Bupleurum

The great harmonizer, releasing tension and soothing the Liver.

Also known as: Bupleurum chinense • Chai Hu • Thorowax Root

other Names
Bupleurum chinense, Chai Hu, Hare's Ear Root
primary Benefits
Relieves stress and irritability, harmonizes digestion, resolves fever.
common Dose
3-9 grams in decoction.
best Form
Vinegar-fried root
timing
As part of a formula, taken between meals.
safety Rating
Safe, but requires correct diagnosis

Overview

Bupleurum, or Chai Hu, is a pivotal herb in Chinese medicine for dredging the Liver and relieving constraint. It is not a tonic, but a regulator. It is used when Liver Qi becomes stagnant due to stress, causing symptoms like irritability, chest tightness, and digestive upset. It is also used to harmonize the interior and exterior to resolve fevers, particularly alternating chills and fever.

Key Benefits

Stress and Emotional Regulation

As the premier herb for stagnant Liver Qi, it is used to treat the physical and emotional symptoms of stress, such as frustration, mood swings, and a sensation of being 'stuck'.

Harmonizes Shao Yang Stage Illness

It is the chief herb for treating illnesses characterized by alternating chills and fever, a bitter taste in the mouth, and flank pain.

Relieves Tension and Pain

It soothes the flow of Qi, relieving tension headaches, rib-side pain, and premenstrual symptoms like breast tenderness.

Lifts Sunken Qi

In combination with tonics, it can be used to lift the Qi in cases of organ prolapse.

Dosage & How to Take

The typical dose is 3-9 grams in a decoction. The dose and preparation method vary depending on the intended action.

PurposeDoseNotes
Liver Qi Stagnation6-9g per dayUse vinegar-fried Bupleurum (Cu Chai Hu) to enhance its Liver-soothing action.
Fever Reduction9-12g per dayUse the raw form (Sheng Chai Hu) for a stronger fever-reducing effect.

Best Time to Take

Best taken between meals so as not to interfere with digestion.

With or Without Food

Should be taken away from food.

Forms & Bioavailability

FormAbsorptionBest ForNotes
Dried RootGoodDecoctionsCan be used raw (Sheng) for clearing heat or fried with vinegar (Cu) for soothing the Liver.
ExtractHighTablets, capsulesOften found in popular patent formulas like 'Xiao Yao San' (Free and Easy Wanderer).

Side Effects & Safety

Common

  • Generally safe when used for the correct pattern. Can cause nausea or upset stomach in some people.

Rare

  • May cause dizziness or headache if used incorrectly.

Contraindications

  • Strongly contraindicated in cases of Liver Yin deficiency or Liver Yang rising, as its acrid, dispersing nature can worsen these conditions. Not for long-term use without a clear diagnosis of Qi stagnation.

Interactions

InterferonModerate

Some studies suggest Bupleurum may increase side effects of interferon therapy, such as fever.

Scientific Research

2021Frontiers in Pharmacology

The potential of Bupleurum species in the treatment of inflammatory diseases

Saikosaponins, the active compounds in Bupleurum, have demonstrated significant anti-inflammatory, hepatoprotective, and immunomodulatory effects in numerous studies.

Food Sources

Not a food source.

Frequently Asked Questions

Medical Disclaimer

This content is for educational and informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare professional before starting any supplement regimen, especially if you have pre-existing health conditions or are taking medications. The statements on this page have not been evaluated by the Food and Drug Administration.