HERB FORMULAS

QING GU SAN - 清骨散 - COOL THE BONES POWDER

English: Cool the Bones Powder
Also Known As: Powder to Clear Heat in the Bones

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Stellariae Yin Chai Hu 4.5-18g Clears Deficiency Heat, cools the Blood and stops bleeding.
With Bie Jia, for Deficiency Heat without sweating and febrile disorders with tidal fevers, a thin body and dry skin and nails.
With Hu Huang Lian and Bie Jia, for steaming bone disorder due to Blood and lingering Deficiency Heat with recurrent afternoon fevers or hematemesis, epistaxis, and excessive uterine bleeding due to Heat in the Blood.
With Di Gu Pi, Bie Jia and Qing Hao, for Yin Deficiency Heat with night sweats and steaming bone sensations.
Rz. Anemarrhenae Zhi Mu 3-12g Clears Heat, drains Fire, nourishes Yin, moistens Dryness, generates Fluids, clears Deficiency Fire and quenches thirst.
With Bie Jia, for steaming bone disorder.
Rz. Picrorhizae Hu Huang Lian 3-12g Clears Deficiency Heat.
With Yin Chai Hu, for Heat and night sweats associated with childhood nutritional impairment and Heat at night followed by morning chills.
With Di Gu Pi, Zhi Mu and Yin Chai Hu, for Yin Deficient Heat with recurring afternoon fevers from steaming bone disorder.
Cx. Lycii Di Gu Pi 3-15g Cools the Blood, drains Yin Deficiency Fire, eliminates lurking Heat, clears Heat from the bones, cools the Blood and stops bleeding.
With Yin Chai Hu, for Blood Deficiency, steaming bone disorder or other types of recurrent afternoon fever.
With Zhi Mu and Bie Jia, for Blood Heat with Yin Deficiency.
With Zhi Mu, Qin Jiao and Bie Jia, for steaming bone sensation with tidal fever and night sweats caused by Yin Deficiency and Heat.
Hb. Artemisiae Annuae Qing Hao 3-12g Clears Deficiency fevers, cools the Blood and stops bleeding.
With Bie Jia, for the final stages of a Warm febrile disease when the Yin Fluids have already been damaged and the pathogen still lurks deep within the Yin level with night fever with chills in the morning, the fever recedes without sweating, emaciation, rapid pulse and a red tongue with little coating.
With Yin Chai Hu and Zhi Mu, for chronic low-grade fever with a sensation of Heat in the bones and a body that feels warm to the touch.
With Bie Jia, Zhi Mu and Qin Jiao, for Yin Deficient Heat.
Rx. Gentianae Macrophyllae Qin Jiao 3-12g Clears Deficiency Heat, moistens the Intestines, unblocks the bowels, expels Wind-Dampness, opens the channels and soothes the sinews and collaterals.
With Bie Jia, vents the muscle layer and cools tidal fevers associated with consumption, especially Wind consumption with steaming bones.
With Bie Jia, Qiang Huo, Di Gu Pi and Zhi Mu, for bone steaming fever, afternoon fever, or other low grade fevers due to Yin Deficiency as a result of long term illness.
Carapax Trionycis Bie Jia 3-24g Nourishes Yin and anchors Yang.
Rx. Glycyrrhizae Gan Cao 1.5-6g Moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels.

FORMULA ACTIONS

  • Clears Deficiency Heat
  • Reduces tidal fever
  • Alleviates steaming bone disorder

SYNDROMES

  • Steaming bone disorder due to Kidney and Liver Yin Deficiency

CLINICAL MANIFESTATIONS

  • Low-grade fever in the evening or
  • Nightly fever or
  • Afternoon tidal fever
  • Five Sole Heat
  • Malar flush
  • Steaming bone fever
  • Anxiety
  • Restlessness
  • Night sweats
  • Irritability
  • Insomnia
  • Excessive dreams
  • Dry mouth and throat with a desire to drink
  • Scanty, yellow urine
  • Emaciation
  • Lethargy
  • Red lips
  • Dry skin
  • Thirst
  • T: Red and dry
  • C: Little or None
  • P: Thready and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • For those with severe Yin Deficiency, add more Yin tonics.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For Blood Deficiency: For coughing:
+ Rx. Angelicae Sinensis Dang Gui + Colla Corii Asini E Jiao
+ Rx. Paeoniae Alba Bai Shao + Rx. Ophiopogonis Mai Men Dong
+ Rx. Rehmanniae Sheng Di Huang + Fr. Schisandrae Wu Wei Zi
For anorexia and soft stools: For a pale, wan complexion, a soft voice and shallow breathing:
- Rz. Picrorhizae Hu Huang Lian
- Rx. Gentianae Macrophyllae Qin Jiao + Rx. Astragali Huang Qi
+ Rx. Codonopsis Dang Shen
- Rz. Anemarrhenae Zhi Mu For more pronounced Yin Deficiency with less severe tidal fever:
+ Sm. Lablab Album Bai Bian Dou
+ Rz. Dioscoreae Shan Yao - Rz. Picrorhizae Hu Huang Lian
For Qi Deficiency: + Rx. Rehmanniae Sheng Di Huang
+ Rx. Astragali Huang Qi or
For more pronounced Yin Deficiency:
+ Great Tonify the Yin Pill
Da Bu Yin Wan
+ Rx. Ophiopogonis Mai Men Dong
+ Rx. Rehmanniae Sheng Di Huang For fever with severe insomnia:
For fever with severely deficient Yin: + 24g Rx. Rehmanniae Sheng Di Huang
+ 24g Rx. Rehmanniae Sheng Di Huang + Sm. Zizyphi Spinosae Suan Zao Ren
+ Rx. Polygoni Multiflori He Shou Wu + Sm. Platycladi Bai Zi Ren
+ Rx. Scrophulariae Xuan Shen + Caulis Polygoni Multiflori Ye Jiao Teng
For fever with severe night sweats:
+ 24g Rx. Rehmanniae Sheng Di Huang For fever with shortness of breath, vertigo or weakness:
+ Concha Ostreae Mu Li
+ Sm. Tritici Levis Fu Xiao Mai + 24g Rx. Rehmanniae Sheng Di Huang
+ Rx. Oryzae Glutinosae Nuo Dao Gen + Rx. Ophiopogonis Mai Men Dong
For fever: + Fr. Schisandrae Wu Wei Zi
+ 24g Rx. Rehmanniae Sheng Di Huang + Rx. Glehniae Bei Sha Shen
or For fever with severe Yin Deficiency:
+ 24g Sm. Ziziphi Spinosae Suan Zao Ren + 24g Sm. Ziziphi Spinosae Suan Zao Ren
For fever with Qi Deficiency: + Rx. Rehmanniae Sheng Di Huang
+ 24g Sm. Ziziphi Spinosae Suan Zao Ren + Rx. Scrophulariae Xuan Shen
+ Rx. Polygoni Multiflori He Shou Wu
+ Rx. Pseudostellariae Tai Zi Shen For fever with wriggling of the hands and feet due to Internal Wind:
+ Rx. Glehniae Bei Sha Shen
+ Rx. Ophiopogonis Mai Men Dong + 24g Sm. Ziziphi Spinosae Suan Zao Ren
For tidal fever with Blood Deficiency:
+ 9g Rx. Angelicae Sinensis Dang Gui + Carapax Trionycis Bie Jia
+ Rx. Paeoniae Alba Bai Shao
    + Concha Ostreae Mu Li
    + Rx. Rehmanniae Sheng Di Huang