Qing Ying Tang - 清營湯 - Clear The Nutritive Level Decoction
| English: | Clear the Nutritive Level Decoction |
| Also Known As: | Decoction to Dispel Pathogenic Heat from the Ying System |
Herbs And Actions
| Pharmaceutical Latin | Pin Yin | Dosage | Actions |
| Cornu Rhinoceri | Xi Jiao | 2-9g | Clears Heat from the Ying, clears the Heart, calms the Spirit, cools Blood and breaks up Stasis. With Sheng Di Huang for Blood Heat. |
| (Cornu Bubali) | (Shui Niu Jiao) | (15-120g) | (Substitute for Xi Jiao.) |
| Rx. Scrophulariae | Xuan Shen | 3-30g | Clears Heat cools the Blood, Drains Fire, Nourishes Yin, Relieves toxicity. |
| Rx. Rehmanniae | Sheng Di Huang | 5-30g | Cools the Blood and nourishes Yin. |
| Tb. Ophiopogonis | Mai Men Dong | 3-30g | Nourishes Yin generates Fluids, clears the Heart and eliminates irritability. |
| Flos Lonicerae | Jin Yin Hua | 3-45g | Clears Heat, relieves toxicity and cools the Blood. With Lian Qiao, Huang Lian, and Dan Zhu Ye, clears Qi Stage Heat and detoxifies. |
| Fr. Forsythiae | Lian Qiao | 2-20g | Clears Heat, relieves toxicity and clears Blood Heat. |
| Rz. Coptidis | Huang Lian | 1-10g | Drains Fire, relieves toxicity and clears Heart Fire With Sheng Di Huang for insomnia and delirium due to unremitting Heat injuring the Ying level |
| Rx. Salviae Miltiorrhizae | Dan Shen | 2-6g | Assists in cooling the Blood and prevents Stasis. |
Formula Actions
- Clears Heat from the Ying
- Relieves Fire Toxin
- Nourishes the Yin
- Invigorates the Blood
Syndromes
- Ying Stage Heat (Re)
- Ying Stage Heat Attacks the Pericardium
- Heat entering the Nutritive level (Secondary source)
Clinical Manifestations
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Treats
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Contraindications And Herb/Drug Interactions
| CONTRAINDICATIONS |
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| HERB/DRUG INTERACTIONS |
Notes
Modifications
| For chronic night sweats: | For severe depletion of Yin and Fluids: | ||
| - Flos Lonicerae | Jin Yin Hua | + Rx. Adenophorae/ Glehniae | Sha Shen |
| - Fr. Forsythiae | Lian Qiao | + Fr. Lycii | Gou Qi Zi |
| - Rz. Coptidis | Huang Lian | For severe Qi Stage Fire: | |
| + Hb. Lophatheri | Dan Zhu Ye | + Gypsum | Shi Gao |
| + Cx. Moutan | Mu Dan Pi | For Heat Attacking the Pericardium with high fever, convulsive spasms and impaired consciousness: | |
| + Rz. Imperatae | Bai Mao Gen | Begin with Calm the Palace Pill with Cattle Gall Stone An Gong Niu Huang Wan | |
| + Rx. Cynanchi | Bai Wei | When the symptoms have been relieved, switch to the main formula. | |
| For tremors and spasms: | For Qi Stage heat moving to Ying Stage: | ||
| + Ram. Uncariae | Gou Teng | + More Rz. Coptidis | Huang Lian |
| + Cornu Saigae Tataricae | Ling Yang Jiao | + Flos Lonicerae | Jin Yin Hua |
| + Pheretima | Di Long | For Phlegm: | |
| For psoriasis: | + Succus Bambusae | Zhu Li | |
| - Rx. Ophiopogonis | Mai Men Dong | For coma: | |
