Qing Ying Tang, Clear the Nutritive Level Decoction, is Xi Jiao, Xuan Shen, Sheng Di Huang, Mai Men Dong, Jin Yin Hua, Lian Qiao, Huang Lian, Dan Zhu Ye and Dan Shen. The catalogue classes it among the formulas that clear Heat from the Nutritive level and cool the Blood.

Herb

Amount

9 g

9 g

15 g

9 g

9 g

6 g

4.5 g

3 g

6 g

Actions and indications

Clears Heat from the Nutritive (Ying) level

Heat that has entered the Nutritive level in a warm-febrile disease, or has attacked the Pericardium, before causing frank bleeding
High fever that is clearly worse at night
Thirst, often without much wish to drink
Tongue scarlet and dry with little coat; pulse thin and rapid

Resolves Fire toxin and vents Heat to the Qi level

Severe irritability, restlessness and insomnia
Delirium or confused speech in more serious cases
Eyes kept open, or kept closed, for long periods
Dizziness and vertigo

Nourishes Yin

Invigorates the Blood

Faint, indistinct purpura, erythema or macules just beginning to show

Modern uses

High fever
Epidemic febrile illness
Encephalitis
Meningitis
Septicaemia and sepsis
Eruptive fevers such as measles and scarlet fever
Chicken pox
Pneumonia
Acute bronchitis
Tracheitis
Bronchiectasis
Pertussis
Pleurisy
Upper respiratory tract infection
Acute tonsillitis
Lung cancer
Lung injury from severe acute pancreatitis, alongside conventional care
Leukaemic crisis
Aplastic anaemia
Purpura, including thrombocytopenic purpura
Haemoptysis
Haematuria
Epistaxis
Drug-induced dermatitis
Erythema
Erysipelas
Psoriasis, including Blood-Heat type
Scleroderma
Lupus erythematosus
Rheumatic fever
Harada's syndrome
Optic neuritis
Uveitis
Red eyes
Cerebrovascular accident (stroke)
Hypertension
Headache
Dizziness
Vertigo
Convulsions
Insomnia
Eclampsia
Cholelithiasis
Appendicitis
Diverticulitis
Suppurative salpingitis
Acute pelvic inflammatory disease
AIDS/HIV/ARC

Modifications

Long-standing night sweats: + dan zhu ye, + mu dan pi, + bai mao gen, + bai wei, − jin yin hua, − lian qiao, − huang lian

Badly depleted Yin and fluids: + sha shen, + gou qi zi

Intense Fire at the Qi level: + shi gao

Heat in the Pericardium with high fever, spasms and clouded consciousness (start with An Gong Niu Huang Wan, then change to this formula once the symptoms ease)

Tremor and spasms: + gou teng, + ling yang jiao, + di long

Qi-level Heat passing into the Ying level: + huang lian, + jin yin hua

Phlegm: + zhu li

Psoriasis: + mu dan pi, + chi shao, + pu gong ying, + shi gao, + dan zhu ye, + gan cao, − mai men dong, − dan shen

Coma: + ling yang jiao, + di long

Stomach Fire (combined with Mai Men Dong Tang): + bai shao

To strengthen the effect: + zhu ye (dan)

Optic neuritis (these herbs, or Dan Zhu Ye alone): + mu dan pi, + zhi mu, + bai shao, + jue ming zi, + dan zhu ye, − sheng di huang

