Author: Qian Yi, 錢乙
Year: 1119
Source: Craft of Medicines and Patterns for Children (Xiao Er Yao Zheng Zhen Jue, 小兒藥證真訣)
Category: Formulas that Clear Heat
Pattern: Lurking Heat in the Lungs
Key Symptoms: High, clear-sounding non-productive cough, wheezing, fever and skin that feels hot to the touch, dry mouth
Tongue: Red with yellow coat
Pulse: Thin, rapid
Ingredients
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Sang Bai Pi
| 30g | | (dry fried)
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Pinyin: Sang Bai Pi
Chinese: 桑白皮
Pharmaceutical: Cortex Mori
Taxonomy: Morus alba
English: Mulberry Root Bark |
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Tastes: Sweet, cold
Meridians Entered: Lung |
Actions & Indications:
- Drains Heat from the Lungs, stops coughing and calms wheezing
Coughing and wheezing, fullness and hemoptysis due to Lung Heat
- Promotes urination and reduces oedema
Lung Heat obstructing the descending action of the Lung, preventing water from moving and stopping perspiration (floating oedema, facial oedema, swelling of the upper extremities, fever, thirst, urinary difficulty, a floating pulse)
- Lowers blood pressure
Hypertension
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Standard Dosage: 3-10g in decoction.
Cautions: It is contraindicated for lung cold and wind-cold cough patients for its cold and descending property. It should be used with cautions for patients with much urine. |
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Di Gu Pi
| 30g | |
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Pinyin: Di Gu Pi / Gou Qi Gen Pi
Chinese: 地骨皮 / 枸杞根皮
Pharmaceutical: Cortex Lycii
Taxonomy: Lycium barbarum seu chinense
English: Goji Berry Root Bark / Wolfberry Root Bark / Boxthorn ROot Bark |
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Tastes: Sweet, slightly bitter, cold
Meridians Entered: Liver, Kidney and Lung |
Actions & Indications:
- Cools the Blood and drains Yin Deficiency Fire (steaming bones) - (drains Kidney Fire, eliminates lurking Heat, and clears Heat from the bones)
Yin Deficiency with Empty Fire Rising (Kidney Fire) with night sweats, steaming bone disorder with sweating, chronic low-grade fever, irritability and thirst
Toothache from Floating Fire in the Kidney channel
- Clears and drains Heat in the Lung
Lung Heat cough or wheezing
- Clears Heat, cools the Blood and stops bleeding
Various bleeding disorders characterized by Heat in the Blood
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, fortify the sinews and bones, make the body light,
and slow ageing. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生).
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Standard Dosage: 9-15g in decoction.
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Zhi Gan Cao
| 3g | |
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Pinyin: Gan Cao
Chinese: 甘草
Pharmaceutical: Radix Glycyrrhizae
Taxonomy: Glycyrrhiza uralensis seu glabra seu inflata
English: Liquorice Root |
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Tastes: Sweet, slightly cold
Meridians Entered: Heart, Lung and Spleen (and all 12 meridians) |
Actions & Indications:
- Tonifies the Spleen and augments Qi
Spleen Qi Deficiency with shortness of breath, lassitude and loose stools
Qi and Blood Deficiency with an irregular pulse and/or palpitations
Heart Qi Deficiency or Heart Yang Deficiency
- Moistens the Lungs, resolves Phlegm and stops coughing
Lung Heat or Cold
Productive or non-productive coughing
- Moderates spasms and alleviates pain
Painful muscle spasms of the abdomen and legs
- Clears Heat and relieves Fire Toxicity
Raw for Toxic Heat with sore throat or carbuncles and sores (Chuang Yung)
- Antidote for many toxic substances (internal and topical)
Poisoning
Bites (after washing the wound, chew Gan Cao and apply a thick layer on the bite wound, changing whenever it dries out; Bao Xiang-Ao, 1846, New Compilation of Proven Formulas)
- Moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels
Often added in small doses to harmonise formulas
- Tonifies the Qi while suppressing Parasites
Gu Sydnrome (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, make the body light and prolong life. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生).
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Standard Dosage: Typically 1.5-9g in decoction. Large doses can be up 30g.
Cautions: It is contraindicated for combining with Hai Zao, Da Ji, Gan Sui and Yuan Hua because of "eighteen antagonisms". It is also contraindicated in cases of dampness obstruction in middle energizer and edema because it can help dampness obstruct qi, and it is prohibited from long-term usage in large dosage (more than 20g/day) and should be avoided or used with extreme caution in patients with high blood pressure because it may raise aldosterone levels in the blood causing retention of sodium.
The NHS recommends avoiding during pregnancy. |
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Jing Mi
| 15-30g | | |
Pinyin: Jing Mi
Chinese: 粳米
Pharmaceutical: Semen Oryzae
English: Non-Glutinous Rice Seed |
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Tastes: Sweet, neutral
Meridians Entered: Lung and Spleen |
Actions & Indications:
- Tonifies Yang
Diarrhoea due to Yang Deficiency
- Tonifies the Qi of the Lungs, Spleen and Intestines and stops restlessness
Qi Deficiency with spontaneous perspiration and weakness
- Stops thirst and generates fluids
Body Fluid Deficiency
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Standard Dosage: 9-30g in decoction.
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Preparation: Grind into a powder and cook with the rice and take before meals. May also be prepared as a decoction with 1/3 of the dosage.
Actions: Drains Heat from the Lungs and calms wheezing
Contraindications: Coughing and wheezing due to Wind-Cold, Wind-Heat or Damp-Phlegm
Research Links:
Reference Notes: (click to display)
Most formulas are found in Scheid, Bensky, Ellis & Barolet (2009): Chinese Herbal Medicine: Formulas & Strategies and Chen & Chen (2015) Chinese Herbal Formulas and Applications. Others are from translations of primary sources. It is recommended that the original material is cross-referenced for mistakes and additional information.
Substitutions have been taken from Ken Lloyd & Prof. Leung (2004): Mayway UK Substitution List or the above publications and are intended as suggestions to help navigate the tight restrictions in the UK quickly. More applicable substitutions may be appropriate in specific situations.
Individual herb information has initially been sourced from TCM Wiki and American Dragon for basic data and then updated manually with my own notes.
These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.