HERB FORMULAS

QING BI TANG - 清鼻湯 - CLEAR THE NOSE DECOCTION

English: Clear the Nose Decoction
Also Known As: Pueraria Nasal Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Puerariae Ge Gen 12g Discharges Exterior conditions and releases the muscles, especially of the neck and upper back.
With Ma Huang and Gui Zhi, for Wind-Cold with stiffness and tension in the upper back and neck.
Sm. Coicis Yi Yi Ren 10g Expels Wind-Dampness, relieves pain, clears Heat and expels pus.
Rx. Platycodi Jie Geng 9g Opens the Lungs, spreads Lung Qi, expels Phlegm, benefits the throat, expels pus and raises Lung Qi, directing the effects of other herbs to the upper body.
With Zhi Gan Cao, disseminates Lung Qi, expels Phlegm, resolves toxicity, and expels pus for productive cough with hoarseness, pain and swelling of the throat due to Wind-Heat and Lung abscess with expectoration of pus and pain in the chest and flanks.
With Zhi Gan Cao and Yi Yi Ren, for Lung abscess with chest pain, fever, cough with foul-smelling, yellow, sticky sputum.
Flos Magnolia Xin Yi 8g Expels Wind-Cold and unblocks the nasal passages.
With Shi Gao and Da Huang, for chronic sinusitis or rhinitis due to Damp-Heat.
Hb. Ephedrae Ma Huang 6-7g Induces sweating, releases the exterior, disseminates and facilitates Lung Qi, calms wheezing and stops coughing.
With Gui Zhi, for Wind-Cold Excess conditions with fever and chills but no sweat.
With Shi Gao, for cough from Heat Obstructing the Lungs with wheezing, flaring of the nostrils and fever and Wind-edema.
Rx. Paeoniae Alba Bai Shao 3-7g Nourishes Blood, regulates menstruation, astringes Yin and adjusts the Ying and Wei.
With Gui Zhi, harmonizes the Ying and Wei in Tai Yang Zhong Feng.
With Gui Zhi, Sheng Jiang and Da Zao, for Wind-Cold with Deficiency and perspiration.
Ram. Cinnamomi Gui Zhi 5-7g Releases the exterior, assists the Yang, adjusts the Ying and Wei and releases the muscle layer.
With Da Huang, for combined Interior/Exterior conditions with chills, headache, fever, sweating and abdominal fullness and pain.
Gypsum Fibrosum Shi Gao 2-4g Clears Heat in the Qi Stage, drains Fire, relieves irritability, quenches thirst and clears Excess Heat from the Lungs.
Rz. Zingiberis Recens Sheng Jiang 3-3.5g Releases the exterior, induces perspiration, disperses Cold, warms the Lungs and stops cough.
With Da Zao, for External Wind-Cold and adjusts the Ying and Wei for treatment of Tai Yang Zhong Feng.
With Gui Zhi, strongly induces sweating for treatment of External Wind-Cold with chills, fever, body aches and anhidrosis.
With Da Zao and Gui Zhi, harmonizes the Ying and Wei to drive out pathogens.
With Ma Huang, strongly creates sweating to treat all externally contracted Wind-Cold disorders, especially those in which Wind-Cold has constrained Lung Qi with cough and wheezing and the failure of Lung Qi to descend causing nausea and vomiting.
Rx. Chuanxiong Chuan Xiong 3-3.5g Invigorates the Blood, promotes the movement of Qi, expels Wind and alleviates pain.
With Gui Zhi, expels Wind-Dampness, warms the channels and collaterals, facilitates joint movement and relieves Bi pain for joint and limb pain due to External Wind-Cold invasion.
Rx. et Rz Rhei Da Huang 3-3.5g Drains Heat and purges accumulations.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 2g Moistens the Lungs, resolves Phlegm, stops cough and moderates and harmonizes the harsh properties of other herbs.
Fr. Jujube Da Zao 2g Moderates and harmonizes the harsh properties of other herbs.

FORMULA ACTIONS

  • Releases the Exterior
  • Clears Heat
  • Resolves toxicity
  • Unblocks the nasal passages
  • Dries Dampness in the head
  • Dispels pus

SYNDROMES

  • Tai Yang Shang Han (Wind-Cold) that transforms into Yang Ming
  • Wind-Heat

CLINICAL MANIFESTATIONS

  • Nasal obstruction caused by Damp-Heat
  • Stuffy nose
  • Yellow and sticky nasal discharge
  • Sneezing
  • Headache
  • Tendency to constipation
  • May be fever
  • Facial flushing
  • Itchy nose and throat
  • Decreased sense of smell
  • Decreased energy
  • Fatigue
  • Earache
  • T: Tends to red
  • C: May be yellow
  • P: Full and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

  • This formula treats nasal congestion, rhinitis and sinusitis as a result of a Wind Invasion or which remain after the signs of Wind have disappeared.
  • With modifications, this formula is also used for allergic rhinitis which is not associated with an External Invasion.

MODIFICATIONS

For signs of Cold such as clear nasal discharge, chills and a tight pulse: For signs of Heat such as thick yellow nasal discharge, thirst, a hot sensation in the nose and a rapid pulse:
- Gypsum Fibrosum Shi Gao + Less Rx. Ephedrae Ma Huang
- Rx. et Rz. Rhei Da Huang - Ram. Cinnamomi Gui Zhi
+ Rx. Angelicae Dahuricae Bai Zhi + Rx. Scutellariae Huang Qin
+ Fr. Xanthii Cang Er Zi + Rx. Paeoniae Rubra Chi Shao
For the acute stages of allergic rhinitis:
For headache:
+ Fr. Xanthii Cang Er Zi + Rx. Angelicae Dahuricae Bai Zhi
+ Rx. Scutellariae Huang Qin
or
+ Rx. Paeoniae Rubra Chi Shao + Flos Chrysanthemi Ju Hua
For sinus infection:
For Lung congestion:
+ Rx. Scutellariae Huang Qin + More Rx. Ephedrae Ma Huang
+ Rz. Coptidis Huang Lian
For dispelling Wind:
For Yin Deficiency:
 + Rx. Saposhnikoviae Fang Feng
+ Rz. Anemarrhenae Zhi Mu + Rx. Angelicae Dahuricae Bai Zhi
+ Rx. Ophiopogonis Mai Men Dong
+ Bul. Lilii Bai He + Rx. et Rz. Notopterygii Qiang Huo