Bupleurum & Angelica

Bupleurum & Angelica

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Bupleurum & Angelica

This formula is meant for the treatment of pediatric food stagnation transforming into heat and ascending through internal branches of the large intestine channel to steam and fume in the region of the ear. This pattern is commonly seen in pediatric otitis media characterized by pain, fever, restlessness, eartugging, but no purulent discharge. Commonly, children with this pattern exhibit the complication of spleen vacuity.*

This formula is based on Zhang Zhongjing’s Xiao Chai Hu Tang. However, it is not being used as a harmonizing formula, or at least not to harmonize the constructive and defensive. It is also difficult to definitively diagnose an exterior pattern in infants due to inability to question and to reliably feel the pulse, remembering that the defining characteristics of a wind heat exterior pattern are emission of heat (i.e., fever), chills, sore throat, and a floating, rapid pulse. Chills and sore throat require the ability to verbally question to obtain, and it is often difficult to reliably detect a floating pulse in the inch position in extremely small, typically squirming patients. Therefore, in designing this primarily pediatric formula, it is the functions of the ingredients of Xiao Chai Hu Tang which are most important rather than classical descriptions of this formula.*

According to Chinese medical theory, infants’ spleens and stomachs are inherently immature. This means that they do not do their functions in an efficient and mature way. The functions of the stomach are to rotten and ripen and, after that, downbear the turbid. The functions of the spleen are to move and transform by upbearing the clear. Therefore, if the spleen and stomach do not do these functions, food may accumulate and stagnate in the stomach and intestines. Because stagnant food impedes the free flow of yang qi, yang qi may become depressed and transform into heat. Because heat is yang, it tends to travel upward along the yang channels of the large intestine, stomach, and gallbladder. Because the cranium is a bony box, heat counterflowing upwards may become trapped and then linger and brew in the cavities of this box, such as the ears, nose (including the sinuses), and throat, thus giving rise to otitis media, rhinitis/sinusitis, and laryngitis.*

Because a liverspleenstomach disharmony with depressive heat is so common in infants and young children, this formula can and has been used to treat a range of pediatric complaints associated with food stagnation, phlegm, dampness, turbidity, and heat evils.*



  • Fever*
  • Bad breath*
  • Restlessness and agitation which are*
  • Red face commonly worse in the evening*
  • Red fingernails, warm fingers and toes*
  • Torpid intake q Red, possibly dry lips*
  • Regurgitation of undigested food or curdled milk*
  • Possible constipation or diarrhea with putrid smell*
  • An engorged, purple red vein at the wind bar (Feng Guan)*


  • A blue vein at the root of the nose*
  • A tendency to loose stools*
  • Fatigue, listlessness*
  • Inherent immaturity*
  • Possible cold hands and feet*
  • A history of antibiotic use*

Bupleurum & Angelica

Bai Zhi (Radix Angelicae Dahuricae) 22 mg
Chuan Xiong (Rhizoma Chuanxiong) 22 mg
Huang Qin (Radix Scutellariae) 22 mg
Lian Qiao (Fructus Forsythiae) 18 mg
Jin Yin Hua (Flos Lonicerae) 18 mg
Chai Hu (Radix Bupleuri) 13.2 mg
Ban Xia (Rhizoma Pinelliae) 13.2 mg
Dang Shen (Radix Codonopsitis) 13.2 mg
Shan Zha (Fructus Crataegi) 13.2 mg
Ji Nei Jin (Endothelium Corneum Gigervae Galli) 13.2 mg
Shi Chang Pu (Rhizoma Acori Tatarinowii) 9 mg
Chen Pi (Pericarpium Citri Reticulatae) 9 mg
Da Zao (Fructus Jujubae) 9 mg
Gan Cao (Radix Glycyrrhizae) 5 mg

Administer two eyedroppers of this liquid every 2 - 3 hours, not to exceed 6 times per day. Typically, babies do not require large doses and commonly respond better to repeated small doses.

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*Your results may vary from those listed above.

*These statements have not been evaluated by the Food and Drug Administration.
*This product is not intended to diagnose, treat, cure or prevent any disease.

Since we do not know everything about your medical history and medications, please consult with your health care practitioner before implementing any new protocols and supplements. Do not construe any information listed on this site as a substitute for actual medical advice. The info you receive from us is not intended to replace medical advice by your doctor. Forrest Health, Inc. does not dispense medical advice, prescribe, or diagnose illness. We offer nutritional programs and supplements that support your health. The views and nutritional advice expressed by Forrest Health, Inc. are not intended to be a substitute for conventional medical service. If you have a medical condition, see your physician of choice.