Cang Er Zi San - 蒼耳子散 - Xanthium Powder

English:	Xanthium Powder
Also Known As:	Xanthium Formula Cang Er San

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Fr. Xanthii	Cang Er Zi	6-10g	Disperses Wind, dispels Dampness and opens the nasal passages. With Xin Yi Hua, unblocks the nasal passages and treats headache and profuse nasal discharge.
Flos Magnoliae	Xin Yi Hua	3-15g	Expels Wind-Cold and unblocks the nasal passages.
Rx. Angelicae Dahuricae	Bai Zhi	3-30g	Alleviates pain and headache, Disperses Cold, Disperses Wind-Dampness, Expels pus, Opens the nasal orifices, Reduces swelling, Releases the exterior. With Cang Er Zi and Xin Yi Hua, for headache due to nasal congestion with thick putrid discharge.
Hb. Menthae	Bo He	1.5-6g	Disperses Wind-Heat, clears the head and eyes and benefits the throat.

Formula Actions

• Disperses Wind
• Alleviates pain
• Unblocks the nose

Syndromes

• Wind-Cold with interior Heat in the muscles
• Profuse nasal discharge due to Wind-Heat Attacking the head
• Wind causing nasal congestion or discharge (Secondary source)

Clinical Manifestations

Copious, purulent, foul nasal discharge Nasal obstruction Dizziness Frontal or temporal headache Fever Intolerance of Cold Muscle ache

Blood-shot eyes Dry nose Bitter taste in mouth Insomnia T: Normal or thin white C: Yellow P: Floating and rapid

Treats

Rhinorrhea Nasal suppuration Acute or chronic rhinitis Nasal congestion Fever

Acute or chronic sinusitis Allergic rhinitis Accessory nasal sinuses Headache

Contraindications And Herb/Drug Interactions

Notes

• Profuse nasal discharge is called Bi Yuan (nasal deep-source).