| - Rx. Salviae Miltiorrhizae | Dan Shen | + Cornu Saigae Tataricae | Ling Yang Jiao |
| + 9g Cx. Moutan | Mu Dan Pi | + Pheretima | Di Long |
| + 15g Rx. Paeoniae Rubra | Chi Shao | For Stomach Fire: | |
| + Ophiopogonis Decoction Mai Men Dong Tang | |||
| + 15g Hb. Taraxaci | Pu Gong Ying | ||
| + 30g Gypsum Fibrosum | Shi Gao | + Rx. Paeoniae Alba | Bai Shao |
| + 6g Hb. Lophatheri | Dan Zhu Ye | For a stronger effect: | |
| + 6g. Rx. Glycyrrhizae | Gan Cao | + 3-5g Hb. Phylostachys Nigra | Zhu Ye |
| For optic neuritis: | |||
| - Rx. Rehmanniae | Sheng Di Huang | Or | |
| + Cx. Moutan | Mu Dan Pi | + 3-5g Hb. Lophatheri | Dan Zhu Ye |
| + Rz. Anemarrhenae | Zhi Mu | For a big, forceful pulse in the Chi position with a dry tongue: | |
| + Rx. Paeoniae Alba | Bai Shao | ||
| + Sm. Cassiae | Jue Ming Zi | - Rz. Coptidis | Huang Lian |
| + Hb. Lophatheri | Dan Zhu Ye | For Qi and Ying Stage Heat: | |
| For Blood Heat: | + Gypsum Fibrosum | Shi Gao | |
| + 6g Hb. Phylostachys Nigra | Zhu Ye | + Rz. Anemarrhenae | Zhi Mu |
| For Blood Heat with severe skin eruptions or Blood ejection: | |||
| + 9g Cx. Moutan | Mu Dan Pi | ||
| For a red face: | - Flos Lonicerae | Jin Yin Hua | |
| - Cornu Rhinoceri | Xi Jiao | - Fr. Forsythiae | Lian Qiao |
| + 9g Cx. Lycii | Di Gu Pi | + More Rx. Rehmanniae | Sheng Di Huang |
| + 9g Hb. Ecliptae | Mo Han Lian | + 6g Hb. Phylostachys Nigra | Zhu Ye |
| For delirium or loss of consciousness: | |||
| + Cornu Saigae Tataricae | Ling Yang Jiao | + 9g Cx. Moutan | Mu Dan Pi |
| + Ram. cum Uncis Uncariae | Gou Teng | + 6g Carbonized Fr. Gardeniae | Zhi Zi Tan |
| For a large cun pulse, a crimson tongue and a dry mouth but no thirst: | + 9g Rx. Paeoniae Rubra | Chi Shao | |
| - Rz. Coptidis | Huang Lian | For eruptions and hemorrhage: | |
| For aplastic anemia: | + Rx. Scutellariae | Huang Qin | |
| + 9g Hb. Phylostachys Nigra | Zhu Ye | + Rx. et Rz. Rhei | Da Huang |
| For replacing Cornu Bubali Shui Niu Jiao: | |||
| For aplastic anemia due to severe Qi Stage Fire: | Choose two of the following | ||
| + 9g Hb. Phylostachys Nigra | Zhu Ye | Cx. Phellodendri | Huang Bai |
| Rx. Scutellariae | Huang Qin | ||
| + 15g Gypsum Fibrosum | Shi Gao | Hb. Taraxaci | Pu Gong Ying |
| For aplastic anemia with severedepletion of Fluids: | Hb. Violae | Zi Hua Di Ding | |
| Rx. Isatidis | Ban Lan Gen | ||
| + 9g Hb. Phylostachys Nigra | Zhu Ye | For aplastic anemia with convulsions: | |
| + 9g Hb. Phylostachys Nigra | Zhu Ye | ||
| + 12g Rx. Glehniae | Bei Sha Shen | ||
| + 9g Cx. Lycii | Di Gu Pi | + 12g Ram. cum Uncis Uncariae | |
| For aplastic anemia with bleeding due to severe Heat: | |||
| + 9g Pheretima | Di Long | ||
| + 9g Hb. Phylostachys Nigra | Zhu Ye | For aplastic anemia with bleeding due Blood Heat with Qi Deficiency: | |
| + 30g Rz. Imperatae | Bai Mao Gen | + 9g Hb. Phylostachys Nigra | Zhu Ye |
| + 12g Rx. Rubiae | Qian Cao Gen | ||
