Pi Pa Qing Fei Yin - 枇杷清肺饮 - Eriobotrya Decoction To Clear The Lung

English:	Eriobotrya Decoction to Clear the Lung
Also Known As:	Loquat Decoction to Clear the Lung Decoction of Folium Eriobotrya for Removing Heat from the Lung

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Fol. Eriobotrya	Pi Pa Ye	6-15g	Transforms Phlegm, clears Lung Heat and descends Lung Qi. With Huang Lian, Zhi Zi and Sang Bai Pi, for cough with copious yellow Phlegm due to Lung Heat.
Cx. Mori	Sang Bai Pi	6-9g	Drains Heat from the Lungs, stops cough and calms wheezing.
Rz. Coptidis	Huang Lian	3-9g	Clears Heat, Clears Heat, Drains Dampness, Drains Fire, Resolves Fire toxicity, Stops bleeding.
Cx. Phellodendri	Huang Bai	3g	Drains Damp-Heat especially from the Lower Jiao, drains Fire and relieves Fire toxicity.
Rx. Ginseng	Ren Shen	1g	Tonifies Qi, generates Body Fluids and stops thirst.
Rx. Glycyrrhizae	Gan Cao	1g	Clears Heat, Harmonizes the harsh properties of other herbs, Moistens the Lungs, Relieves Fire toxicity and moderates, Resolves Phlegm, Stops cough.

Formula Actions

• Cool the Blood
• Eliminate Dampness
• Invigorate the Blood
• Clear Lung Heat

Syndromes

• Damp-Heat in the Lungs
• Lung Heat
• Blood Heat

Clinical Manifestations

Redness of the bulb of the nose The redness blanches upon pressure Red papules, tubercles and acne and inflammatory infiltration around them Whiteheads or blackheads Dry nose Dry mouth

Burning sensation Constipation Dry stool T: Red or Red tip C: Thin and yellow P: Wiry and slippery or Slippery and rapid

