Who should not take Xiao Chai Hu (Minor Bupleurum Formula)?

Sep 02, 2025 Source: Cainiu Health
Dr. Sun Lianqing
Introduction
Generally speaking, there is no specific saying that "three types of people should not take Xiao Chai Hu (Minor Bupleurum Formula)." However, individuals with cold-induced common cold, heat-induced common cold, spleen and stomach deficiency-cold, allergies to ingredients in Xiao Chai Hu, as well as pregnant and lactating women are usually advised against taking Xiao Chai Hu to avoid potential health risks or worsening of symptoms. Before taking Xiao Chai Hu, one should first identify their symptoms and body constitution to determine whether it is suitable.

Generally speaking, there is no established saying that specifies "which three types of people cannot take Xiao Chai Hu (Minor Bupleurum Formula)." Typically, Xiao Chai Hu should not be taken by individuals with cold-type common colds, heat-type common colds, those with deficiency-cold in the spleen and stomach, individuals allergic to any components of Xiao Chai Hu, pregnant women, or lactating women, to avoid adverse effects on health or worsening of symptoms. Detailed explanations are as follows:

1. Individuals with Cold-type Common Colds: Xiao Chai Hu is primarily suitable for treating Shao Yang syndrome-type colds, characterized by alternating chills and fever, fullness and distension in the chest and hypochondrium, and similar symptoms. Patients with cold-type common colds typically experience severe chills, mild fever, absence of sweating, and clear nasal discharge. Taking Xiao Chai Hu would not address the condition effectively and may cause the cold pathogen to linger in the body due to the medicine's properties, thereby worsening the symptoms of the cold.

2. Individuals with Heat-type Common Colds: Heat-type common colds often present with high fever, sore throat, yellow nasal discharge, and cough with thick yellow phlegm. Treatment should primarily focus on clearing heat and dispersing wind pathogens. Xiao Chai Hu has a relatively neutral nature and mainly acts to harmonize the Shao Yang aspect, making it ineffective for clearing heat pathogens. Taking Xiao Chai Hu may delay recovery and be detrimental to resolving the cold symptoms.

3. Individuals with Spleen and Stomach Deficiency-Cold: Those with spleen and stomach deficiency-cold often experience symptoms such as abdominal pain, diarrhea, cold intolerance, and poor appetite. Certain ingredients in Xiao Chai Hu may irritate the spleen and stomach, increasing their burden and potentially worsening symptoms like abdominal pain and diarrhea, thus impairing gastrointestinal function.

4. Individuals Allergic to Components of Xiao Chai Hu: Those allergic to Xiao Chai Hu may experience allergic reactions such as itching, rashes, or difficulty breathing after ingestion. In severe cases, allergic reactions may endanger health, so taking Xiao Chai Hu must be strictly avoided.

5. Pregnant and Lactating Women: Due to the unique physiological state of pregnant women, the components of Xiao Chai Hu may pass through the placenta and affect fetal development. For lactating women, medication components may enter the infant's body through breast milk, potentially harming the infant's health. Therefore, these two groups should avoid taking Xiao Chai Hu unless under the evaluation and guidance of a physician.

Before taking Xiao Chai Hu, it is important to clearly identify your symptoms and constitution to determine its suitability. If uncertain about your condition, consult a healthcare professional to avoid self-medicating. Additionally, follow medical advice or the instructions on the medication label, and do not adjust the dosage or prolong the duration of use without supervision.