| For aplastic anemia with subdermal bleeding: | + 30g Hb. Agrimoniae | Xian He Cao | |
| + 9g Hb. Phylostachys Nigra | Zhu Ye | + 15g Rx. Astragali | Huang Qi |
| + 6g Rx. Ginseng | Ren Shen | ||
| + 15g Rx. Arnebiae/ Lithospermi | Zi Cao | For aplastic anemia with Blood Deficiency: | |
| + 9g Hb. Phylostachys Nigra | Zhu Ye | ||
| + 10g Cx. Moutan | Mu Dan Pi | ||
| + 10g Rx. Paeoniae Rubra | Chi Shao | + 15g Rx. Angelicae Sinensis | Dang Gui |
| For a high fever: | + 15g Rx. Rehmanniae Preparata | Shu Di Huang | |
| - Rx. Salviae Miltiorrhizae | Dan Shen | ||
| + 15g Rx. Polygoni Multiflori | He Shou Wu | ||
| + 10g Hb. Lophatheri | Dan Zhu Ye | ||
| + 15g Cx. Moutan | Mu Dan Pi | For a high fever: | |
| + Rx. Acori Tatarinowii | Shi Chang Pu | - Rx. Salviae Miltiorrhizae | Dan Shen |
| + Rx. Curcumae | Yu Jin | ||
| + Cattle Gallstone Pill to Clear the Heart Niu Huang Qing Xin Wan | + 10g Hb. Lophatheri | Dan Zhu Ye | |
| + 15g Cx. Moutan | Mu Dan Pi | ||
| For a fever: | + Rx. Acori Tatarinowii | Shi Chang Pu | |
| + 6g Fol. Bambusae | Zhu Ye | + Rx. Curcumae | Yu Jin |
| + 9g Cx. Moutan | Mu Dan Pi | + Cattle Gallstone Pill to Clear the Heart Niu Huang Qing Xin Wan | |
| For thrombocytopenic purpura with epistaxis or gum bleeding due to Heat or Yin Deficiency: | |||
| + Succus Bambusae | Zhu Li | ||
| + Rz. Cimicifugae | Sheng Ma | For thrombocytopenic purpura with Heat induced hemoptysis: | |
| + Rx. Scrophulariae | Huang Qin | ||
| + Fr. Gardeniae | Zhi Zi | + Rx. Curcumae | Yu Jin |
| + Rz. Imperatae | Bai Mao Gen | + Nodus Nelumbinis | Ou Jie |
| For thrombocytopenic purpura with hematochezia or hematemesis: | + Colla Corii Asini | E Jiao | |
| + Rx. Rubiae | Qian Cao Gen | ||
| + Rx. Notoginseng | San Qi | For thrombocytopenic purpura with hematuria: | |
| + Rz. Bletillae | Bai Ji | + Hb. Cirsii | Xiao Ji |
| + Rx. Sanguisorbae | Di Yu | + Pollen Typhae | Pu Huang |
| + Flos Sophorae Immaturus | Huai Hua Mi | + Hb. Lophatheri | Dan Zhu Ye |
| + Caulis Akebiae | Mu Tong | ||
| For thrombocytopenic purpura with uterine bleeding: | For Blood Stasis after thrombocytopenic purpura hemorrhage with Purpura, hematoma, splenomegaly and a purplish tongue: | ||
| + Charred Nelumbinis Receptaculum | Lian Fang Tan | + Sm. Persicae | Tao Ren |
| + Flos Carthami | Hong Hua | ||
| + Petolius Trachycarpi | Zong Lu Pi | + Rx. Notoginseng | San Qi |
| + Charred Cacumen Platycladi | Ce Bai Ye Tan | For a high fever, worse at night: | |
| + 6g Fol. Eriobotryae | Dan Zhu Ye | ||
| For appendicitis, diverticulitis, salpingitis and pelvic inflammatory disease: | + 9g Cx. Moutan | Mu Dan Pi | |
| + 6g Rx. Salviae Miltiorrhizae | Dan Shen | ||
| + 6-12g Hb. Lophatheri | Dan Zhu Ye | ||
| + 6-12g Hb. Taraxaci | Pu Gong Ying | For scleroderma: | |
| + 9-12g Hb. Violae | Zi Hua Di Ding | - Cornu Rhinoceri | Xi Jiao |
| + 30-60g Hb. Hedyotis Diffusae | Bai Hua She She Cao | - Fr. Forsythiae | Lian Qiao |