Show all 49 modifications

Big, forceful pulse at the Chi position, dry tongue: − huang lian
Heat in both Qi and Ying levels: + shi gao, + zhi mu
Blood Heat: + zhu ye (dan), + mu dan pi
Blood Heat with heavy skin eruptions or bleeding: + sheng di huang, + zhu ye (dan), + mu dan pi, + zhi zi tan, + chi shao, − jin yin hua, − lian qiao
Red face: + di gu pi, + mo han lian, − xi jiao
Delirium or unconsciousness: + ling yang jiao, + gou teng
Large Cun pulse, crimson tongue, dry mouth without thirst: − huang lian
Eruptions with bleeding: + huang qin, + da huang
Aplastic anaemia: + zhu ye (dan)
Aplastic anaemia with intense Qi-level Fire (plus two of Huang Bai, Huang Qin, Pu Gong Ying, Zi Hua Di Ding, Ban Lan Gen): + zhu ye (dan), + shi gao, + huang bai, + huang qin, + pu gong ying, + zi hua di ding, + ban lan gen
Aplastic anaemia, fluids badly depleted: + zhu ye (dan), + bei sha shen, + di gu pi
Aplastic anaemia and convulsions: + zhu ye (dan), + gou teng, + di long
Aplastic anaemia, bleeding from intense Heat: + zhu ye (dan), + bai mao gen, + qian cao gen
Aplastic anaemia, bleeding from Blood Heat and weak Qi: + zhu ye (dan), + xian he cao, + huang qi, + ren shen
Aplastic anaemia, bleeding under the skin: + zhu ye (dan), + zi cao, + mu dan pi, + chi shao
Aplastic anaemia, Blood deficient: + zhu ye (dan), + dang gui, + shu di huang, + he shou wu
High fever (combined with Niu Huang Qing Xin Wan): + dan zhu ye, + mu dan pi, + shi chang pu, + yu jin, − dan shen
Fever (combined with Niu Huang Qing Xin Wan): + zhu ye (dan), + mu dan pi, + zhu li
Thrombocytopenic purpura with nosebleed or bleeding gums from Heat or Yin deficiency: + sheng ma, + huang qin, + zhi zi, + bai mao gen
Thrombocytopenic purpura, coughing blood from Heat: + yu jin, + ou jie, + e jiao, + qian cao gen
Thrombocytopenic purpura, blood in stool or vomit: + san qi, + bai ji, + di yu, + huai hua mi
Thrombocytopenic purpura, blood in urine: + xiao ji, + pu huang, + dan zhu ye, + mu tong
Thrombocytopenic purpura, uterine bleeding: + lian fang tan, + zong lu pi, + ce bai ye (tan)
Blood stasis after purpura bleeding, with bruising, haematoma, enlarged spleen and a purplish tongue: + tao ren, + hong hua, + san qi
Night-time high fever: + dan zhu ye, + mu dan pi, + dan shen
Appendicitis, diverticulitis, salpingitis or pelvic inflammatory disease: + dan zhu ye, + pu gong ying, + zi hua di ding, + bai hua she she cao
Scleroderma: + zi cao, + bai mao gen, + chi shao, + xia ku cao, − xi jiao, − lian qiao, − huang lian
Scleroderma with cough and breathlessness: + zi cao, + bai mao gen, + chi shao, + xia ku cao, + xing ren, + qian hu, − xi jiao, − lian qiao, − huang lian
Scleroderma with aching muscles, numbness and stiffness: + zi cao, + bai mao gen, + chi shao, + xia ku cao, + yi yi ren, + ji xue teng, + dang gui, − xi jiao, − lian qiao, − huang lian
Scleroderma with Phlegm: + zhi ban xia, + fu ling, + chen pi
Scleroderma, Phlegm and hardening: + zhi ban xia, + fu ling, + chen pi, + kun bu, + hai zao
Scleroderma, Phlegm blocking the channels: + zhi ban xia, + fu ling, + chen pi, + zhi tian nan xing
Scleroderma, Phlegm with internal Wind: + zhi ban xia, + fu ling, + chen pi, + zhi bai fu zi
AIDS/HIV with Heat in the Ying and Blood levels: rashes and eruptions or marked delirium at night, dark red tongue, thin rapid pulse: + mu dan pi, + dan zhu ye, + chi shao, − dan shen
AIDS/HIV with fever to the fore: + shi gao, + da qing ye, + ban lan gen, + mu dan pi, + dan zhu ye, − lian qiao
More marked rash: + da qing ye, + ban lan gen, + zi cao
Stomach Heat not marked: − huang lian

Cautions

contraindication Dampness, shown by a white, slippery tongue coat

contraindication Heat still confined to the exterior or Qi level, and Cold or deficiency patterns: given too early or without true Heat it can harm Spleen and Stomach Yang and push the pathogen deeper

caution Weak or cold digestion: the rich Yin tonics and bitter, cold Huang Lian can cause loose stools or poor appetite

caution High fever with a changed mental state and an emerging rash needs prompt professional and, where appropriate, emergency medical assessment; not a home remedy for undiagnosed fever

caution Xi Jiao (rhinoceros horn) is no longer used, as the animal is endangered and its trade banned; Shui Niu Jiao (water buffalo horn) is used instead, or it is left out and the formula adjusted by a practitioner

pregnancy Only under professional guidance, as it is strongly cold and contains Blood-moving Dan Shen

paediatric In children, and in the elderly, only under professional guidance

Pinyin

qing ying tang

English Name

Clear the Nutritive Level Decoction

qing ying tang

About qing ying tang

Ingredients

Actions and indications

Clears Heat from the Nutritive (Ying) level

Resolves Fire toxin and vents Heat to the Qi level

Nourishes Yin

Invigorates the Blood

Modern uses

Symptoms

Modifications

Cautions

Preparation

Names

Classification