dà chái hú tāng is used for patterns with
concurrent shao yang and yang ming, clumping heat in the upper jiao, gallbladder attacking the stomach, liver and gallbladder fire.
symptoms indicating the use of dà chái hú tāng
alternating fever and chills, fullness in the chest and hypochondria with or without pain, bitter taste, nausea or vomiting, hard focal distention or fullness and pain in the epigastrium, burning diarrhea or constipation, irritability, fidgeting, despondency, headache, tinnitus, diminished hearing, diminished vision, red eyes, manic behavior, asthma, mental instability.
western interpretation of dà chái hú tāng
acute gastroenteritis, gastrointestinal flu, dysentery, cholecystitis, cholelithiasis, acute pancreatitis, hepatitis, pleurisy, peritonitis, migraine headache, trigeminal neuralgia, malignant hypertension, malaria.
explanation of the mechanism
this is a concurrent shao yang (lesser yang)- and yang ming (brightness)-stage disorder.
the alternating fever and chills, sensation of fullness in the chest and hypochondria, bitter taste in the mouth, vomiting, and wiry pulse are indicative of a shao yang-stage disorder.
the sensation of firm masses or distention and pain in the epigastrium, absence of bowel movements or hot, burning diarrhea, yellow coating on the tongue, and forceful pulse are indicative of a yang ming organ-stage disorder.
it is not uncommon to find a flooding or excessive pulse. the symptoms of uncontrolled vomiting, despondency, and irritability will be more severe than the occasional vomiting and irritability associated with a purely shao yang condition. in terms of organ-pattern differentiation, this condition is viewed as heat excess in the gallbladder and stomach. one of the key symptoms from this perspective is the continuous vomiting. this reflects the concept that vomiting is not an intrinsic problem of the stomach, but only occurs when the stomach is attacked by gallbladder qi.
(bensky & barolet)
important note: if you experience symptoms that resemble the ones presented in the tcm pocketguide please consult a medical doctor or tcm therapist. these prescriptions are not meant for self-medication and should only be prescribed by a licensed tcm practitioner. of course you can also book a consultation with me. i would be pleased to welcome you.
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