Modifications

For increased Heat in the Lung:		For profuse nasal discharge:
+ Cx. Mori	Sang Bai Pi	+ Flos Lonicerae	Jin Yin Hua
+ Cx. Lycii	Di Gu Pi	Or
Or		+ Flos Lonicerae	Jin Yin Hua
+ Cx. Mori	Sang Bai Pi	+ Centipeda Minima	E Bu Shi Cao
+ Rx. Scutellariae	Huang Qin	+ Rx. Glycyrrhizae	Gan Cao
For sinusitis due to Excess Stomach Heat:		For sinusitis due to Excess Stomach Heat with sticky yellow mucus:
+ Clear Stomach Heat Powder Qing Wei San		+ Clear Stomach Heat Powder Qing Wei San
For sinusitis due to Excess Stomach Heat with restlessness and thirst:		+ Hb. Patriniae	Bai Jiang Cao
+ Clear Stomach Heat Powder Qing Wei San		+ Sp. Gleditsiae	Zao Jiao Ci
+ Rz. Anemarrhenae	Zhi Mu	+ Gypsum Fibrosum	Shi Gao
For sinusitis due to Excess Stomach Heat with gingival swelling and bleeding:		For severe nasal obstruction:
+ Clear Stomach Heat Powder Qing Wei San		+ Centipeda Minima	E Bu Shi Cao
+ Rz. Imperatae	Bai Mao Gen	+ Hb. Asari	Xi Xin
+ Hb. Cephalanoplos	Xiao Ji	For concurrent fever and Heat in the Lungs:
For bloody nasal discharge:		+ Rx. Scutellariae	Huang Qin
+ Rx. Rubiae	Qian Cao Gen	+ Hb. Houttuyniae	Yu Xing Cao
+ Rx. Rehmanniae	Sheng Di Huang	For more severe dizziness and headache:
For copious, purulent nasal discharge:		+ Flos Chrysanthemi	Ju Hua
+ Flos Lonicerae	Jin Yin Hua	+ Fr. Tribuli	Bai Ji Li
+ Fr. Forsythiae	Lian Qiao	For nasal congestion and sinusitis due to Wind-Heat Attacking the Lungs:
For nasal congestion and sinusitis due to Wind-Heat Attacking the Lungs with severe frontal or maxillary headache:		+ 9g Rx. Scutellariae	Huang Qin
+ 9g Rx. Scutellariae	Huang Qin	+ 12g Flos Chrysanthemi	Ju Hua
+ 12g Flos Chrysanthemi	Ju Hua	+ 15g Fr. Forsythiae	Lian Qiao
+ 15g Fr. Forsythiae	Lian Qiao	+ 15g Rx. Puerariae	Ge Gen
+ 15g Rx. Puerariae	Ge Gen	For nasal congestion and sinusitis due to Wind-Heat Attacking the Lungs with a temporal headache:
+ Increase Rx. Angelicae Dahuricae to 12g	Bai Zhi	+ 9g Rx. Scutellariae	Huang Qin
+ 9g. Fr. Viticis	Man Jing Zi	+ 12g Flos Chrysanthemi	Ju Hua
For nasal congestion and sinusitis due to Wind-Heat Attacking the Lungs with a cough with copious sputum:		+ 15g Fr. Forsythiae	Lian Qiao
+ 9g Rx. Scutellariae	Huang Qin	+ 15g Rx. Puerariae	Ge Gen
+ 12g Flos Chrysanthemi	Ju Hua	+ 9g Rx. Bupleuri	Chai Hu
+ 15g Fr. Forsythiae	Lian Qiao	For nasal congestion and sinusitis due to Wind-Heat Attacking the Lungs with purulent nasal discharge:
+ 15g Rx. Puerariae	Ge Gen	+ 9g Rx. Scutellariae	Huang Qin
+ 9g Sm. Armeniacae	Xing Ren	+ 12g Flos Chrysanthemi	Ju Hua
+ 9g Rx. Platycodi	Jie Geng	+ 15g Fr. Forsythiae	Lian Qiao
+ 12g Sm. Trichosanthis	Gua Lou Ren	+ 15g Rx. Puerariae	Ge Gen
+ 12g Sm. Benincasae	Dong Gua Ren	+15g Flos Lonicerae	Jin Yin Hua
For nasal congestion and sinusitis due to Wind-Heat Attacking the Lungs with Lung Heat:		+ 15g Hb. Houttuyniae	Yu Xing Cao
+ 9g Rx. Scutellariae	Huang Qin	For nasal congestion and sinusitis due to Wind-Heat Attacking the Lungs with pre-existing Phlegm-Damp:
