Source: Jingui Yaolue (Synopsis of Prescriptions of the Golden Cabinet).

Ingredients:
No.1  Chaihu (Radix Bupleuri) 15 g
No.2  Huangqin (Radix Scutellariae) 9 g
No.3  Shaoyao (Radix Paeoniae) 9 g
No.4  Banxia (Rhizoma Pinelliae) 9 g
No.5  Zhishi (Fructus Aurantii Immaturus) 12 g
No.6  Dahuang (Radix et Rhizoma Rhei) 6 g
No.7  Shengjiang( Rhizoma Zingiberis Recens) 12 g
No.8  Dazao (Fructus Ziziphi Jujubae) 5 pcs

Administration:
Decoct the above drugs in water for oral application.

Actions:
Mediating shaoyang and purging heat accumulation.

Clinical Application:
This recipe is used to treat combined disease of shaoyang and yangming, marked by alternate attack of chill and fever, fullness in the chest and hypochondrium, vomiting, bitter mouth, epigastric fullness and pain or stuffiness and fullness, constipation or diarrhea, thick yellowish fur, taut rapid and forceful pulse. It is applicable to acute cholecystitis, cholelithiasis, acute pancreatitis, gastroduodenal ulcer and other diseases, which pertain to combined disease of shaoyang and yangming and are characterized by alternate attack of chill and fever and abdominal pain with constipation. Ingredient No. 3 should be selected according to clinical needs, that is, Baishaoyao (Radix Paeoniae Alba ) is recommended for relieving spasm or pain and Chishaoyao (Radix Paeoniae Rubra ) for clearing away heat and cooling blood.

If concomitant with jaundice, add Yinchenhao ( Herba Artemisiae Scopariae ) and Zhizi ( Fructus Gardeniae) to relieve jaundice by clearing away heat and Promoting diuresis. In case of sharp hypochondriac and epigastric pain, add Chuanlianzi (Fructus Meliae Toosendan) and Yanhusuo (Rhizoma Corydalis) to promote the circulation of both qi and blood for relieving pain. In case of incessant vomiting, add Zhuru (Caulis Bambusae in Taeniam) (prepared with ginger decoction), Huanglian ( Rhizoma Coptidis ) and Daizheshi (Ochra Haematitum) to descend the adverse rising qi and regulate the stomach for relieving vomiting. In case of biliary duct calculi, add Yujin (Radix Curcumae), Jinqiancao (Herba Lysimachiae) and Haijinsha (Spora Lygodii) to disperse stagnated liver-qi, promote discharge of bile, and remove stones.
 
Elucidation:
The syndrome is due to unrelieved pathogenic factors in shaoyang that affect yangming and cause excessive accumulation of heat and indigested food in the intestine. It should be treated with mediating method to purge away heat accumulation from shaoyang. The first ingredient in larger dosage is meant to dispel pathogenic factors and ingredient No. 2 to purge heat from shaoyang, both being the primary drugs for treating shaoyang disease and acting as monarch drug in this recipe. Ingredient No. 6 in smaller dosage and ingredient No.5 are the primary drugs for purging away heat accumulation and serve as minister drug, the former for purging away heat to relieve constipation and the latter removing stagnation of qi.

Used as adjuvant drug, ingredient No. 3 bears the function of relieving spasm or pain, and ingredients No. 4 and No. 7 regulating the stomach and descending the adverse rising qi. The last ingredient serves as guiding drug to regulate the properties of other drugs. This recipe is actually prepared on the basis of Xiao Chaihu Tang and Da Chengqi Tang with modification, the combination of which generates the result of removing pathogenic factors from shaoyang in the exterior and purging away heat accumulated in yangming in the interior.

Cautions:
Since this recipe, with a larger dosage of the first ingredient, is expected mainly to treat shaoyang disease, it is unfit for the case of both shaoyang and yangming disease with the latter prevailing.