Qing Fei Tang - 清肺湯 - Clear The Lungs Decoction

English:	Clear the Lungs Decoction
Also Known As:	Platycodon and Fritillaria Combination

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Poria	Fu Ling	3g	Promotes urination and leaches out Dampness.
Rx. Platycodi	Jie Geng	3g	Opens the Lungs, spreads Lung Qi, expels Phlegm, benefits the throat and directs the effects of other herbs to the upper body. With Gan Cao, disseminates Lung Qi, expels Phlegm, resolves toxicity, and expels pus for productive cough due to Wind-Heat. With Gan Cao and Huang Qin, for hoarseness, pain and swelling of the throat due to Wind-Heat
Fr. Schisandrae	Wu Wei Zi	2g	Astringes Jing and sweat, Astringes leakage of Lung Qi, Generates fluids, Stops cough, Tonifies the Kidneys.
Per. Citri Reticulatae	Chen Pi	3g	Adjusts the Middle, Dries Dampness, Regulates and descends Qi, Relieves the diaphragm, Transforms Phlegm.
Rx. Angelicae Sinensis	Dang Gui	3g	Tonifies, invigorates and harmonizes the Blood, stops cough and treats dyspnea.
Rx. Asparagi	Tian Men Dong	2g	Clears Lung Heat, Generates fluids, Moistens the Lungs, Nourishes the Kidney Yin, Nourishes the Kidneys, Resolves Phlegm, Sedates Fire.
Rx. Ophiopogonis	Mai Men Dong	2g	Moistens the Lungs, nourishes Yin, stops cough and moistens the Intestines. With Tian Men Dong, for Lung and Kidney Yin Deficiency with consumptive cough and occasional hemoptysis.
Fr. Gardeniae	Zhi Zi	2g	Clears Heat, Cools the Blood, Eliminates irritability, Reduces Fire, Relieves toxicity.
Rx. Scutellariae	Huang Qin	5g	Clears Heat, dries Dampness, drains Fire, detoxifies and calms ascending Liver Yang.
Cx. Mori	Sang Bai Pi	5g	Drains Heat from the Lungs, stops cough, calms wheezing and promotes urination. With Huang Qin, drains Heat from the Lungs, and stops cough and wheezing.
Bul. Fritillariae Thunbergii	Zhe Bei Mu	3g	Clears Heat, transforms Phlegm and stops cough.
Sm. Armeniacae	Xing Ren	2g	Stops cough, calms wheezing, moistens the Intestines and unblocks bowels. With Mai Men dong, for dry cough due to Dryness and Heat injuring the Lungs.
Caul. Bambusae in Taeniam)	(Zhu Ru)`	(2g)	(Clears Heat and transforms Hot Phlegm - May substitute for Xing Ren.)
Rx. Glycyrrhizae	Gan Cao	1g	Moistens the Lungs, resolves Phlegm, stops cough, clears Heat, relieves Fire toxicity and moderates and harmonizes the harsh properties of other herbs. With Jie Geng, for pain and swelling of the throat.
Fr. Jujube	Da Zao	3g	Moderates and harmonizes the harsh properties of other herbs.
Rz. Zingiberis Recens	Sheng Jiang	0.5g	Warms the Lungs, stops cough and reduces the toxicity of other herbs. With Da Zao, prevents Phlegm accumulation.

Formula Actions

• Clears the Lungs
• Transforms Phlegm
• Relieves cough
• Drains Fire
• Moistens Dryness

Syndromes

• Lung Heat generating Lung Yin Deficiency

Clinical Manifestations

Chronic, incessant cough Chronic hoarseness Throat lesions Itching throat Fever Restlessness Irritability Thirst Nocturnal emission Insomnia Dream disturbed sleep Lack of spirit Fatigue Low back pain Tinnitus Dysuria

Depression Turbid urine Abnormal uterine bleeding Polyuria Enuresis Seminal emission Leukorrhea Blood tinged leukorrhea Anorexia Five Sole Heat Physical and mental overexertion Phlegm Dry mouth T: Reddish and dry C: Little or None P: Thready and rapid or Deep and rapid

Treats

Chronic bronchitis Laryngitis Pneumonia Aspiration pneumonia Prostatic hypertrophy COPD Tonsillitis Hoarseness Nocturnal emissions Sore, itching throat

Tuberculosis Bronchiectasis Bronchial asthma Cardiac asthma Cough Chronic laryngitis Tinnitus Bad breath Spermatorrhea

Contraindications And Herb/Drug Interactions

Notes

• This formula is very effective in treating Lung Heat and chronic cough with profuse sputum.

Modifications

For a dry cough:		For cough with afternoon fever:
- Bul. Fritillariae Thunbergii	Zhe Bei Mu	- Rx. Scutellariae	Huang Qin
- Sm. Armeniacae	Xing Ren
+ Bul. Fritillariae Cirrhosae	Chuan Bei Mu	+ Rz. Anemarrhenae	Zhi Mu
+ Cx. Phellodendri	Huang Bai
For Phlegm-Fire cough with a red face, fever and blood-streaked sputum:		+ Rx. Rehmanniae	Sheng Di Huang
+ Rx. Paeoniae Alba	Bai Shao
- Fr. Schisandrae	Wu Wei Zi	+ Succus Bambusae	Zhu Li
- Sm. Armeniacae	Xing Ren	For a chronic sore throat with a raspy voice:
- Bul. Fritillariae Thunbergii	Zhe Bei Mu	- Bul. Fritillariae Thunbergii	Zhe Bei Mu
- Rx. Platycodi	Jie Geng	- Sm. Armeniacae	Xing Ren
+ Rx. Paeoniae Alba	Bai Shao	- Fr. Schisandrae	Wu Wei Zi
+ Rx. Rehmanniae	Sheng Di Huang	+ Rx. Rehmanniae	Sheng Di Huang
+ Rx. Asteris	Zi Wan	+ Hb. Menthae	Bo He
+ Colla Corii Asini	E Jiao	+ Rx. Asteris	Zi Wan
+ Succus Bambusae	Zhu Li	+ Succus Bambusae	Zhu Li
For severe sore throat or throat lesions:		For difficult to expectorate Phlegm:
- Per. Citri Reticulatae	Chen Pi	- Fr. Schisandrae	Wu Wei Zi
- Rx. Angelicae Sinensis	Dang Gui	+ Fr. Trichosanthis	Gua Lou
+ Rz. Anemarrhenae	Zhi Mu	+ Fr. Aurantii Immaturus	Zhi Shi
+ Rx. Isatidis	Ban Lan Gen	+ Succus Bambusae	Zhu Li
For constipation:		For a sore, dry throat:
+ Fr. Trichosanthis	Gua Lou	+ Rz. Anemarrhenae	Zhi Mu
For irritability, swelling and pain:		+ Gypsum Fibrosum	Shi Gao
+ Flos Lonicerae	Jin Yin Hua	For cough, asthma and increased respiration:
+ Fr. Forsythiae	Lian Qiao	- Rx. Platycodi	Jie Geng
For a chronic cough with spontaneous sweat:		+ Fr. Perillae	Zi Su Zi
- Bul. Fritillariae Thunbergii	Zhe Bei Mu	+ Succus Bambusae	Zhu Li
For prostatic hypertrophy:
- Rx. Platycodi	Jie Geng	+ Rz. Polygoni Cuspidati	Hu Zhang
- Sm. Armeniacae	Xing Ren
+ Rx. Paeoniae Alba	Bai Shao
+ Rz. Atractylodis Macrocephalae	Bai Zhu
+ Rx. Rehmanniae	Sheng Di Huang