Xie Bai San - 瀉白散 - Drain The White Powder

English:	Drain the White Powder
Also Known As:	Morus and Lyceum Formula Lung-Draining Powder Xie Fei San Powder to Drain Lung Heat Powder to Purge Lung Heat Drain the Lungs Powder White Draining Powder

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Dry-fried Cx. Mori	Chao Sang Bai Pi	10-30g	Drains stagnant Heat from the Lungs and stops cough and wheezing. With Di Gu Pi and Gan Cao, for cough with thick sputum, fever, irritability and thirst due to Phlegm-Heat Obstructing the Lungs.
Cx. Lycii Radicis	Di Gu Pi	10-30g	Clears Deficiency Fire, Clears Heat, Clears Lung Heat, Cools the Blood, Stops cough. With Sang Bai Pi, for Lung Heat cough or wheezing.
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	1-30g	Clears Heat, Harmonizes, Moistens the Lungs, Relieves Fire toxicity, Resolves Phlegm, Stops cough.
Sm. Oryzae	Geng Mi	8-30g	Protects the Stomach from the Cold properties of the other herbs.

Formula Actions

• Drains (Hidden) Heat from the Lungs
• Calms wheezing (asthma)
• Stops coughing
• Relieves dyspnea

Syndromes

• Liver Fire Scorches the Lungs
• Lung Heat
• Cough due to Yin Deficiency caused by Lung Heat
• Children who alternate between Excess and Deficiency
• Constrained Lung Heat causing wheezing (Secondary source)

Clinical Manifestations

Coughing (high and clear sounding) Wheezing Fever Skin that feels hot to the touch Symptoms worse in the late afternoon Dry mouth Little or difficult to expectorate sputum Burning pain in the chest and hypochondrium Yellow sputum Hemoptysis A warm steaming sensation from the skin that is most prominent in the late afternoon Maybe constipation

Impatience Dry throat Hurried respiration leading to dyspnea Irritability Dyspnea Afternoon fever Anhidrosis Dizziness Conjunctival congestion Dry, bitter taste in the mouth T: Red C: Yellow P: Thready and rapid - maybe wiry

Treats

Inverted menses (nosebleed during menstruation) Upper respiratory tract infection Upper respiratory tract bleeding Acute bronchitis Pneumonia Pertussis Pulmonary tuberculosis (initial stage) Pleurisy Pneumonitis from measles Mild asthmatic cough Herpes simplex Epistaxis Rosacea Cough Chronic obstructive pulmonary disease (COPD) Constipation Bronchiectasis Dyspnea Epstein-Barr virus syndrome Tongue pain

Hypertension Acute tonsillitis Chronic tonsillitis Asthma Infantile measles Infantile pneumonia Tracheitis Common cold Conjunctivitis Bronchial asthma Loffler’s Syndrome Tropical eosinophilia Early-stage measles Urticaria Hemoptysis Acne vulgaris Dizziness Fever Lung cancer Myalgic encephalomyelitis Red eyes

Contraindications And Herb/Drug Interactions

Notes

• Composition: Sang Bai Pi 30g, Di Gu Pi 30g, Zhi Gan Cao 3g, Jing Mi 15-30g (Secondary source)
• Comes from a pediatric text; it clears Heat without harming Yin, reflecting the view that a child's Yin Qi is not yet fully developed.

