Medicina China HoyTraditional Chinese Medicine
Medicinal herb · Qi-regulating herbs

Chái Hú · Bupleurum Root

Chái Hú (柴胡, Bupleurum Root) is a herb of Cool nature and Bitter, Pungent flavor, in the “Qi-regulating herbs” category. Tradition uses it to release Exterior, Resolve Shao Yang, Soothe Liver and Regulate Qi.

柴胡 · Chái HúUpdated on

Energetic profile

Pinyin name
Chái Hú
Characters
柴胡
Botanical name
Bupleurum chinense DC.
Family
Apiaceae
Part used
Root
Nature
Cool
Flavor
Bitter, Pungent
Meridians
Gallbladder, Liver, Pericardium, Triple Burner
Category
Qi-regulating herbs
Toxicity
Non-toxic
Pregnancy
Avoid
Origin
China

Actions according to tradition

  • Release Exterior
  • Resolve Shao Yang
  • Soothe Liver and Regulate Qi
  • Raise Yang Qi

Traditional uses

  • Alternating fever and chills (Shao Yang patterns)
  • Liver qi stagnation with emotional depression
  • Hypochondriac pain and flank distension
  • Irregular menstruation from liver qi stagnation
  • Prolapse of internal organs

Studied effects and current applications

  • Harmonizes lesser yang stage disorders (alternating fever/chills)
  • Spreads liver qi and relieves depression
  • Raises sunken qi (prolapse, diarrhea)
  • Clears liver heat and gallbladder damp-heat
  • Relieves chest and flank distension from qi stagnation

Applications under investigation

  • Depression and anxiety from liver qi stagnation
  • Chronic hepatitis and liver disease
  • PMS and menopausal syndrome
  • Malaria and viral infections
  • Autoimmune conditions

An effect being investigated does not mean it has been proven in humans.

Contraindications and adverse effects

Absolute contraindications

  • Yin deficiency with excessive heat
  • Liver fire (excess type)

Relative contraindications

  • Pregnancy (first trimester)
  • True deficiency ascending yang
Pregnancy
Avoid in first trimester. Use cautiously later only in formulas.
Breastfeeding
Use cautiously. May decrease milk supply.
Children
Used in pediatric formulas for alternating fever/chills at reduced doses.
Older adults
Use cautiously in elderly with yin deficiency; combine with yin-nourishing herbs.

Possible adverse effects

  • Liver enzyme elevation (long-term high doses)
  • Nausea
  • Dizziness

When to stop

  • Signs of liver toxicity
  • Worsening of yin deficiency symptoms

Interactions with medications

GroupDrugsSeverityEffect and recommendation
Hepatotoxic drugsAcetaminophen, Statins, IsoniazidSevereRisk of additive hepatotoxicity with long-term use Monitor liver enzymes. Avoid long-term high-dose combination.
ImmunosuppressantsCyclosporine, TacrolimusModerateMay affect immune function and drug metabolism Use with medical supervision
Antidepressants (SSRI)Fluoxetine, SertralineMildPossible additive effect on serotonin pathways Monitor mood

With other herbs

  • bai_shao Classic harmonizing combination for liver Qi stagnation

Reference dose

Decoction
3-9 grams daily (up to 15g for malaria)
Powder
1-3 grams daily
Tincture
2-4 ml (1:5) 3 times daily
Acute use
1-2 weeks
Chronic use
4-6 weeks
Maximum
Avoid continuous long-term use (can dry yin)
Children
Safe in children at reduced doses.

Forms of preparation

Decoction

Simmer 3-9g in 3 cups water 30 min. Take before meals.

Harmonizing, liver qi stagnation

Powder

Mix 1-3g powder with warm water twice daily.

Liver regulation, convenience

Approximate doses from the literature; they are not a prescription. Consult a professional.

Active compounds

Saikosaponins (triterpenes) and essential oils

Saikosaponin a (SSa)

Oleanolic triterpene saponin · Anti-inflammatory, hepatoprotective, antidepressant, antiviral

NF-κB and IL-6 inhibition, HPA axis modulation, viral replication inhibition · 0.3-0.8% in root

Saikosaponin b1, b2, c, d

Triterpene saponins · Immunomodulator, hepatoprotective, antitumor

TH1/TH2 modulation, apoptosis induction, hepatocyte protection · 0.2-0.6% total

Bornyl acetate and other terpenes (essential oil)

Terpenes and esters · Antipyretic, carminative

Reduction of prostaglandin synthesis, diaphoretic effect · 10-40% of the essential oil

Rutin and quercetin

Flavonols · Antioxidant, anti-inflammatory, capillaroprotective

Radical scavenging, aldose reductase inhibition, vascular permeability reduction · 0.05-0.2%

Harvesting and processing

Harvest
Spring (March-April) or autumn (September-October)

Roots harvested in spring before sprouting or in autumn after the plant has dried. The roots from northern China (北柴胡, Bupleurum chinense) are the highest quality.

Raw (生柴胡 Shēng Chái Hú)

Root cleaned, softened briefly to facilitate cutting, sliced and dried in the sun. Triterpenoid saponins (saikosaponins) are the main active ingredients.

Fried with vinegar (醋柴胡 Cù Chái Hú)

Slices sprinkled with rice vinegar (20 ml per 100 g) and fried over medium heat. Vinegar directs the action towards the Liver.

Formulas it appears in

Health notice. Educational and study content. It describes concepts of Traditional Chinese Medicine and does not replace diagnosis or treatment by a healthcare professional. Needling, medicinal herbs and invasive techniques must be applied by trained professionals. Safety guide.