Recipes of Chinese herbs for hypochondrium pain caused by a pathogenic factor staying in Shaoyang

In traditional Chinese medicine, the pain of hypochondrium has five syndromes. This article is about the syndrome caused by a pathogenic factor staying in Shaoyang.

What is Shaoyang? Zhang Zhongjing, the medical sage of ancient China, created the theory of differentiating syndromes based on six meridians. Shaoyang is one of six meridians, and it indicates the half superficial and half interior position. In the theory of twelve meridians, Shaoyang meridians include the triple-Jiao meridian of hand-Shaoyang and the gallbladder meridian of foot-Shaoyang.

When the pain of hypochondrium is caused by a pathogenic factor staying in Shaoyang, the person feels fullness, tightness and pain in the chest and the hypochondrium, and he has cold feeling and fever alternately. He feels something bitter in his mouth, and his throat feels dry. He suffers from headache and dizziness. He is fidgety, and he often wants to vomit. The coating of the tongue is thin and white or slightly yellow, and the pulse is taut like a string.

The treatment principle is to restore the harmony in Shaoyang, and the representative recipe is Xiao Chai Hu Tang.

The recipe Xiao Chai Hu Tang contains Chai Hu (24 g), Huang Qin (9 g), Ban Xia (9 g), Ren Shen (9 g), Zhi Gan Cao (9 g), Sheng Jiang (9 g) and Da Zao (4, quantity).

If the symptoms caused by the stasis of liver Qi are seen, the recipe may remove Ren Shen, but add Yu Jin, Zhi Ke, and Xiang Fu.

If the person feels very fidgety, the recipe may add Zhi Zi and Dou Chi.

If the person suffers from vomiting violently, the recipe may add Chen Pi and Zhu Ru.

The treatment principle should be to restore the harmony in Shaoyang and remove the stasis of heat, when the following symptoms are seen: the right hypochondrium feels strong pain; cold feeling and fever are alternate; skin and eyes are yellow; the person suffers from nausea and vomiting; he feels something bitter in his mouth, and he doesn’t have appetite; he suffers from constipation, and his urine is dark yellow and slightly reddish; the coating of tongue is yellow and looks like lard; the pulse is taut like a string and rapid. The recipe Da Chai Hu Tang (Chai Hu 24 g, Huang Qin 9 g, Bai Shao 9 g, Ban Xia 9 g, Zhi Shi 9 g, Da Huang 6 g, Da Zao 4 – quantity, Sheng Jiang 15 g) can be used for this case, and Mang Xiao which has strong purgative effect can be added as appropriate.


1. Zhang, Boli, & Wu, Mianhua. (2017). Internal Medicine of TCM. China Press of Traditional Chinese Medicine.

2. Li, Ji, & Lian, Jianwei. (2016). Recipes of Traditional Chinese Medicine. China Press of Traditional Chinese Medicine.


Some medicinal materials are not allowed to use in the EU. The knowledge of the article is based on the conditions of China. The actual use of medicinal materials in the EU complies with the regulations of the EU.

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