Herb Formulas Notebook

Qing Yi Tang

(Clear the Pancreas Decoction)

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Source: Integrated Chinese and Western Medical Treatment of the Acute Abdomen (1973)

Category: Formulas that Release Exterior-Interior Excess

Pattern: Acute Liver Qi stagnation and Heat

Key Symptoms: Stabbing, diffuse pain in the epigastrium that extends to the back, loss of appetite, alternating fever and chills, pain in the abdomen, constipation.
Secondary Symptoms: This formula was designed for use in acute pancreatitis.

Chai Hu 15g
Huang Qin 9g
Hu Huang Lian 9g
Bai Shao 9g
Yan Hu Suo 9g
Mu Xiang 9g (add near end)
Da Huang 15g (add near end)
Mang Xiao 9g (add to strained decoction)

In the UK Mang Xiao must be substituted with Yu Li Ren. Some additional modifications are also recommended in the source text:
  • For severe Dampness with jaundice, add Yin Chen, Zhi Zi and Long Dan Cao
  • For severe vomiting, add Zhi Ban Xia and Dai Zhe Shi (Xia Ku Cao and Zhu Ru in UK)
  • For severe pain, add Chuan Lian Zi and increase Yan Hu Suo
  • For Food Stagnation, add Lai Fu Zi, Shen Qu, Mai Ya and Shan Zha
  • For fullness of the chest, add Hou Po and Zhi Shi
  • For back pain, add Gua Lou, Xie Bai, Fang Feng and Qin Jiao
  • For tapeworms in the bile duct, add Bing Lang (Fei Zi and Zhi Shi in UK), Shi Jun Qi and Ku Lian Gen Pi
  • For deficient constitution and Interior Cold, remove Da Huang and Mang Xiao and add Zhi Fu Zi (Rou Gui in UK) and Gan Jiang

Preparation: Decoction.

Actions: Clears and Drains Heat Excess, spreads the Liver Qi, promotes the movement of Qi, alleviates pain

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.