qing qi hua tan wan

Clear the Qi and Transform Phlegm Pill

About qing qi hua tan wan

Qing Qi Hua Tan Wan, Clear the Qi and Transform Phlegm Pill, is Dan Nan Xing, Ban Xia, Gua Lou Ren, Huang Qin, Chen Pi, Xing Ren, Zhi Shi and Fu Ling. The catalogue classes it among the formulas that clear Heat and transform Phlegm.

Ingredients

Herb	Amount
dan nan xing	4.5 g
ban xia	4.5 g
gua lou ren	3 g
huang qin	3 g
chen pi	3 g
xing ren	3 g
zhi shi	3 g
fu ling	3 g

Actions and indications

Clears Heat

Phlegm-Heat congesting the Lungs or blocking the Middle Jiao
Possibly chills and fever
Dry mouth or throat, constipation and scanty dark urine
Tongue scarlet or red with a yellow coat that may be greasy or smooth; pulse rapid, rapid and smooth, or slippery and rapid

Transforms Phlegm

Heavy productive cough with a lot of thick, sticky yellow or yellow-green sputum that is hard to bring up, or foul pus flecked with blood as in lung abscess
Coughing fits hard enough to cause vomiting
Nausea with fullness and distension of the epigastrium

Directs Qi downward and stops cough

Fast, laboured breathing with a harsh voice, dyspnea and wheezing
Fullness, distension or oppression of the chest and diaphragm, with chest pain and pain in the ribs

Modern uses

Hemoptysis
Cough
Pneumonia
Emphysema
Chronic tracheitis
Oliguria
Asthma
Nausea
Impotence
Palpitations
Constipation
Acute and chronic bronchitis
Upper respiratory tract infection
Bronchiectasis
Chronic rhinitis
Sinusitis
COPD, as an adjunct during flare-ups
Fever
Prostatic hypertrophy
Cervical lymphadenopathy
Dyspnea
AIDS/HIV

Symptoms

Chest fullness
Chest oppression
Chest pain
Chills
Constipation
Copious sputum
Cough
Dark urine
Dry mouth
Dry throat
Epigastric distention
Fever
Hemoptysis
Hypochondriac pain
Nausea
Productive cough
Purulent sputum
Scanty urination
Shortness of breath
Sputum difficult to expectorate
Vomiting
Wheezing
Yellow sputum

Modifications

Cough and thirst from intense Lung Heat: + shi gao, + zhi mu
Copious sputum with fast breathing: + yu xing cao, + sang bai pi
Constipation: + mang xiao, + hu zhang
Given together with Ma Xing Shi Gan Tang
Copious sputum: + yu xing cao, + tian hua fen
Copious sputum, an alternative choice: + shi gao, − zhi ban xia
Stronger Heat: + qing dai, + ge qiao
Nausea and vomiting: + zhu ru, − gua lou ren
Palpitations with poor sleep: + hu po, + mu li, + suan zao ren
To strengthen the effect: + ju hong, + sheng jiang
Dry stools: + da huang
Gluey sputum: + dong gua ren, − zhi ban xia

Show all 18 modifications

Gluey sputum, an alternative choice: + zhi shi, + sheng jiang
High fever: + shi gao, + zhi mu
Phlegm-Heat cough: + gua lou, + zhe bei mu, + sang bai pi, + zhi mu, − zhi ban xia, − dan nan xing, − gua lou ren
Phlegm-Heat cough with fever and dry mouth: + gua lou, + zhe bei mu, + sang bai pi, + zhi mu, + jin yin hua, + shi gao, − zhi ban xia, − dan nan xing, − gua lou ren
Severe Phlegm-Heat cough: + gua lou, + zhe bei mu, + sang bai pi, + zhi mu, + yu xing cao, + dong gua zi, − zhi ban xia, − dan nan xing, − gua lou ren
AIDS/HIV: + zhi ke, + sang bai pi, + yu xing cao, − zhi shi

Cautions

contraindication No clear signs of Heat: the formula is cooling, drying and descending, for an excess Phlegm-Heat pattern
contraindication Dryness or Yin deficiency, including a dry cough with no Phlegm-Heat: the bitter, drying herbs may harm the Yin of the Lungs and Stomach
contraindication Wind-Cold, or Cold-Phlegm and Damp-Cold patterns with thin, white, watery sputum
caution A tendency to loose stools, since Gua Lou Ren is mildly laxative
caution Qi or Spleen deficiency, because Zhi Shi breaks up Qi strongly and the formula can burden a weak Spleen
pregnancy Zhi Shi and Xing Ren break up and descend Qi; use only under professional guidance

Preparation

Classically powdered and formed into pills using fresh ginger juice, swallowed with warm water; granule, tablet and decoction forms are also used

Names

Pinyin	qing qi hua tan wan
English Name	Clear the Qi and Transform Phlegm Pill

Classification

Category: Clear Heat and Transform Phlegm