Treats

Acne

Rosacea

Contraindications And Herb/Drug Interactions

Notes

Modifications

For Blood Heat:		For Damp-Heat in the Lungs:
- Cx. Mori	Sang Bai Pi	- Rx. Ginseng	Ren Shen
- Cx. Phellodendri	Huang Bai	- Cx. Phellodendri	Huang Bai
- Rx. Ginseng	Ren Shen	- Rx. Glycyrrhizae	Gan Cao
- Rx. Glycyrrhizae	Gan Cao	+ 9g Flos Sophorae	Huai Hua Mi
+ 15g Rx. Rehmanniae	Sheng Di Huang	+ 30g Gypsum Fibrosum	Shi Gao
+ 15g Rx. Scrophulariae	Xuan Shen	+ 9g Rx. Scutellariae	Huang Qin
+ 9g Rx. Scutellariae	Huang Qin	+ 9g Fr. Gardeniae	Zhi Zi
+ 9g Fr. Gardeniae	Zhi Zi	+ 9g Cx. Moutan	Mu Dan Pi
+ 9g Rx. Paeoniae Rubra	Chi Shao	+ 15g Rx. Rehmanniae	Sheng Di Huang
+ 9g Cx. Moutan	Mu Dan Pi	+ 9g Rx. Paeoniae Rubra	Chi Shao
+ 9g Fr, Forsythiae	Lian Qiao	+30g Rz. Imperatae	Bai Mao Gen
+ 9g Sp. Prunellae	Xia Ku Cao	+ 9g Flos Carthami	Hong Hua
+ 9g Flos Chrysanthemi	Ju Hua	Or
For Damp-Heat: in the Lungs with constipation:		- Rx. Ginseng	Ren Shen
- Rx. Ginseng	Ren Shen	+ 9g Rx. Scutellariae	Huang Qin
- Cx. Phellodendri	Huang Bai	+ 9g Fr. Gardeniae	Zhi Zi
- Rx. Glycyrrhizae	Gan Cao	+ 15g Rx. Rehmanniae	Sheng Di Huang
+ 9g Flos Sophorae	Huai Hua Mi	+ 9g Cx. Moutan	Mu Dan Pi
+ 30g Gypsum Fibrosum	Shi Gao	+ 9g Rx. Paeoniae Rubra	Chi Shao
+ 9g Rx. Scutellariae	Huang Qin
+ 9g Fr. Gardeniae	Zhi Zi	+ 15g Gypsum Fibrosum	Shi Gao
+ 9g Cx. Moutan	Mu Dan Pi	+ 15g Hb. Artemisiae Scopariae	Yin Chen Hao
+ 15g Rx. Rehmanniae	Sheng Di Huang
+ 9g Rx. Paeoniae Rubra	Chi Shao	For Damp-Heat in the Lungs with notable pus-pockets:
- Rx. Ginseng	Ren Shen
+30g Rz. Imperatae	Bai Mao Gen	- Cx. Phellodendri	Huang Bai
+ 9g Flos Carthami	Hong Hua	- Rx. Glycyrrhizae	Gan Cao
+ 6g Rx. et Rz. Rhei	Da Huang	+ 9g Flos Sophorae	Huai Hua Mi
For pustules:		+ 30g Gypsum Fibrosum	Shi Gao
+ Flos Chrysanthemi	Ju Hua	+ 9g Rx. Scutellariae	Huang Qin
+ Hb. Violae	Zi Hua Di Ding	+ 9g Fr. Gardeniae	Zhi Zi
For dry stool:		+ 9g Cx. Moutan	Mu Dan Pi
+ Fol. Isatidis	Da Qing Ye	+ 15g Rx. Rehmanniae	Sheng Di Huang
+ Steamed Rx.et Rz. Rhei	Shu Da Huang	+ 9g Rx. Paeoniae Rubra	Chi Shao
+30g Rz. Imperatae	Bai Mao Gen
For constipation:		+ 9g Flos Carthami	Hong Hua
+ 3-15g Rx. et Rz. Rhei	Da Huang	+ 15 Flos Chrysanthemi Indici	Ye Ju Hu
Or		+ 30g Hb. Taraxaci	Pu Gong Ying
+ Fr. Aurantii Immaturus	Zhi Shi	Or
For marked Blood Stagnation:		- Rx. Ginseng	Ren Shen
- Rx. Ginseng	Ren Shen	+ 9g Rx. Scutellariae	Huang Qin
+ 12g Spina Gleditsiae	Zao Jiao Ci	+ 9g Fr. Gardeniae	Zhi Zi
+ 12g Sm. Vaccariae	Wang Bu Liu Xing	+ 15g Rx. Rehmanniae	Sheng Di Huang
+ 9g Flos Carthami	Hong Hua	+ 9g Cx. Moutan	Mu Dan Pi
+ 1.5-3g Hirudo	Shui Zhi	+ 9g Rx. Paeoniae Rubra	Chi Shao
For Phlegm nodulation:
- Rx. Ginseng	Ren Shen	+ 15g Gypsum Fibrosum	Shi Gao
- Rx. Glycyrrhizae	Gan Cao	+ 15g Hb. Artemisiae Scopariae	Yin Chen Hao
+ 9g Rz. Sparganii	San Leng
+ 9g Rz. Curcumae	E Zhu	+ 30g Flos Lonicerae	Jin Yin Hua
+ 9g Thallus Eckloniae	Kun Bu	+ 30g Hb. Taraxaci	Pu Gong Ying
+ 9g Hb. /sargassii	Hai Zao	+ 15g Hb Violae	Zi Hua Di Ding
For fever and thirst:		For Damp-Heat in the Lungs with constipation:
+ Gypsum Fibrosum Recens	Sheng Shi Gao	- Rx. Ginseng	Ren Shen
+ 9g Rx. Scutellariae	Huang Qin
+ Rz. Anemarrhenae	Zhi Mu	+ 9g Fr. Gardeniae	Zhi Zi
+ Fr. Forsythiae	Lian Qiao	+ 15g Rx. Rehmanniae	Sheng Di Huang
For a pus-filled head:		+ 9g Cx. Moutan	Mu Dan Pi
+ Hb. Taraxaci	Pu Gong Ying	+ 9g Rx. Paeoniae Rubra	Chi Shao
For hard red nodules:
+ Spica Prunellae	Xia Ku Cao	+ 15g Gypsum Fibrosum	Shi Gao
For more pronounced Heat:		+ 15g Hb. Artemisiae Scopariae	Yin Chen Hao
- Rx. Ginseng	Ren Shen
+ 30g Gypsum Fibrosum	Shi Gao	+ Rx. et Rz. Rhei	Da Huang
+ 15g Lithospermi/ Arnebiae	Zi Cao	For Damp-Heat in the Lungs with obvious seborrhea:
+ 15g Flos Sophorae Immaturus	Huai Hua Mi	- Rx. Ginseng	Ren Shen
+ 9g Rx. Scutellariae	Huang Qin
For marked Dampness and turbidity:		+ 9g Fr. Gardeniae	Zhi Zi
- Rx. Ginseng	Ren Shen	+ 15g Rx. Rehmanniae	Sheng Di Huang
+ 21g Sm. Coicis	Yi Yi Ren	+ 9g Cx. Moutan	Mu Dan Pi
+ 9g Rx. Sophorae Flavescentis	Ku Shen	+ 9g Rx. Paeoniae Rubra	Chi Shao
+ 9g Rz. Smilacis Glabrae	Tu Fu Ling	+ 15g Gypsum Fibrosum	Shi Gao
+ 15g Hb. Artemisiae Scopariae	Yin Chen Hao
+30g Sm. Coicis	Yi Yi Ren
+ 12g Rz. Atractylodis Macrocephalae	Bai Zhu
+ 30g Sm. Plantaginis	Che Qian Zi