Modifications

For severe Heat:		For dry cough:
+ Rx. Scutellariae	Huang Qin	+ Per. Trichosanthis	Gua Lou Pi
+ Rz. Anemarrhenae	Zhi Mu	+ Bul. Fritillariae Cirrhosae	Chuan Bei Mu
For severe thirst and irritability:		+ Rx. Adenophorae/ Glehniae	Sha Shen
+ Rz. Anemarrhenae	Zhi Mu	+ Sm. Armeniacae	Xing Ren
+ Rx. Glehniae/ Adenophorae	Sha Shen	For obstruction due to Phlegm:
+ Rx. Trichosanthis	Tian Hua Fen	+ Sm. Descurainiae/ Lepidii	Ting Li Zi
For mild Phlegm and to protect the Spleen and Stomach:		+ Rx. et Rz. Cynanchi	Bai Qian
- Sm. Oryzae	Geng Mi	For coughing and wheezing due to Heat from Lung Qi Deficiency:
+ Poria	Fu Ling	+ Rx. Ginseng	Ren Shen
For early-stage Lung abscess with coughing of dark-green or Blood-streaked sputum that is worse in the morning:		+ Poria	Fu Ling
- Dry-fried Cx. Mori	Chao Sang Bai Pi	+ Rz. Anemarrhenae	Zhi Mu
+ Cx. Mori	Sang Bai Pi	+ Rx. Scutellariae	Huang Qin
- Sm. Oryzae	Geng Mi	For alternating chills and fever:
+ Bul. Fritillariae Thunbergii	Zhe Bei Mu	+ Rx. Bupleuri	Chai Hu
+ Rx. Platycodi	Jie Geng	+ Rx. Paeoniae Alba	Bai Shao
+ Sm. Trichosanthis	Gua Lou Ren	For thirst with irritability:
+ Rz. Zingiberis Recens	Sheng Jiang	+ Rx. Ophiopogonis	Mai Men Dong
For cough and wheezing:		+ Fr. Schisandrae	Wu Wei Zi
+ Sm. Armeniacae	Xing Ren	For Qi Deficiency:
+ Rx. Platycodi	Jie Geng	+ Rx. Ginseng	Ren Shen
For Lung abscess:		+ Rx. Astragali	Huang Qi
+ Bul. Fritillariae Thunbergii	Zhe Bei Mu	For more severe Heat in the Lungs:
+ Rx. Asteris	Zi Wan	+ Rz. Anemarrhenae	Zhi Mu
+ Rx. Platycodi	Jie Geng	+ Rx. Scutellariae	Huang Qin
+ Rx. Angelicae Sinensis	Dang Gui	+ Hb. Houttuyniae	Yu Xing Cao
+ Sm. Trichosanthis	Gua Lou Ren	+ Gypsum Fibrosum	Shi Gao
For severe cough:		For Deficiency Heat with afternoon fevers:
+ Per. Trichosanthis	Gua Lou Pi	+ Hb. Artemisiae Annuae	Qing Hao
+ Bul. Fritillariae Cirrhosae	Chuan Bei Mu	+ Carapax Trionycis	Bie Jia
For irritability:		+ Rx. Stellariae	Yin Chai Hu
+ Fr. Gardeniae	Zhi Zi	Or
+ Hb. Phylostachys Nigra	Zhu Ye	+ Hb. Artemisiae Annuae	Qing Hao
For dry stool:		+ Carapax Trionycis	Bie Jia
+ Rx. et Rz. Rhei	Da Huang	+ Rx. Rehmanniae	Sheng Di Huang
+ Fr. Aurantii Immaturus	Zhi Shi	For hemoptysis
For chronic cough in children with dyspnea:		+ Cx. Moutan	Mu Dan Pi
+ Fr. Perillae	Zi Su Zi	+ Cx. Lycii	Di Gu Pi
+ Flos Farfarae	Kuan Dong Hua	+ Rx. Glycyrrhizae	Gan Cao
For chronic cough in children with profuse Phlegm:		+ Ten Partially-Charred Substances Decoction Shi Hui San
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	For chronic cough in children with anorexia:
+ Fr. Crataegi	Shan Zha
For chronic cough in children with constipation:		For pneumonia in children:
