Major Bupleurum Decoction，From *Yi Jian Fang*.，For cases of cold damage lasting more than ten days, with heat concentrated internally, characterized by alternating chills and fever; or tightness beneath the heart, a sense of oppression, and mild restlessness; or a white coating on the tongue and constipation; or fever accompanied by sweating; or abdominal distension and pain; or fever in the late afternoon resembling malaria; or, on the sixth or seventh day, a dazed state, blurred vision, no signs of exterior or interior syndrome, difficult bowel movements, and a slight fever.
Major Bupleurum Decoction
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Formulas Name : Major Bupleurum Decoction
Chinese Name : 大柴胡汤
Drug Formulation
2 liang of Bupleurum, 3 fen of Pinellia, 3 fen of Scutellaria, 3 fen of licorice, half a liang of Zhi Shi, and 1 liang of rhubarb.
Source
From *Yi Jian Fang*.
Benefits
For cases of cold damage lasting more than ten days, with heat concentrated internally, characterized by alternating chills and fever; or tightness beneath the heart, a sense of oppression, and mild restlessness; or a white coating on the tongue and constipation; or fever accompanied by sweating; or abdominal distension and pain; or fever in the late afternoon resembling malaria; or, on the sixth or seventh day, a dazed state, blurred vision, no signs of exterior or interior syndrome, difficult bowel movements, and a slight fever.
Instructions for Use
Coarsely crush the ingredients. For each dose, take 5 qian of the mixture, add 1.5 zhan of water, 7 slices of fresh ginger, and 1 jujube; decoct until reduced to 6 fen, strain out the residue, and take before meals.
Note
Once the fever has subsided, do not immediately take tonic herbs. Continue to avoid mutton, kidneys, alcohol, and hard-to-digest foods. Abstain from sexual intercourse.
Copyright: Excerpt from From *Yi Jian Fang*., Copyright belongs to the Original Author and all original sources, This article was shared by DeDe on August 20, 2026, Please credit the source and include a link to the original article when reposting.
Terminology Proofreading: [Cheng Bo] | August 20, 2026 Reviewed by: [Wang Zhongxiang, Associate Chief TCM Physician (China)] | August 20, 2026
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Major Bupleurum Decoction,For cases of cold damage lasting more than ten days, with heat concentrated internally, characterized by alternating chills and fever; or tightness beneath the heart, a sense of oppression, and mild restlessness; or a white coating on the tongue and constipation; or fever accompanied by sweating; or abdominal distension and pain; or fever in the late afternoon resembling malaria; or, on the sixth or seventh day, a dazed state, blurred vision, no signs of exterior or interior syndrome, difficult bowel movements, and a slight fever.