| - Rz. Coptidis | Huang Lian | ||
| For scleroderma with coughing and shortness of breath: | + 30g Rx. Lithospermi/ Arnebiae | Zi Cao | |
| - Cornu Rhinoceri | Xi Jiao | + 30g Rz. Imperatae | Bai Mao Gen |
| - Fr. Forsythiae | Lian Qiao | + 15g Rx. Paeoniae Rubra | Chi Shao |
| - Rz. Coptidis | Huang Lian | ||
| + 30g Rx. Lithospermi/ Arnebiae | Zi Cao | + 15g Spica Prunellae | Xia Ku Cao |
| + 30g Rz. Imperatae | Bai Mao Gen | For scleroderma with muscular aching or pain, numbness and stiffness: | |
| + 15g Rx. Paeoniae Rubra | Chi Shao | - Cornu Rhinoceri | Xi Jiao |
| - Fr. Forsythiae | Lian Qiao | ||
| + 15g Spica Prunellae | Xia Ku Cao | - Rz. Coptidis | Huang Lian |
| + 9g Sm. Armeniacae | Xing Ren | + 30g Rx. Lithospermi/ Arnebiae | Zi Cao |
| + 9g Rx. Peucedani | Qian Hu | + 30g Rz. Imperatae | Bai Mao Gen |
| For scleroderma with Phlegm: | + 15g Rx. Paeoniae Rubra | Chi Shao | |
| + Rz. Pinelliae Preparatum | Zhi Ban Xia | ||
| + 15g Spica Prunellae | Xia Ku Cao | ||
| + Poria | Fu Ling | + 30g Sm. Coicis | Yi Yi Ren |
| + Per. Citri Reticulatae | Chen Pi | + 30g Caulis Spatholobi | Ji Xue Teng |
| For scleroderma with Phlegm and hardness: | + 9g Rx. Angelicae Sinensis | Dang Gui | |
| + Rz. Pinelliae Preparatum | Zhi Ban Xia | ||
| For scleroderma with Phlegm and blocked channels: | |||
| + Poria | Fu Ling | ||
| + Per. Citri Reticulatae | Chen Pi | + Rz. Pinelliae Preparatum | Zhi Ban Xia |
| + Thallus Eckloniae | Kun Bu | ||
| + Sargassum | Hai Zao | + Poria | Fu Ling |
| For scleroderma with Phlegm and Internal Wind: | + Per. Citri Reticulatae | Chen Pi | |
| + Rz. Pinelliae Preparatum | Zhi Ban Xia | + Rz. Arisaematis Preparatum | Zhi Tian Nan Xing |
| + Poria | Fu Ling | For AIDS/HIV/ARC with Heat in the Ying and Xue Stage Heat with skin rashes and eruptions or severe delirium at night with a dark red tongue and a thready, rapid pulse: | |
| + Per. Citri Reticulatae | Chen Pi | ||
| Rz. Typhonii Preparatum | Zhi Bai Fu Zi | ||
| For AIDS/HIV/ARC with predominant fever: | - Rx. Salviae Miltiorrhizae | Dan Shen | |
| - Fr. Forsythiae | Lian Qiao | ||
| + Gypsum Fibrosum | Shi Gao | + Cx. Moutan | Mu Dan Pi |
| + Fol. Isatidis | Da Qing Ye | + Hb. Lophatheri | Dan Zhu Ye |
| + Rx Isatidis | Ban Lan Gen | + Rx. Paeoniae Rubra | Chi Shao |
| + Cx. Moutan | Mu Dan Pi | ||
| + Hb. Lophatheri | Dan Zhu Ye | ||
Notes
- Composition: Shui Niu Jiao 30-120g, Xuan Shen 9g, Sheng Di Huang 15g, Mai Men Dong 9g, Jin Yin Hua 9g, Lian Qiao 6g, Dan Zhu Ye 3g, Huang Lian 4.5g, Dan Shen 6g (Secondary source)
- Thirst, delirium or faint, indistinct erythema may or may not appear, depending on how deeply the Heat has penetrated.
- Wen Bing Four Levels: Wei level - T: red front/edges, P: floating, rapid (Yin Qiao San); Qi level - T: red, yellow coat, P: slippery, rapid (Bai Hu Tang); Ying level - T: scarlet, P: thin, rapid (Qing Ying Tang); Xue level - T: scarlet, no coat, P: wiry, rapid (Xi Jiao Di Huang Tang).