Chaihu with Mangxiao Decoction，*Treatise on Cold Damage*.，In cases of cold damage lasting 13 days without resolution, with fullness in the chest and flanks accompanied by vomiting, and a tidal fever occurring in the late afternoon followed by mild diarrhea—this is fundamentally a Bupleurum syndrome. Purgation failed to induce bowel movement; the physician then administered a purgative pill, which paradoxically caused diarrhea. The Shaoyang syndrome has passed its meridian without resolution.
Chaihu with Mangxiao Decoction
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Formulas Name : Chaihu with Mangxiao Decoction
Chinese Name : 柴胡加芒消汤
Drug Formulation
2 liang 16 zhu of Bupleurum, 1 liang of Scutellaria, 1 liang of Ginseng, 1 liang of Licorice (roasted), 1 liang of Fresh Ginger (sliced), 20 zhu of Pinellia (the original text states “5 pieces, washed”), 4 jujubes (split open), and 2 liang of芒消.
Source
*Treatise on Cold Damage*.
Benefits
In cases of cold damage lasting 13 days without resolution, with fullness in the chest and flanks accompanied by vomiting, and a tidal fever occurring in the late afternoon followed by mild diarrhea—this is fundamentally a Bupleurum syndrome. Purgation failed to induce bowel movement; the physician then administered a purgative pill, which paradoxically caused diarrhea. The Shaoyang syndrome has passed its meridian without resolution.
Instructions for Use
Boil the above ingredients in 4 sheng of water until reduced to 2 sheng; strain out the residue, add magnesium sulfate, and boil again until just simmering. Divide the decoction into two doses and take them warm; if the condition does not resolve, repeat the treatment.
Copyright: Excerpt from *Treatise on Cold Damage*., Copyright belongs to the Original Author and all original sources, This article was shared by DeDe on August 19, 2026, Please credit the source and include a link to the original article when reposting.
Terminology Proofreading: [Cheng Bo] | August 19, 2026 Reviewed by: [Wang Zhongxiang, Associate Chief TCM Physician (China)] | August 19, 2026
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Chaihu with Mangxiao Decoction,In cases of cold damage lasting 13 days without resolution, with fullness in the chest and flanks accompanied by vomiting, and a tidal fever occurring in the late afternoon followed by mild diarrhea—this is fundamentally a Bupleurum syndrome. Purgation failed to induce bowel movement; the physician then administered a purgative pill, which paradoxically caused diarrhea. The Shaoyang syndrome has passed its meridian without resolution.