Qīng Hāo Biē Jiǎ Tāng

青蒿鳖甲汤

Artemisia and Turtle Shell Decoction

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Category: Clear Heat ⌕ 
Subcategory: Deficient Heat  Source: Wen Bing Tiao Bian  
Actions: Nourish Yin, clear heat
Diagnosis
Tongue: red body, little coating      Pulse: thin, rapid    Other: 
Patterns: Deficient Heat, Live Yin Deficiency, Kidney Yin Deficiency, Late stage warm disease with damaged Yin fluid 
Indications: Yin deficiency with Heat in the Ying level during later stage of febrile disease [35] • fever at night but cool in the morning, fever not gone after sweating, red tongue with little coating, thin rapid pulse[31]
Contraindications: not suitable for yin deficiency with attendance to wind stirring[31]
Description
Name Variations: Qing Hao Bie Jia Tang, 青蒿鳖甲汤, Artemisia and Turtle Shell Decoction,
Herb List: Qing Hao(K) • Bie Jia(K) • Sheng Di Huang(M) • Zhi Mu(M) • Mu Dan Pi(A)
Commentary: Lingering heat from a warm disease. Pre Yin deficiency heat – still have some excess. Incubation time with virus. If patient got sick, still have remaining side symptoms. Like LONG COVID. Heat is in the Ying Level. Qing Hao - clear deficiency fevers. Bie Jia – nourish Yin and anchor yang; Sheng Di Huang/Zhi Mu/Mu Dan Pi – clear heat cools blood because next level is blood level. • MODIFICATIONS: • Sweating , thirst: (-) Sheng Di Huang, (+) Tian Hua Fen • Lung yin deficiency: Sha Shen, Mai Dong • Pediatric deficient fever: Bai Wei [31]
Related Formulas:
NCCAOM: The 3 NCCAOM formulas for deficiency heat are Qīng Hāo Biē Jiǎ Tāng, Dāng Guī Liù Huáng Tāng, and Qīng Gǔ Sǎn. • Qing Hao Bie Jia Tang is for Yin deficiency Heat in the Ying level during later stage of febrile disease. Fever at night but cool in the morning. Liver and Kidney Yin deficiency. • Dang Gui Liu Huang Tang is for Yin deficiency heat causing night sweats. • Qing Gu San is for Liver and Kidney Yin deficiency leading to steaming bone disorder. All three are used for Yin deficiency heat causing night sweats.
Herbs Cat/Dosage Actions Attributes
Qing HaoSweet Wormwood • 青蒿  Clear Deficiency Heat Treats malaria • Clear summer heat • Brighten eyes • Clear high fever Antimalarial • Antipyretic • Cholagogic • Hypotensive • Antibiotic
Bie JiaSoft shelled Turtle Shell (dorsal) • 鳖甲  Tonify Yin Nourish yin • Anchor yang • Dissipate nodules • Invigorate blood • Promote menses
Sheng Di Huang • Rehmannia • 生地黄  Clear Heat Cool Blood Clear heat • Cools hot blood (nosebleeds, bloody vomit, bloody urine, bloody stool) • Nourish Yin • Clears heart heat/fire • Generate fluidsDao Di: He Nan Immunity booster • coagulant • antidiabetic • hepatoprotective • hypotensive • anti-aging • antioxidant • antihistamine • emmenagogue • adrenalcortical
Bai ShaoWhite Root Peony • 白芍  Tonify Blood Nourish blood • Regulate menses • Soothes liver • Relieve pain • Preserve yin • Reduce spasms • Harmonize Ying and Wei QiDao Di: Zhe Jiang • AKA Shao Yao analgesic • antibacterial • anti-inflammatory • hepatoprotective • immune system boost • sedative
Mu Dan PiPeony Bark • 牡丹皮  Clear Heat Cool Blood Cools blood • Clear yin deficient heat • Invigorate blood • Clear blood stasisThere are two different types: Mu Dan and Xiao Yao; both are peony Anti-inflammatory • Antibiotic • Anticonvulsant • Analgesic • Antipyretic • Hypotensive • Immunostimulant • Sedative
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions:
Modifications For
- Sheng Di Huang + Tian Hua Fen Sweating and thirst 31
+ Sha Shen + Mai Dong Lung Yin deficiency 31
+ Bai Wei Pediatric deficient fever 31

Caution

ALERT: Contraindications of each herb - use with caution under these conditions:
Qing Hao: Deficiency of Spleen and Stomach cold
Bie Jia: Pregnancy • Spleen Xu Cold with poor appetite and diarrhea
Sheng Di Huang: Yang deficiency • Blood deficiency • Spleen deficiency • Stomach deficiency • Can be sticky and cloying, careful with digestive disorders • food: onion, garlic, radishes
Bai Shao: Deficiency cold • Breast feeding • Pregnancy • Bleeding Disorder • Scheduled Surgery
Mu Dan Pi: Deficiency cold • Pregnancy • Excessive menstruation • Food: garlic

Notes

Information in this post came from many sources, including class notes, practitioners, websites, webinars, books, magazines, and editor's personal experience.  While the original source often came from historical Chinese texts,  variations may result from the numerous English translations.   Always consult a doctor prior to using these drugs.  The information here is strictly for educational purposes. 

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