+ Sm. Benincasae	Dong Gua Zi	- Sm. Oryzae	Geng Mi
For epistaxis with Yin Deficiency with Lung Dryness:		+ 6g Rx. Glehniae/ Adenophorae	Sha Shen
+ Rx. Glehniae/ Adenophorae	Sha Shen	+ 6g Rx. Ophiopogonis	Mai Men Dong
+ 3g Rx. Scutellariae	Huang Qin
+ Rz. Polygonati Odorati	Yu Zhu	+ 3g Sm. Armeniacae	Xing Ren
+ Rx. Ophiopogonis	Mai Men Dong	+ 3g Sm. Persicae	Tao Ren
+ Fol Mori	Sang Ye	+ 3g Rx. Stemonae	Bai Bu
For epistaxis with Lung Heat:		+ 3g Bul. Fritillariae Cirrhosae	Chuan Bei Mu
+ Rx. Rehmanniae	Sheng Di Huang
For epistaxis with Stomach Fire:		+ 3gt Rx. Cynanchi Stauntonii	Bai Qian
+ Rx. et. Rz. Rhei	Da Huang
+ Rz. Coptidis	Huang Lian	+ 3g Rz. Pinelliae Preparatum	Zhi Ban Xia
For epistaxis with Qi and Yin Deficiency:
+ Rx. Panacis Quinquifolii	Xi Yang Shen	+1-1.5g Pseudobulbus Cremastrae/Pleiones	Shan Ci Gu
+ Rx. Rehmanniae	Sheng Di Huang	For hemoptysis:
For hemoptysis with severe bleeding:		+ Powder of Natural Indigo and Cyclina Dai Ge San
+ Powder of Natural Indigo and Cyclina Dai Ge San
+ 9g Rx. Scutellariae	Huang Qin
+ 9g Rx. Scutellariae	Huang Qin	+ 9g powdered Concha Cyclinae/Meretricis	Ge Qiao Fen
+ 9g powdered Concha Cyclinae/Meretricis	Ge Qiao Fen
+ 9g dry-fried Pollen Typhae	Chao Pu Huang
+ 9g dry-fried Pollen Typhae	Chao Pu Huang
+ 18g Rz. Imperatae	Bai Mao Gen
+ 18g Rz. Imperatae	Bai Mao Gen	+ 12g Nodus Nelumbinis Rhizomatis	Ou Jie
+ 12g Nodus Nelumbinis Rhizomatis	Ou Jie
+ 12g Rx. Rubiae	Qian Cao Gen
+ 12g Rx. Rubiae	Qian Cao Gen	For hemoptysis with severe Liver Heat:
+ Patent Medicine Yunnan Bai Yao		+ Powder of Natural Indigo and Cyclina Dai Ge San
Or		+ 9g Rx. Scutellariae	Huang Qin
+ + 3g powdered Rx. Notoginseng	San Qi Fen	+ 9g powdered Concha Cyclinae/Meretricis	Ge Qiao Fen
For tongue pain:		+ 9g dry-fried Pollen Typhae	Chao Pu Huang
+ 20g Gypsum Fibrosum	Shi Gao
+ M10g Rx. Scutellariae	Huang Qin	+ 18g Rz. Imperatae	Bai Mao Gen
For tongue pain with a dry cough:		+ 12g Nodus Nelumbinis Rhizomatis	Ou Jie
+ 20g Gypsum Fibrosum	Shi Gao
+ M10g Rx. Scutellariae	Huang Qin	+ 12g Rx. Rubiae	Qian Cao Gen
+ 10g Bul. Fritillariae Cirrhosae	Chuan Bei Mu	+ 9g Rx. Gentianae	Long Dan Cao
+ 12g Haematitum	Dai Zhe Shi
+ 10g Rx. Scrophulariae	Xuan Shen	For tongue pain with a yellow Phlegm:
For tongue pain with chest pain:		+ 20g Gypsum Fibrosum	Shi Gao
+ 20g Gypsum Fibrosum	Shi Gao	+ M10g Rx. Scutellariae	Huang Qin
+ 10g Rx. Scutellariae	Huang Qin	10g Caulis Bambusae in Taeniam	Zhu Ru
+ 10g Rx. Paeoniae Alba	Bai Shao
+ 10g Fr. Aurantii	Zhi Ke	+ 10g Fr. Trichosanthis	Gua Lou
For tongue pain with epistaxis:
+ 20g Gypsum Fibrosum	Shi Gao
+ 10g Rx. Scutellariae	Huang Qin
+ 15g Rz. Imperatae	Bai Mao Gen