Qīng Wèi Sǎn

清胃散

Clear Stomach Powder

Disclaimer    For educational purposes only.  Do not use as medical advice

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Category: Clear Heat - Zang Fu Organs ⌕ 
Subcategory:   Source: Pi Wei Lun  
Actions: clear Stomach heat, cool blood[31] • + nourish Yin[25]
Diagnosis
Tongue: red with yellow coat      Pulse: slippery, rapid    Other: 
Patterns: Stomach Heat Accumulation, Epigastric Pain Stomach Heat 
Indications: ST Heat accumulation [35] • Stomach heat turning into fire and rising upward: foul and dry mouth, toothache, headache, fever with red cheeks, aversion to heat, bleeding and ulcerated gums, swollen cheeks, T: red with yellow coating. P: slippery, rapid pulse [31] • Toothache(particularly when pain radiates to head), bad breath, dry mouth, facial edema, bleeding gums, swollen lips, tongue or jaw. Pain is better with cold, worse with heat. T: red with little coat. P: slippery, large, rapid [25] • 胃火牙痛
Contraindications: Wind Cold or Kidney deficiency type toothache
Description
Name Variations: Qing Wei San , 清胃散, Clear Stomach Powder,
Herb List: Huang Lian(K, 3-6g) • Sheng Ma(K, 3-6g) • Sheng Di Huang(M, 6-12g) • Mu Dan Pi(M, 6-9g) • Dang Gui Shen(A, 6-12g) • 清胃散用升麻连, 当归生地牡丹全
Commentary: MOD: Bleeding Gums (- Dang Gui, + Shi Gao).
Related Formulas: Xie Huang San(for Spleen and Stomach fire)
NCCAOM: The 10 NCCAOM formulas that clear organ heat are Má Xìng Shí Gān Tāng, Xiè Bái Sǎn, Xiè Huáng Sǎn, Qīng Wèi Sǎn, Yù Nǚ Jiān, Dǎo Chì Sǎn, Lóng Dǎn Xiè Gān Tāng, Zuǒ Jīn Wán, Sháo Yào Tāng, and Bái Tóu Wēng Tāng. [LUNG] • Ma Xing Shi Gan Tang is for excess Lung heat from Wind attack. • Xie Bai San is also for Lung heat but more for constrained Lung heat causing cough and wheezing. [SP/ST-UJ issues] • Xie Huang San is for smoldering Fire in the Spleen/Stomach with mouth ulcers, bad breath, dryness, thirst, frequent hunger and epistaxis. • Qing Wei San is for Stomach fire with foul/dry mouth, toothache, headache, fever with red cheeks, bleeding and ulcerated gums. • Yu Nu Jian is for Stomach heat with Yin deficiency with loose teeth, thirst, bleeding gums, thirst, fever. [HEART] • Dao Chi San is for Heart heat transferring to Small Intestine. [LIVER] • Long Dan Xie Gan Tang is for Liver and Gall Bladder Damp Heat with hypochondriac pain, red eyes, bitter taste, difficult urination, and shingles. [LI/ST-LJ issues] • Zuo Jin Wan is for Liver Fire invading the Stomach with bitter taste, acid regurgitation and vomiting. • Shao Yao Tang is for Large Intestine Damp-Heat with Qi & Blood stagnation causing dysentery, tenesmus, and burning anus. • Bai Tou Weng Tang is also for dysentery, tenesmus and burning anus but the cause is from toxic heat in both the Stomach and the Intestines.
Herbs Cat/Dosage Actions Attributes
Huang LianCoptis Root • 黄连  Clear Heat Dry Dampness Drain Stomach fire, Heart heat, and intestinal heat • Dry intestine dampness • Sedate fire • Stop bleeding  Antibiotic • anti-inflammatory • anti-pyretic • hypotensive • anti-ulcer • anti-diarrhea chologogic
Sheng MaBlack Cohosh • 升麻  Release Exterior Wind Heat Vent measles • Clear Heat • Raise Yang Qi • Relieve toxins • Release exterior • Lifts and guides upwardIrregularly sliced, fibrous, brown, and hard, often sold as dried, woody root pieces. antibiotic, antipyretic, hypotensive, anti-inflammatory, analgesic[18]
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
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
Dang GuiChinese Angelica • 当归   Tonify Blood Tonify blood • Move Blood and Qi • Regulate menses • Invigorate blood • Dispel cold • Unblock bowels • Reduce abscess swelling • Alleviate pain • Clear pus • Generate flesh • Moisten intestines phytoestrogen • antispasmodic • cholagogue • antibaterial • antiviral • antiobesity • anti-inflammatory • antifungal • mild laxative • immune system boost • volatile oil inhibits uterine contractions
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions:
Modifications For
+ Shi Gao + Da Huang Severe Stomach heat 31
+ Dong Gua Ren + Yi Yi Ren Gum ulcerations with pus 31

Caution

ALERT: Contraindications of each herb - use with caution under these conditions:
Huang Lian: Yang deficiency, yin deficiency, Spleen or Stomach deficiency, pork[42] • Pregnancy, newborns, lactation[49]
Sheng Ma: Yin deficiency • Liver yang rising • Complete eruption of measles • Wheezing and fullness in the chest when qi is rebelling upwards.
Sheng Di Huang: Yang deficiency • Blood deficiency • Spleen deficiency • Stomach deficiency • Can be sticky and cloying, careful with digestive disorders • food: onion, garlic, radishes
Mu Dan Pi: Deficiency cold • Pregnancy • Excessive menstruation • Food: garlic
Dang Gui: Autoimmune disorder • Pregnancy • Blood thinner drugs (Wafarin) • Diarrhea • Yin deficiency with heat • Dampness abdominal distention

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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