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AboutChinese MedicineCaution/Notes
| Health Benefits |
| For: Chronic bronchitis • Pneumonia |
| Atributes: |
| Constituents: |
| Category: Treat Heat Phlegm ⌕ |
| Subcategory: Heat Phlegm Source: Yi Fang Kao |
| Actions: Clear heat, resolve phlegm, stop cough, descend rebellious Qi
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| Diagnosis |
| Tongue: Red tongue, yellow sticky greasy coating Pulse: slippery, rapid Other: |
| Patterns: Phlegm heat, phlegm obstructing Qi movement, heat consuming body fluids and turning into phlegm, hot phlegm [Song] • Lung heat, Phlegm heat in Lungs, Cough Internal Phlegm Heat |
| Indications: Yellow sticky phlegm, oppressed chest, red tongue yellow greasy coating, slippery rapid pulse
[Song] • LU Phlegm heat causing cough with yellow viscous sputum [Kim] |
| Contraindications: |
| Description |
| Name Variations: Qing Qi Hua Tan Wan, 清气化痰丸, Clear the Qi and Transform Phlegm Pill, |
| Herb List: Dan Nan Xing(K) • Gua Lou Ren(K) • Huang Qi(M) • Ban Xia(M) • Xing Ren(A) • Chen Pi(A) • Zhi Shi(A) • Fu Ling(A) • Jiang Zhi(A) |
| Commentary: This formula also contains the Er Chen Tang structure (Ban Xia, Chen Pi, Fu Ling). Dan Nan Xing is the processed(by ox bile) form of Tian Nan Xing. Tian Nan Xing's ability to eliminate phlegm is stronger than Ban Xia. Dan Nan Xing turns the Tian Nan Xing from clear heat herb to a strong drain phlegm heat herb. Gua Lou Ren is the seed of Gua Lou. The seeds help moisten large intestine and bowel movement, which in turn helps the Lungs because of the LU/LI connection. Zhi Shi breaks phlegm nodules. Fu Ling promotes urination. Xing Ren is a seed, moistens and stops cough. Jiang Zhi is ginger juice. |
| Related Formulas: Er Chen Tang |
| 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 |
| Dan Nan Xing • Jack in the Pulpit (processed) • 胆南星 ♠ |
Phlegm Heat |
Transform stubborn wind-phlegm • Clear heat • Calm internal wind• Stop spasms • Reduce swelling • Clear toxinsOverdose - use Vinegar, Sheng Jiang, or Ming Fan • Zhi Tian Nan Xing for decoctions • Sheng Tian Nan Xing only used topically |
|
| Gua Lou Ren • Snake Gourd Seed • 栝楼仁 ♠ |
Phlegm Cough + Wheezing |
Promote urination • Clear heat • Moisten intestines • Unblock constipation |
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| Huang Qi • Astragalus • 黄芪♥ |
Tonify Qi |
Tonify Spleen and Lung Qi • Tonify Wei Qi • Tonify Qi to move blood • Raise Stomach Yang Qi • Improve urination • Relief Edema • Discharge pus • Generate flesh • Push Qi to the surfaceSheng - to dry damp • Chao - to tonify Spleen, stop sweating, calm fetus • Chao jiao - to stop diarrhea |
Antioxidant • Immune System Booster • Diuretic • Anti-aging • Hypoglycemic • Hypotensive • Hepatoprotective |
| Ban Xia • Pinellia Root • 半夏♥ |
Phlegm Cold |
Transforms damp-phlegm • Direct stomach Qi downward• Stop cough/ wheezing • Relieve nausea & vomiting • Dissolve nodules and swellingsFan Ban Xia - deep fried with vinegar, Ming Fan, and Sheng Jiang • Jiang Ban Xia - fried with ginger juice |
reprotoxic, warming, drying, antitussive, antiemetic |
| Xing Ren • Apricot Seeds • 杏仁♣ |
Phlegm Cough + Wheezing |
Stops cough • Calm wheezing • Moisten intestines • Unblock bowel • Used to treat cancer |
hypotensive, antitussive, antiasthmatic, antineoplastic, bowel lubricant [18] |
| Chen Pi • Dried Tangerine Rind • 陈皮♣ |
Regulate Qi |
Stop cough • Stop vomiting • Regulate Qi • Harmonize middle burner • Transform phlegm • Dry damp • Prevent cloying of tonifying herbs Dao Di: Guang Dong • The older the Chen Pi, the better the quality • For moving Qi, Chen Pi is focus on moving Qi in the epigastric area |
regulate gastrointestinal smooth muscles, clear phlegm, hypertensive, aid digestion, hepatoprotective, anti-inflammatory, antioxidant, antiviral, expectorant |
| Zhi Shi • Immature Bitter Orange • 枳实♣ |
Regulate Qi |
Breaks up Qi stagnation, clear accumulation, resolve phlegm obstruction, unblock bowelsFor moving Qi: from epigastric all the way to the abdominal area - Zhi Shi and Zhi Ke |
hypertensive, acidic, enhances circulation, diuretic, increase intestinal peristalsis, uterine stimulant |
| 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 |
| Jiang Zhi • Ginger Juice♣ |
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| ♠ King/Chief ♥ Minister/Deputy ♣ Assistant ♦ Envoy |
| Directions: Grind all herbs into powder and use Jiang Zhi (ginger juice) as a binder to make into pills. Ginger juice itself disperses fluids and descend Stomach Qi. |
| Modifications |
For |
| + Yu Xing Cao + Sang Bai Pi |
Excessive phlegm, heavy breathing 31 |
| - Ban Xia + Qing Dai + Hai Ge Fen |
Difficult to expectorate phlegm 31 |
| + Zhu Ru |
Severe nausea and vomiting 31 |
| - Huang Qin + Huang Lian + Zhi Zi + Yuan Zhi |
Restlessness, insomnia 31 |
| Caution |
|
ALERT: Contraindications of each herb - use with caution under these conditions:
Dan Nan Xing: Pregnancy • Yin deficiency • Dry phlegm
Gua Lou Ren:
Huang Qi: Autoimmune diseases • Exterior excess • Qi stagnation • Damp obstruction • Food stagnation • Yin deficiency
Ban Xia: Yin deficiency cough • Bleeding • Dehydration • Heat • Pregnancy • Incompatible with Wu Tou and Fu Zi • Antidepressant drugs • Blood pressure medication • Terfenadine (antihistamine) • Foods: lamb, goat
Xing Ren: Pregnancy • Infants • Diarrhea • Yin deficiency cough
Chen Pi: Excess internal heat • Dry cough from heat, yin deficiency or qi deficiency • Cough with blood • Red tongue • Fluid deficiency
Zhi Shi: pregnancy, Spleen and Stomach deficiencies, gastric or duodenal peptic ulcers[18]
Fu Ling: Foods: Vinegar, pickled food |
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