+ 12g Flos Chrysanthemi	Ju Hua	+ 9g Rx. Scutellariae	Huang Qin
+ 15g Fr. Forsythiae	Lian Qiao	+ 12g Flos Chrysanthemi	Ju Hua
+ 15g Rx. Puerariae	Ge Gen	+ 15g Fr. Forsythiae	Lian Qiao
+ Gypsum Fibrosum	Shi Gao	+ 15g Rx. Puerariae	Ge Gen
+ 12g Rz. Anemarrhenae	Zhi Mu	+ 6g Rz. Pinelliae Preparatum	Zhi Ban Xia
For nasal congestion and sinusitis due to Wind-Heat Attacking the Lungs with remnants of Wind-Cold:		+12g Poria	Fu Ling
+ 9g Rx. Scutellariae	Huang Qin	+ 6g Per. Citri Reticulatae	Chen Pi
+ 12g Flos Chrysanthemi	Ju Hua	For rhinitis due to Lung Qi Deficiency:
+ 15g Fr. Forsythiae	Lian Qiao	+ Jade Windscreen Powder Yu Ping Feng San
+ 15g Rx. Puerariae	Ge Gen	+ Two or three of the following:
+ 6g Hb. Asari	Xi Xin	+ 12g Sm. Cuscutae	Tu Si Zi
+ 9g Rz. et Rx. Ligustici	Gao Ben	+12g Cx. Eucommiae	Du Zhong
+ 9g Rx. Saposhnikoviae	Fang Feng	+ 9g Sm. Juglandis	Hu Tao Ren
+ 9g Rz. et Rx. Notopterygii	Qiang Huo	+ 12g Fr. Psoraliae	Bu Gu Zhi
For rhinitis due to Lung Qi Deficiency with severe congestion:		+ 12g Rx. Morindae	Ba Ji Tian
+ Jade Windscreen Powder Yu Ping Feng San		+ 12g Rx. Dipsaci	Xu Duan
+ Two or three of the following:		+ 9g Fr. Rubi	Fu Pen Zi
+ 12g Sm. Cuscutae	Tu Si Zi	+ 9g Fr. Schisandrae	Wu Wei Zi
+12g Cx. Eucommiae	Du Zhong	+ Large Dose Rx. Astragali	Huang Qi
+ 9g Sm. Juglandis	Hu Tao Ren	For rhinitis due to Lung Qi Deficiency with exhausting paroxysms of sneezing:
+ 12g Fr. Psoraliae	Bu Gu Zhi	+ Jade Windscreen Powder Yu Ping Feng San
+ 12g Rx. Morindae	Ba Ji Tian	+ Two or three of the following:
+ 12g Rx. Dipsaci	Xu Duan	+ 12g Sm. Cuscutae	Tu Si Zi
+ 9g Fr. Rubi	Fu Pen Zi	+12g Cx. Eucommiae	Du Zhong
+ 9g Fr. Schisandrae	Wu Wei Zi	+ 9g Sm. Juglandis	Hu Tao Ren
+ Large Dose Rx. Astragali	Huang Qi	+ 12g Fr. Psoraliae	Bu Gu Zhi
+ Two or three of the following:		+ 12g Rx. Morindae	Ba Ji Tian
+ 3g Hb. Asari	Xi Xin	+ 12g Rx. Dipsaci	Xu Duan
+ 9g Ram. Cinnamomi	Gui Zhi	+ 9g Fr. Rubi	Fu Pen Zi
+ 3g Per. Zanthoxyli	Chuan Jiao	+ 9g Fr. Schisandrae	Wu Wei Zi
+ 6g Rx. Aucklandiae	Mu Xiang	+ Large Dose Rx. Astragali	Huang Qi
For rhinitis due to Lung Qi Deficiency with continuous, copious, watery nasal discharge:		+ One or two of the following:
+ Jade Windscreen Powder Yu Ping Feng San		+ 9g Per. Cicadae	Chan Tui
+ Two or three of the following:		+ 1.5g Scorpio	Quan Xie
+ 12g Sm. Cuscutae	Tu Si Zi	+ 2g Periostracum Serpentis	She Tui
+12g Cx. Eucommiae	Du Zhong	+ 9g Pheretima	Di Long
+ 9g Sm. Juglandis	Hu Tao Ren	For nasopharyngeal cancer:
+ 12g Fr. Psoraliae	Bu Gu Zhi	+ 30g Rx. Scutellariae Barbatae	Ban Zhi Lian
+ 12g Rx. Morindae	Ba Ji Tian	+ 10g Rx. Sophorae Tonkinensis	Shan Dou Gen
+ 12g Rx. Dipsaci	Xu Duan	+ 15g Sp. Prunellae	Xia Ku Cao
+ 9g Fr. Rubi	Fu Pen Zi	+ 10g Fr. Viticis	Man Jing Zi
+ 9g Fr. Schisandrae	Wu Wei Zi	+ 10g Placenta Hominis	Zi He Che
+ Large Dose Rx. Astragali	Huang Qi	+ 10g Flos Chrysanthemi Indici	Ye Ju Hua
+ One or two of the following:		For rhinorrhea due to Wind-Cold Attacking the Lungs:
+ 9g Fr. Rosae Laevigatae	Jin Ying Zi	- Hb. Menthae	Bo He
