| 【Chinese Name】 |
清氣化痰丸
|
| 【Phonetic】 |
Qing Qi Hua Tan Wan
|
| 【English Name】 |
Qi-Clearing and Phlegm-Transforming Pill |
| 【Classification】 |
Phlegm-expelling formulas |
| 【Source】 |
《Investigations of Medical Formulas》Yi Fang Kao《医方考》 |
| 【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]《Ancient and Modern Mirror of Medicine》Gu Jin Yi Jian《古今医鉴》
[Ingredients] Chen pi 1.5 qian (4.5g), ban xia 1 qian (3g), jie geng 1 qian (3g), zhi qiao 1 qian (3g), bei mu 1 qian (3g), qian hu 1 qian (3g), xing ren 1.5 qian (4.5g), huang qin (dry-fried) 1 qian (3g), shi gao 1 qian (3g), gua lou ren 1 qian (3g), zhi gan cao 1 fen (3g)
[Preparation and Administration] Prepare it as a decoction with 3 pieces of sheng jiang.
[Actions] Clears lung and subdues fire, dissolves phlegm and relieves cough.
[Applicable Patterns] Cough due to heat-phlegm accumulation. Symptoms include: expectoration of yellow, sticky phlegm, thirst, vexation and stuffy chest, a red tongue with a yellow, greasy coating, and a slippery and rapid pulse. |
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