Bei Mu Gua Lou San - 貝母瓜蔞散 - Fritillaria And Trichosanthis Fruit Powder

English:	Fritillaria and Trichosanthis Fruit Powder
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Bul. Fritillariae Cirrhosae	Chuan Bei Mu	4.5-12g	Moistens the Lungs, clears Heat, transforms Phlegm and stops cough. With Gua Lou Ren and Tian Hua Fen, for cough with Phlegm and Dryness in the Lungs.
Fr. Trichosanthis	Gua Lou Ren	3-12g	Clears Heat, moistens Dryness, regulates Qi and expels Phlegm to remove obstruction from the chest and diaphragm.
Rx. Trichosanthis	Tian Hua Fen	2-12g	Clears and drains Lung Heat, Generates fluids, Moistens Lung Dryness, Relieves toxicity, Transforms Phlegm. With Fu Ling and Ju Hong, treats Spleen Deficiency and Stagnation.
Poria	Fu Ling	2-10g	Promotes urination. resolves Dampness, strengthens the Spleen, harmonizes the Middle Jiao and transforms Phlegm.
Per. Citri Erythrocarpi	Ju Hong	2-6g	Descends Qi, Dries Dampness, Harmonizes the Middle, Regulates Qi, Regulates the Stomach, Transforms Phlegm.
(Per. Citri Reticulatae)	(Chen Pi)	(2-6g)	(Substitute for Ju Hong.)
Rx. Platycodi	Jie Geng	2-9g	Opens the Lungs, expels Phlegm and pus, benefits the throat and directs the effects of other herbs to the upper body.

Formula Actions

• Moistens the Lungs
• Clears Heat
• Regulates Qi
• Transforms Phlegm
• Stops cough

Syndromes

• Phlegm-Heat and Dryness in the Lung
• Phlegm-Dryness in the Lungs
• Lung Yin Deficiency with Phlegm-Fire
• Lung Dry-Phlegm causing cough (Secondary source)

Clinical Manifestations

Cough Dry, sore throat Wheezing Dyspnea Shortness of breath Polydipsia

Deep- seated Phlegm which is difficult to expectorate Polyuria T: Red, dry C: Little P: Thin, rapid and strong

Treats

Sore throat Bronchitis Tracheitis Aphonia Emphysema Nasal Dryness Pneumonia Chronic tonsillitis COPD Dyspnea

Scrofula Asthma Pulmonary tuberculosis Pharyngitis Cervical lymphadenopathy Cervical lymphadenitis Thyroiditis Upper diabetes mellitus (initial stage) Dry cough Pertussis

Contraindications And Herb/Drug Interactions

Notes

• Both Bei Mu Gua Lou San and Sheng Mai San treat dry cough: Bei Mu Gua Lou San is for Dryness attacking the Lung with a thin, rapid but strong pulse, while Sheng Mai San is for Lung Qi and Yin deficiency with a thin, rapid and weak pulse.

Modifications

For severe coughing and wheezing:		For hoarseness and Blood-streaked sputum:
+ Sm. Armeniacae	Xing Ren	- Per. Citri Erythrocarpi	Ju Hong
+ Fol. Eriobotryae	Pi Pa Ya	+ Rx. Adenophorae/ Glehniae	Sha Shen
+ Flos. Farfarae	Kuan Dong Hua	+ Tub. Ophiopogonis	Mai Men Dong
For concurrent exterior conditions:		+ Rz. Phragmitis	Lu Gen
+ Fol. Mori	Sang Ye	+ Hb. Agrimoniae	Xian He Cao
+ Sm. Armeniacae	Xing Ren	Or
+ Rx. Peucedani	Qian Hu	- Per. Citri Erythrocarpi	Ju Hong
+ Fr. Arctii	Niu Bang Zi	+ Rx. Adenophorae/ Glehniae	Sha Shen
For cough and irritability of the throat:		+ Gel. Corii Asini	E Jiao
+ Rx. Peucedani	Qian Hu	Or
+ Fr. Arctii	Niu Bang Zi	+ Gel. Corii Asini	E Jiao
For severe dry throat:		+ Rx. Rehmanniae	Sheng Di Huang
+ Tub. Ophiopogonis	Mai Men Dong	+ Hb. Ecliptae	Mo Han Lian
+ Rx. Scrophulariae	Xuan Shen	Or
+ Rx. Glycyrrhizae	Gan Cao	- Per. Citri Erythrocarpi	Ju Hong
For more severe dryness and sore throat:		+ Rx. Adenophorae/ Glehniae	Sha Shen
+ Tub. Ophiopogonis	Mai Men Dong	+ Tub. Ophiopogonis	Mai Men Dong
+ Rx. Scrophulariae	Xuan Shen	+ Rz. Phragmitis	Lu Gen
+ Rz. Anemarrhenae	Zhi Mu	+ Hb. Agrimoniae	Xian He Cao
For cough with thick, yellow sputum:		+ Sm. Oroxyli	Mu Hu Die
- Rx. Trichosanthis	Tian Hua Fen	+ Rx. Rubiae	Qian Cao Gen
- Poria	Fu Ling	For signs of Yin Deficiency:
- Rx. Platycodi	Jie Geng	+ Tub. Ophiopogonis	Mai Men Dong
+ Rz. Coptidis	Huang Lian	Or
+ Fr. Gardeniae	Zhi Zi	+ Lily Bulb Decoction to Preserve the Metal Bai He Gu Jin Tang
+ Arisaema cum Bile	Dan Nan Xing	For dry mouth and sore throat
+ Rx. Glycyrrhizae	Gan Cao	+ Tub. Ophiopogonis	Mai Men Dong
+ Rx. Scrophulariae	Xuan Shen
+ Rx. Rehmanniae	Sheng Di Huang
+ Rz. Phragmitis	Lu Gen