+ 12g Fr. Tritici Levis	Fu Xiao Mai	+ 10g Hb. Ephedrae	Ma Huang
+ 12g Rx. Oryzae Glutinosae	Nuo Dao Gen	+ 10g Hb. Schizonepetae	Jing Jie
For rhinorrhea due to Wind-Heat Invading the Lungs:		+ 10g Hb. Agastaches/ Pogostemmi	Huo Xiang
+ 10g Fol. Mori	Sang Ye	+ 3g Hb. Asari	Xi Xin
+ 10g Flos Chrysanthemi	Ju Hua	For nasal congestion due to Lung Heat:
+ 10g Rx. Puerariae	Ge Gen	+ 10g Rx. Scutellariae	Huang Qin
For nasal congestion and sinusitis due to Lung Heat:		+ 10g Hb. Houttuyniae	Yu Xing Cao
+ Rx. Scutellariae	Huang Qin	+ 10g Rx. Platycodi	JIe Geng
+ Flos Chrysanthemi	Ju Hua	For nasal congestion and sinusitis due to Lung Heat with Wind-Heat predominant:
+ Fr. Forsythiae	Lian Qiao	+ Mulberry Leaf and Chrysanthemum Decoction Sang Ju Yin
+ Rx. Puerariae	Ge Gen	For nasal congestion and sinusitis due to Lung Heat with Depressed Heat predominant:
For allergic rhinitis due to Wind-Cold Attacking the Lungs:		+ 15g Cx. Mori	Sang Bai Pi
- Hb. Menthae	Bo He	+ 10g Flos Chrysanthemi	Ju Hua
+ 9g Hb. Agastaches	Huo Xiang	+ 15g Rz. Anemarrhenae	Zhi Mu
+ 3g Hb. Asari	Xi Xin	For allergic rhinitis due to Wind-Cold Attacking the Lungs with sneezing:
For allergic rhinitis due to Wind-Cold Attacking the Lungs with a runny nose with profuse, clear mucus:		- Hb. Menthae	Bo He
- Hb. Menthae	Bo He	+ 9g Hb. Agastaches	Huo Xiang
+ 9g Hb. Agastaches	Huo Xiang	+ 3g Hb. Asari	Xi Xin
+ 3g Hb. Asari	Xi Xin	+ 9g Pheretima	Di Long
+ 9g Fr. Chebulae	He Zi	+ 9g Periostracum Cicadae	Chan Tui
+ 9g Fr Schisandrae	Wu Wei Zi	For allergic rhinitis due to Wind-Cold Attacking the Lungs with itchy eyes
For allergic rhinitis due to Wind-Cold Attacking the Lungs with nasal congestion:		- Hb. Menthae	Bo He
- Hb. Menthae	Bo He	+ 9g Hb. Agastaches	Huo Xiang
+ 9g Hb. Agastaches	Huo Xiang	+ 3g Hb. Asari	Xi Xin
+ 3g Hb. Asari	Xi Xin	+ 9g Rz. Chuanxiong	Chuan Xiong
+ 6g Rz. Acori Tatarinowii	Shi Chang Pu	+ 9g Hb. Schizonepetae	Jing Jie
+ 9g Ram. Cinnamomi	Gui Zhi	For allergic rhinitis due to Wind-Cold Attacking the Lungs with enduring nasal congestion with purple-blue nasal mucosa:
For allergic rhinitis due to Wind-Cold Attacking the Lungs with pronounced Wind-Cold symptoms:		- Hb. Menthae	Bo He
- Hb. Menthae	Bo He	+ 9g Hb. Agastaches	Huo Xiang
+ 9g Hb. Agastaches	Huo Xiang	+ 3g Hb. Asari	Xi Xin
+ 3g Hb. Asari	Xi Xin	+ 9g Fr. Liquidamberis	Lu Lu Tong
+ 9g Hb. Ephedrae	Ma Huang	+ 15g Rz. Chuanxiong	Chuan Xiong
+ 9g Hb. Schizonepetae	Jing Jie	For allergic rhinitis due to Wind-Cold Attacking the Lungs with concurrent severe Qi Deficiency:
For nasal congestion:		- Hb. Menthae	Bo He
+ Mulberry Leaf and Chrysanthemum Decoction Sang Ju Yin		+ 9g Hb. Agastaches	Huo Xiang
+ 3g Hb. Asari	Xi Xin
Or		+ 15g Rx. Astragali	Huang Qi
+ Fr. Arctii	Niu Bang Zi	+ 9g Rz. Atractylodis Macrocephalae	Bai Zhu
For sinusitis due to Wind-Heat Attacking the Lungs with severe Lung Heat and purulent nasal discharge:
For sinusitis due to Wind-Heat Attacking the Lungs with coughing and profuse Phlegm:
+ 12g Flos Chrysanthemi	Ju Hua
