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AboutChinese MedicineCaution/Notes
| Health Benefits |
| For: |
| Atributes: |
| Constituents: |
| Category: Treat Dry Phlegm ⌕ |
| Subcategory: Dry Phlegm Source: Yi Xue Xin Wu |
| Actions: Treat dry phlegm • Moisten Lung • Clear heat |
| Diagnosis |
| Tongue: dry white tongue coating Pulse: rolling/slippery Other:Dry throat |
| Patterns: Dry Phlegm, Lung Yin Deficiency |
| Indications: Dry cough with difficult to expectorate phlegm. Dryness heat attacks LU, and burns body fluid into phlegm. Dry throat, sore throat, dry white tongue coating [Song] • Chest pressure. Lingering pneumonia, long Covid, lingering bronchitis. Lung Yin deficiency.
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| Contraindications: |
| Description |
| Name Variations: Bei Mu Gua Lou San, 贝母瓜蒌散, Major Arrest Wind Pearl, |
| Herb List: Chuan Bei Mu(K) • Gua Lou(M) • Tian Hua Fen(A) • Fu Ling(A) • Ju Hong(A) • Jie Geng(A) |
| Commentary: This formula moistens dryness and resolve phlegm. Chuan Bei Mu is used for dry phlegm. Zhe Bei Mu for yellow or productive phlegm. Gua Lou and Tian Hua Fen(Gua Lou Gen) are from the same plant. Tian Hua Fen is a diabetic herb. Good for internal cough (no exterior symptoms left, only the cough remains). |
| Related Formulas: |
| NCCAOM: There are 7 NCCAOM formulas dealing with phlegm. Since it’s phlegm, most of the pulses are slippery. If there’s heat, it’s rapid. 4/7 are for different types of phlegm causing the Lung to cough. The other 3 are for phlegm in different organs. Of the 4 that are for Lung cough: Qīng Qì Huà Tán Wán is Heat Phlegm with viscous sputum. T: red, yellow sticky coat. Herbs: Ban Xia, Chen Pi, Fu Ling, Xing Ren, Zhi Zi, Dan Nan Xing, Gua Lou Ren, Huang Qi. • Bèi Mǔ Guā Lóu Sǎn is for Dry Phlegm with hard to expectorate sputum T: dry white coat. Herbs: Chuan Bei Mu, Gua Lou, Tian Hua Fen, Fu Ling, Ju Hong, Jie Geng • Sān Zi Yǎng Qīn Tāng is for Cold Phlegm + Food/Qi stagnation with profuse sputum. Too much cold/raw food. Good for geriatric/weak patients. T: white greasy coat. Herbs: Bai Jie Zi, Zi Su Zi, Lai Fu Zi. • Zhǐ Sòu Sǎn is for external wind attacking LU causing cough. Cough that won’t go away after a cold or flu. T: thin white coat. P: floating, slow. Herbs: Zi Wan, Bai Bu, Bai Qian, Jie Geng, Chen Pi, Jing Jie, Gan Cao. • The other three are Èr Chén Tāng for Damp phlegm in Middle Jiao causing nausea/vomiting with white easy to expectorate sputum. T: white greasy coat. No heat signs, only damp. Herbs: Ban Xia, Cheng Pi, Fu Ling, Gan Cao. • Wēn Dǎn Tāng is for Heat Phlegm in GB and ST. Profuse sputum. T: white or yellow coat. More for psychiatric issues like insomnia, anxiety, palpitations, brain-gut axis. Herbs: Ban Xia, Cheng Pi, Fu Ling, Zhu Ru, Zhi Shi, Happy Stomach. • Bàn Xià Bái Zhú Tiān Má Tāng is for Internal Wind phlegm (dizziness, vertigo). Copious sputum. T: white greasy. Herbs: Ban Xia, Fu Ling, Tian Ma, Bai Zhu, Ju Hong, Gan Cao. • Qing Qi Hua Tan Wan and Wen Dan Tang includes the main ingredients in Er Chen Tang (Ban Xia, Cheng Pi, Fu Ling). |
| Herbs |
Cat/Dosage |
Actions |
Attributes |
| Chuan Bei Mu • Tendrilled Fritillaria Bulb • 川贝母 ♠ |
Phlegm Heat |
Moisten lung • Stop chronic dry cough • Clear heat • Dissipate nodules • Clear abscessDao Di: Si Chuan |
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| Gua Lou Shi • Tricosanthes Fruit • 瓜蒌实♥ |
Phlegm Heat |
Clear phlegm heat • Transform phlegm • Moisten intestines • Treats abscesses • Expand chest to relieve coughGou Lou Ren (瓜蒌仁) - for abscess and constipation • Gua Lou Pi (瓜蒌皮)- heat, cough, and copious phlegm |
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| Tian Hua Fen • Trichosanthes Root • 天花粉♣ |
Clear Heat Drain Fire |
Clear heat • Drain fire • Generate fluids • Moisten lungs • Clear lung heat • Transform phlegm • Resolve toxins • Invigorate blood • High fever |
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| Fu Ling • Poria Mushroom • 茯苓♣ |
Drain Dampness |
Dry dampness • Tonify spleen • Calm spirit • Relief edema • Detox food poisoning • Promote urination Dao Di: Yun Nan |
Diuretic • Antibacterial • Anti-inflammatory • Anti-allergic • Hypoglycemic • Antacid • Sedative • Immunity booster |
| Jie Geng • Platycodon Root • 桔梗♣ |
Phlegm Cold |
Disperse Lung qi • Expel mucus • Soothe sore throat • Guide other herbs to upper body • Treat abscesses • Move Qi upward • Guide herbs upward |
Expectorant • Hypoglycemic • Anticholesterol • Antifungal |
| ♠ King/Chief ♥ Minister/Deputy ♣ Assistant ♦ Envoy |
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| Caution |
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ALERT: Contraindications of each herb - use with caution under these conditions:
Chuan Bei Mu: Phlegm-cold
Gua Lou Shi: Deficiency cold • Not compatible with Wu Tou and Fu Zi
Tian Hua Fen: Spleen and Stomach deficiency cold • Pregnancy • Aconite
Fu Ling: Foods: Vinegar, pickled food
Jie Geng : Blood-stained mucus • Hypoglycemia • Tuberculosis • Anti-diabetic drugs |
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