stoolHarmonise Shaoyang, warm and transform fluidsHarmonise Shaoyang, calm the spirit, relieve constraint
Formula Category Harmonising FormulasHarmonising FormulasHarmonising FormulasCalm the Shen Formulas
Typical TCM Pattern Qi StagnationShaoyang SyndromeQi StagnationQi Stagnation
Main Conditions Fever·Chest Tightness·Nausea·Poor AppetiteFever·Constipation·Abdominal Pain·NauseaFever·Chest Tightness·Dry Mouth & Throat·Abdominal PainAnxiety Restlessness·Insomnia·Chest Tightness·Emotional Depression
Main Herbs Bupleurum Root·Scutellaria / Baikal Skullcap·Pinellia Rhizome·Ginseng Root·Fresh GingerBupleurum Root·Scutellaria / Baikal Skullcap·Pinellia Rhizome·Rhubarb Root and Rhizome·Immature Bitter OrangeBupleurum Root·Cinnamon Twig·Dried Ginger·Trichosanthes Root·Scutellaria / Baikal SkullcapBupleurum Root·Dragon Bone / Fossilized Bone·Oyster Shell·Scutellaria / Baikal Skullcap·Ginseng Root
Classical Source Shang Han Lun (Zhang Zhongjing, Eastern Han)Shang Han Lun (Zhang Zhongjing, Eastern Han)Shang Han Lun (Zhang Zhongjing, Eastern Han)Shang Han Lun (Zhang Zhongjing, Eastern Han)

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?
Xiao Chai Hu Tang has the actions of harmonizing Shao Yang, venting the pathogen from the half-exterior half-interior level, regulating the Liver and Stomach, and supporting upright Qi. It is the primary formula for resolving disorders lodged in the Shao Yang pivot.
Which modern diseases is Xiao Chai Hu Tang suited to?
Modern TCM clinical practice commonly applies it to individuals whose pattern differentiation falls within Shao Yang disharmony, including certain lingering or recurrent viral infections with alternating chills and fever, chronic hepatitis or cholecystitis of this pattern, digestive disorders with Liver-Stomach disharmony, and some presentations of premenstrual or emotional constraint that match the Shao Yang signs.
Is Xiao Chai Hu Tang suitable for improving alternating chills and fever, bitter taste, and chest/hypochondriac fullness?
For presentations of alternating chills and fever, fullness or discomfort in the chest and hypochondrium, bitter taste in the mouth, dry throat, dizziness, irritability, reduced appetite or nausea, a thin white tongue coating, and a wiry pulse — in those whose pattern differentiation confirms Shao Yang stage disorder — TCM commonly applies Xiao Chai Hu Tang as an adjunct. It cannot replace standard medical evaluation of fever or underlying conditions.
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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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