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Qi-Clearing and Phlegm-Transforming Pill

Qi-Clearing and Phlegm-Transforming PillFormula Image

Qi-Clearing and Phlegm-Transforming Pill
ChiefDan Nan Xing
    • clears heat and dissolves phlegm
ChiefGua Lou Ren
    • clears heat and dissolves phlegm
    • leads phlegm-heat downward
DeputyBan Xia
    • dissolves phlegm and dissipates masses
Both of them help and control each other.
DeputyHuang Qin
    • clears heat to drain fire
Both of them help and control each other.
AssistantXing Ren
    • descends and smoothes lung qi
AssistantChen Pi
    • regulates qi and dissolves phlegm to uninhibit the center (spleen-stomach)
AssistantZhi Shi
    • breaks stagnant qi and dissolves phlegm to soothe the chest
AssistantFu Ling
    • fortifies the spleen and percolates dampness to prevent phlegm production
EnvoyJiang Zhi
    • promotes phlegm elimination
Controls the toxicity of ban xia.

Qi-Clearing and Phlegm-Transforming PillPrescription Information

Name
Qi-Clearing and Phlegm-Transforming Pill
Chinese Name

清气化痰丸

Classification

Phlegm-expelling formulas

Combination
Trichosanthis Semen (Gua Lou Ren) 1 liang (30g), Aurantii Fructus Immaturus (Zhi Shi) 1 liang (30g), Citri Reticulatae Pericarpium (Chen Pi) 1 liang (30g), Poria (Fu Ling) 1 liang (30g), Scutellariae Radix (Huang Qin) 1 liang (30g), Arisaema cum Bile (Dan Nan Xing) 1.5 liang (45g), Armeniacae Semen Amarum (Xing Ren) 1 liang (30g), Pinelliae Rhizoma (Ban Xia processed) 1.5 liang (45g)
Method
Grind the medicinals into powder and mix with sheng jiang juice 100g to form pills. Take 9g each time, twice per day. Reduce the dosage accordingly when treating pediatric diseases. It can also be prepared as a decoction by adjusting the medicinal quantities based on the original ratio.
Action
Clears heat and dissolves phlegm, regulates qi, and relieves cough.
Indication
Qing Qi Hua Tan Wan is indicated for patients with cough caused by phlegm-heat. The symptoms include coughing and panting, expectoration of sticky, yellow sputum, obstruction of the chest and diaphragm, dyspnea, nausea and vomiting, and restlessness and agitation in severe cases. The tongue is red with a greasy and yellow coating and the pulse is slippery and rapid.
Pathogenesis
This formula is to treat patients with qi stagnation due to phlegm obstruction, qi constraint transforming into fire, binding of phlegm, and heat obstructing the lung. The symptoms include coughing and panting, expectoration of sticky, yellow sputum, chest stuffiness, dyspnea, and nausea and vomiting in severe cases. Phlegm-heat disturbing the heart and mind may cause restlessness, vexation, and agitation. The treatment principle is to clear heat and dissolve phlegm, rectify qi, and relieve cough.
Application
1. Essential pattern differentiation Qing Qi Hua Tan Wan is a common formula applicable to cough with phlegm-heat. This clinical pattern is marked by cough with yellow, sticky phlem, stuff chest and diaphragm, red tongue with yellow and greasy coating, slippery and rapid pulse. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of phlegm-heat accumulation: pneumonia, acute bronchitis and acute onset of chronic bronchitis. 3. Cautions and contraindications The formula is not appropriate for those patients suffering from dry cough due to yin deficiency and cold-phlegm caused by spleen deficiency because of its bitter and dry property.
Additonal formulae
Qing Jin Jiang Huo Tang (Metal- Clearing and Fire-Descending Decoction 清金降火汤)
Source
《Investigations of Medical Formulas》Yi Fang Kao《医方考》

Qi-Clearing and Phlegm-Transforming PillFormulation composition herbal medicine

Immature Bitter Orange

Immature Bitter Orange

Aurantii Fructus Immaturus
Functions：Breaks qi, resolves accumulation, transforms phlegm, disperses focal distention. Apply to inner stagnation, fullness and distention and swelling pain, constipation, diarrhea and tenesmus, chest stasis, ptosis of the stomach; uterine prolapse; prolapse of the anus.
Ansu Apricot Seed

Ansu Apricot Seed

Armeniacae Semen Amarum
Functions：Downbears qi, stops cough, calms panting, moistens intestines, frees stools. Apply to coughing and dyspnea, excessive phlegm due to chest distention, hemopenia due to consumption of fluid, constipation induced by dryness of the intestine.
Baikal Skullcap Root

Baikal Skullcap Root

Scutellariae Radix
Functions：Clears heat, dries dampness, drains fire, resolves toxin, stops bleeding, calms fetus, reduces blood pressure. Apply to damp-warm diseases, chest retention and vomiting due to summer-warm, retention and fullness due to damp and heat, diarrhea, jaundice, cough with lung heat, polydipsia with high fever, hematemesis and non-traumatic hemorrhage due to blood heat, abscess and sore toxin, fetal movement.
Indian Buead|Tuckahoe

Indian Buead|Tuckahoe

Poria
Functions：Promotes urination, leaches out dampness, fortifies the spleen and stomach, calms spirit. Apply to dysuria, edema, phlegm and retained fluid and cough, vomiting, less intake due to deficiency of spleen, diarrhea, and fright and nervous, insomnia and amnesia, spermatorrhea and gonorrhea.
Tangerine Peel

Tangerine Peel

Citri Reticulatae Pericarpium
Functions：Regulates qi, fortifies the spleen, dries dampness and transforms phlegm. Apply to thoracic and abdominal fullness and distention, poor appetite, vomiting and diarrhea, coughing with asthma, excessive phlegm.
Ternate Pinellia

Ternate Pinellia

Pinelliae Rhizoma
Functions：Dries dampness, transforms phlegm, downbears counterflow, relieves vomiting, disperses focal distention, dissipates binds. Apply to damp-phlegm and cold-phlegm, cough with much phlegm, phlegm-fluid retention, palpitations, wind-phlegm and dizziness, phlegm syncope and headache, vomiting and stomach reflux, gastric stuffiness, plum-pit-qi; externally used for painful and swollen phlegm nodes.
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