+ 9g Rx. Scutellariae	Huang Qin
+ 12g Flos Chrysanthemi	Ju Hua	+ 15g Fr. Forsythiae	Lian Qiao
+ 15g Rx. Puerariae	Ge Gen
+ 15g Fr. Forsythiae	Lian Qiao	+ 9g Sm. Armeniacae	Xing Ren
+ 15g Rx. Puerariae	Ge Gen	+ 9g Rx. Platycodi	Jie Geng
+ 15g Hb. Taraxaci	Pu Gong Ying	For sinusitis due to Wind-Heat Attacking the Lungs with a headache at the vertex:
+ 15g Hb. Patriniae	Bai Jiang Cao	+ 12g Flos Chrysanthemi	Ju Hua
For sinusitis due to Wind-Heat Attacking the Lungs with a frontal headache or Supraorbital bone pain:
+ 15g Fr. Forsythiae	Lian Qiao
+ 12g Flos Chrysanthemi	Ju Hua	+ 15g Rx. Puerariae	Ge Gen
+ 12g Rx. et Rz. Ligustici	Gao Ben
+ 15g Fr. Forsythiae	Lian Qiao	For sinusitis due to Wind-Heat Attacking the Lungs with pain in the area of the point Tai Yang:
+ 15g Rx. Puerariae	Ge Gen
+ 12g Fr. Viticis	Man Jing Zi	+ 12g Flos Chrysanthemi	Ju Hua
+ More (125g) Rx. Angelicae Dahuricae	Bai Zhi
+ 15g Fr. Forsythiae	Lian Qiao
For sinusitis due to Wind-Heat Attacking the Lungs with an occipital headache:		+ 15g Rx. Puerariae	Ge Gen
+ Rx. Bupleuri	Chai Hu
+ 12g Flos Chrysanthemi	Ju Hua	For sinusitis due to Wind-Heat Attacking the Lungs with severe nasal congestion:
+ 15g Fr. Forsythiae	Lian Qiao	+ 12g Flos Chrysanthemi	Ju Hua
+ 18g Rx. Puerariae	Ge Gen
For sinusitis with damage to Qi and Yin:		+ 15g Fr. Forsythiae	Lian Qiao
+ Magnolia Flower Drink to Clear the Lungs Xin Yi Qing Fei Yin		+ 18g Rx. Puerariae	Ge Gen
+ 18g Hb. Houttuyniae	Yu Xing Cao
- Flos Magnoliae	Xin Yi Hua	+ 9g Hb. Agastaches	Huo Xiang
- Rx. Scutellariae	Huang Qin	For chronic sinusitis with Liver and Spleen disharmony and profuse, purulent greenish Phlegm:
+ 18g Rx. Astragali	Huang Qi
For sinusitis with Qi Deficiency:		+ Warm the Lungs, Stop the Flow Special Pill Wen Fei Zhi Liu Dan
+ Warm the Lungs, Stop the Flow Special Pill Wen Fei Zhi Liu Dan
- Rx. Ginseng	Ren Shen
+ 12g Rx. Codonopsis	Dang Shen	+ 9g Rx. Codonopsis	Dang Shen
+ 12g Rx. Astragali	Huang Qi	+ 6g Rx. Acori Tatarinowii	Shi Chang Pu
For sinusitis with easy contraction of Wind pathogens:
+ 15g Flos Lonicerae	Jin Yin Hua
+ Warm the Lungs, Stop the Flow Special Pill Wen Fei Zhi Liu Dan		+ 15g Hb. Houttuyniae	Yu Xing Cao
+ 15g Hb. Centipeda	E Bu Shi Cao
+ Jade Windscreen Powder Yu Ping Feng San		For sinusitis with a headache, heavy-headedness or dizziness:
For sinusitis with severe nasal congestion:		+ Warm the Lungs, Stop the Flow Special Pill Wen Fei Zhi Liu Dan
+ Warm the Lungs, Stop the Flow Special Pill Wen Fei Zhi Liu Dan
+ 9g Rx. Angelicae Dahuricae	Bai Zhi
+ 9g Rz. Acori Tatarinowii	Shi Chang Pu
+ 9g Rz. Chuanxiong	Chuan Xiong
+ 9g Hb. Agastaches	Huo Xiang	+ 9g Rz. Acori Tatarinowii	Shi Chang Pu
For sinusitis with white nasal discharge alternating with yellow nasal discharge:
For sinusitis with Blood Stagnation:
+ Warm the Lungs, Stop the Flow Special Pill Wen Fei Zhi Liu Dan		+ 9g Cx. Moutan	Mu Dan Pi
+ 9g Rx. Paeoniae Rubra	Chi Shao
+ 6g Rx. Scutellariae	Huang Qin
+ 12g Hb. Houttuyniae	Yu Xing Cao