Herb Formulas Notebook

Qing Bi Tang

Clear the Nose Decoction

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Source: Nakakura Pharmacy in Japan (19th Century)

Category: Formulas that Release the Exterior

Pattern: Nasal obstruction as a result of Taiyang or Yangming syndromes

Key Symptoms: Nasal congestion, rhinitis or sinusitis
Secondary Symptoms: Taiyang symptoms with headaches, chills and fever and aversion to drafts, or Yangming symptoms with fever, diarrhoea and vomiting.

Pulse: Tight or rapid

Ge Gen 12g
Yi Yi Ren 10g
Jie Geng 9g
Xin Yi 8g
Ma Huang 7g
Bai Shao 7g
Gui Zhi 7g
Shi Gao 4g
Chuan Xiong 3.5g
Da Huang 3.5g
Zhi Gan Cao 2g
Sheng Jiang 3sl

In the UK Shi Gao has to be replaced. It may be removed if treating a Wind-Cold presentation or substituted if treating a Yangming Hot presentation.

If signs of cold predominate with clear nasal discharge, chills and a tight pulse, remove Shi Gao and Da Huang and add Bai Zhi and Cang Er Zi.

If signs of Heat predominate with thick yellow nasal discharge, thirst, a hot sensation in the nose and a rapid pulse then reduce Ma Huang, remove Gui Zhi and add Huang Qin and Chi Shao.

If there is Yangming Heat signs with vomiting and diarrhoea, add Ban Xia.

For acute allergic rhinitis Cang Er Zi, Huang Qin and Chi Shao are often added.

Preparation: Decoction.

Actions: Releases pathogens from the Exterior, clears Heat, resovles toxicity, unblocks the nasal passages

Research Links:
Science Direct
Google Scholar
Journal of Chinese Medicine
American Dragon

Reference Notes: (click to display)

These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.