Qing Wen Bai Du Yin, Clear Epidemics and Overcome Toxin Decoction, puts the White Tiger, Xi Jiao Di Huang and Huang Lian Jie Du bases together. The catalogue classes it among the formulas that clear Heat and relieve toxicity.

Herb

Amount

60 g

6 g

3 g

3 g

9 g

9 g

6 g

6 g

6 g

6 g

3 g

6 g

6 g

3 g

Actions and indications

Clears Heat and drains Fire

Severe epidemic toxic Heat blazing in the Qi level and the Nutritive and Blood levels at once
Intense, sustained fever with strong thirst and dry heaves
Severe, stabbing or throbbing headache

Resolves toxicity

Extreme irritability and restlessness; mania
In serious cases, delirious talk, clouded consciousness or coma
Spasms and convulsions; blurred vision
Very cold extremities
Dark, parched and cracked lips

Cools the Blood and stops bleeding

Blotchy macules and rashes from Heat pushing Blood out of the vessels
Reckless bleeding such as nosebleed, vomiting of blood, blood in the stool or urine, or bleeding gums
Tongue dark red or crimson with a dry, prickly, yellow-black coat; pulse deep, thin and rapid, or floating (surging), large and rapid

Modern uses

Epidemic febrile diseases
Influenza
Viral pneumonia
SARS
COVID-19, as an adjunct alongside conventional care
Meningitis
Encephalitis B
Typhoid fever
Scarlet fever
Measles
Epidemic haemorrhagic fever
Leptospirosis
Septicaemia and sepsis, alongside conventional care
Pyaemia
Pyogenic infection
Facial erysipelas
Nasal furuncles
Acute liver necrosis
Acute icteric jaundice
Necrotising enterocolitis
Nephritis
Kidney failure
Uraemia
Oliguria
Rheumatic fever
Coxarthritis
Behcet's syndrome
Lupus erythematosus, including systemic lupus erythematosus
Polymyositis and dermatomyositis
Skin disorders
Acute leukaemia
Eclampsia
Epistaxis
Haematemesis
Perspiration
Fever
Headache

Modifications

Constipation: + da huang, + mang xiao

Very high fever: + da qing ye, + ban lan gen

Swollen face: + zi hua di ding, + sheng da huang

Swollen parotid glands: + qing dai, + jin yin hua

Bruised-feeling soreness of joints and lower back: + huang bai, + mu tong

Dark purple rashes: + zi cao, + hong hua, + tao ren, + dang gui

Tremor from Heat injuring the sinews: + ju hua, + long dan cao, − jie geng

Blood stasis; purplish dark macules: + da qing ye, + zi cao

Distended abdomen and constipation: + da huang, + mang xiao

Critical furunculosis with septicaemia from toxic Heat: + jin yin hua, − dan zhu ye, − xuan shen

Leptospirosis, or aching all over with intense headache, low back pain, scanty urine, high fever and irritability: + bai mao gen, − jie geng, − gan cao

Dark bloody stools with high fever, irritability, dry lips, red tongue and a deep, small, rapid pulse: + hong hua, − jie geng, − gan cao, − dan zhu ye

