Chai Ling Tang

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柴苓汤 (Bupleurum and Poria Decoction)

Source: Shen Shi Zun Sheng Shu — Shen Jin-Ao (1773)

Last updated October 1, 2026

Not yet clinically reviewed

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Description

Chai Ling Tang (Bupleurum and Poria Decoction), from the Shen Shi Zun Sheng Shu (Master Shen's Book for Revering Life) by Shen Jin-Ao.

Actions: Harmonizes the exterior and interior to relieve shaoyang syndrome; Dispels water stagnation and phlegm accumulation.

Presentation: Shaoyang syndrome with water accumulation: alternating chills and fever, thirst, bitter taste, anorexia, edema, chest and hypochondriac fullness and oppression, vomiting and diarrhea with water intake, white tongue coating.

Composition: Herbs listed without doses; formula combines Xiao Chai Hu Tang and Wu Ling San.

Herb–drug interactions:

  • CYP inhibition: competitive inhibitor of CYP3A4 (Ki 0.1 mg/mL), CYP2C9 (Ki 0.7-0.8 mg/mL) and CYP1A2 (>68% inhibition), not CYP2D6; caution with concurrent drugs
  • Ofloxacin: no significant effect on bioavailability in 7 volunteers

Pharmacological effects reported:

  • Diuretic: 10x normal dose in rats markedly increased water and sodium excretion over 24 h; one month of use reduced weight without adverse reactions; mediated by nitric oxide
  • Endocrine: 0.01-1.0 g/kg in rats raised plasma ACTH and lowered corticotropin-releasing factor
  • Nephroprotective: suppressed proteinuria in passive Heymann nephritis in rats, lowering serum albumin, total protein and cholesterol

Source: Chen JK, Chen TT. Chinese Herbal Formulas and Applications: Pharmacological Effects & Clinical Research. Art of Medicine Press, 2009, p. 222.

Composition

Herb Amount % Role Function
Chai Hu
as printed: Chai Hu (Radix Bupleuri)
g — Xiao Chai Hu Tang component: harmonizes shaoyang
Ban Xia
as printed: Ban Xia (Rhizoma Pinelliae)
g — Xiao Chai Hu Tang component
Huang Qin
as printed: Huang Qin (Radix Scutellariae)
g — Xiao Chai Hu Tang component
Ren Shen
as printed: Ren Shen (Radix et Rhizoma Ginseng)
g — Xiao Chai Hu Tang component
Gan Cao
as printed: Gan Cao (Radix et Rhizoma Glycyrrhizae)
g — Xiao Chai Hu Tang component
Bai Zhu
as printed: Bai Zhu (Rhizoma Atractylodis Macrocephalae)
g — Wu Ling San component: resolves dampness
Zhu Ling
as printed: Zhu Ling (Polyporus)
g — Wu Ling San component
Fu Ling
as printed: Fu Ling (Poria)
g — Wu Ling San component
Ze Xie
as printed: Ze Xie (Rhizoma Alismatis)
g — Wu Ling San component
Gui Zhi
as printed: Gui Zhi (Ramulus Cinnamomi)
g — Wu Ling San component: promotes the flow of yang qi

Preparation

Combination of Xiao Chai Hu Tang and Wu Ling San; refer to those formulas.

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Formula family

Each entry reads as the larger formula written out: “+” adds its other catalogue cores, then the herbs none of them hold. A catalogue formula counts as a core only when at least 80% of its herbs are present, no more than 1 is absent, and the absent herb is not its chief.

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Traditional formula information is for educational purposes only. Herbal formulas should be prescribed by a qualified practitioner — dosages and combinations are individualized and can interact with medications.

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