Show all 45 modifications

Rebellious Stomach Qi: + dai zhe shi, + zhu ru
Nosebleed: + bai mao gen, + ce bai ye, − jie geng
Spasms, cramps and convulsions (Gou Teng with Di Long, or Bai Mao Gen with Xian He Cao): + gou teng, + di long, + bai mao gen, + xian he cao
Sore, swollen throat: + shan dou gen, + niu bang zi
Nasal furuncles (combined with An Gong Niu Huang Wan)
Leptospirosis (or combined with Zi Xue Dan): + tu fu ling, + yi yi ren, − gan cao, − dan zhu ye, − xuan shen, − lian qiao, − jie geng
Lupus erythematosus: + yin chai hu, + jin yin hua, + lou lu, + wu shao she, + quan xie, − dan zhu ye, − sheng di huang, − xuan shen, − huang lian, − huang qin, − zhi zi, − lian qiao, − jie geng
Lupus erythematosus with strong toxic Heat: + yin chai hu, + jin yin hua, + lou lu, + wu shao she, + quan xie, + da huang, + gou teng, + bie jia, + ling yang jiao, − dan zhu ye, − sheng di huang, − xuan shen, − zhi zi, − lian qiao, − jie geng
Lupus erythematosus with an external pathogen: + yin chai hu, + jin yin hua, + lou lu, + wu shao she, + quan xie, + ge gen, + jing jie, − dan zhu ye, − sheng di huang, − xuan shen, − huang lian, − huang qin, − zhi zi, − lian qiao, − jie geng
Loss of consciousness (combined with An Gong Niu Huang Wan or Zi Xue Dan)
Convulsions (Chan Tui with Jiang Can, or Ling Yang Jiao): + chan tui, + jiang can, + ling yang jiao
Polymyositis or dermatomyositis: + huang bai, + mu tong, − dan zhu ye
Polymyositis or dermatomyositis with a clouded mind: + huang bai, + mu tong, − dan zhu ye
Polymyositis or dermatomyositis with constipation (combined with An Gong Niu Huang Wan): + huang bai, + mu tong, + da huang, + mang xiao, − dan zhu ye
Polymyositis or dermatomyositis with very high fever: + huang bai, + mu tong, + da qing ye, + ban lan gen, − dan zhu ye
Polymyositis or dermatomyositis, skin lesions dark purple: + huang bai, + mu tong, + zi cao, + hong hua, + tao ren, + dang gui, − dan zhu ye
Systemic lupus erythematosus: + dang gui
SLE with dry, hard stools: + dang gui, + da huang
SLE with high fever that does not come down: + dang gui, + ling yang jiao
SLE with low-grade fever that does not come down: + dang gui, + yin chai hu, + di gu pi
SLE with bleeding: + dang gui
SLE with Damp-Heat and a thick, slimy coat (then choose among Ou Jie, Bai Mao Gen, Xian He Cao and Ce Bai Ye by the site and cause of any bleeding): + dang gui, + cang zhu, + shi chang pu, + ou jie, + bai mao gen, + xian he cao, + ce bai ye, − sheng di huang, − zhi mu
SLE with severe thirst: + dang gui, + mai men dong, + shi hu, + yu zhu
SLE with joint pain: + dang gui, + qiang huo, + qin jiao, + du huo
SLE with extensive erythema, petechiae or purpura: + dang gui, + zi cao, + huai hua mi, + ling xiao hua
Headache from toxic Fire: − shui niu jiao, − xuan shen
Toxic-Fire headache with loss of consciousness (combined with An Gong Niu Huang Wan): − shui niu jiao, − xuan shen
Toxic-Fire headache with high fever: − shui niu jiao, − xuan shen
Toxic-Fire headache with convulsions (combined with Zi Xue Dan): + gou teng, + jiang can, − shui niu jiao, − xuan shen
Toxic-Fire headache with thirst: + mai men dong, − shui niu jiao
Toxic-Fire headache with swollen face: + jin yin hua, + tian hua fen, − shui niu jiao, − xuan shen
Severe toxin with constipation: + da huang
Marked Fire toxin: + jin yin hua, + huang bai

Cautions

contraindication Yang deficiency

contraindication Weak Spleen and Stomach: the very cold, draining formula makes deficiency-Cold worse

contraindication Ordinary colds, mild fevers or any condition short of true, severe excess Heat; the large amount of Shi Gao with several bitter-cold herbs can harm Spleen and Stomach Yang

pregnancy Only under qualified professional guidance, as Chi Shao and Mu Dan Pi move and cool the Blood

caution The pattern it treats (high fever with rash or bleeding) is a critical, potentially life-threatening illness; it needs an experienced practitioner and emergency medical assessment, not self-treatment

caution Xi Jiao (rhinoceros horn) comes from an endangered, CITES-protected animal and is not used today; Shui Niu Jiao (water buffalo horn) is the standard substitute

Pinyin

qing wen bai du yin

English Name

Clear Epidemics and Overcome Toxin Decoction

qing wen bai du yin

About qing wen bai du yin

Ingredients

Actions and indications

Clears Heat and drains Fire

Resolves toxicity

Cools the Blood and stops bleeding

Modern uses

Symptoms

Modifications

Cautions

Preparation

Names

Classification