HERB FORMULAS

XIAO QING LONG TANG

English: Minor Blue Green Dragon Decoction
Also Known As: Minor Blue Dragon Combination
Minor Blue Dragon Decoction
Minor Decoction of Blue Dragon

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Hb. Ephedrae Ma Huang 6-10g Induces sweating, releases the exterior, disseminates and facilitates Lung Qi, calms wheezing, stops coughing, warms Cold and circulates water.
With Gui Zhi, for Wind-Cold Excess with fever, chills and anhidrosis.
With Gan Jiang, for stagnant Fluids.
With Gan Jian, Xi Xin and Zhi Ban Xia, for wheezing or cough due to an Exterior Wind-Cold Attack and Cold Stagnation in the Interior.
Ram. Cinnamomi Gui Zhi 3-12g Releases the exterior, disperses Cold, and warms the channels.
 With Ma Huang, releases the exterior and Warms Cold.
With Bai Shao, warms and tonifies the Middle Jiao.
Rz. Zingiberis Gan Jiang 3-12g Warms the Lungs, transforms thin mucus, warms the Middle and expels Cold.
 With Xi Xin, warms the interior and transforms Fluids.
With Xi Xin, Ma Huang and Gui Zhi, releases the exterior.
With Zhi Ban Xia, for vomiting of saliva or dry heaves due to Cold-induced congested fluids.
Hb. Asari Xi Xin 3-9g Releases Wind and Cold, warms the Lungs, disperses Internal Cold, circulates water, transforms Phlegm and opens the nose.
With Ma Huang, stops cough and wheezing due to Wind-Cold Attacks the Lungs.
With Ma Huang and Gui Zhi, releases the Exterior.
With Wu Wei Zi, for coughing and wheezing due to Cold Phlegm.
Fr. Schisandrae Wu Wei Zi 3-12g Prevents leakage of Lung Qi, stops cough, astringes sweat and generates fluids.
With Xi Xin, regulates the opening and closing of the Lungs, alleviating cough and calming wheezing for patients with existing thin mucus who are exposed to Wind-Cold leading acute wheezing and coughing of clear thin sputum.
With Gan Jiang and Xi Xin, for Cold in the Lung channel with non-stop coughing and wheezing.
With Gan Jiang, Ma Huang and Xi Xin, for cough and wheezing from Cold Thin Mucus.
Rx. Paeoniae Albae Bai Shao 3-12g Nourishes Blood, astringes Yin and adjusts the Ying and Wei.
With Gui Zhi, harmonizes the Ying and Wei in Tai Yang Zhong Feng.
Rz. Pinelliae Preparatum Zhi Ban Xia 6-12g Transforms Phlegm, descends Qi, dries Dampness and harmonizes the Stomach.
With Xi Xin and Gan Jiang, for vomiting due to Cold with copious, frothy sputum with Cold signs and thin mucus in the Lungs.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 3-9g Augments Qi and moderates and harmonizes the harsh properties of other herbs.
With Gan Jiang, Xi Xin and Wu Wei Zi, for cough due to Wind-Cold with sputum.

FORMULA ACTIONS

  • Releases the Exterior
  • Transforms congested Fluids (Thin Mucus)
  • Transforms Phlegm
  • Warms the Lungs
  • Descends Qi
  • Relieves wheezing and cough

SYNDROMES

  • Wind-Cold Attacks the Lungs (severe)
  • Exogenous Wind-Cold Invasion with Water Retention due to Spleen Deficiency
  • Yi Yin

CLINICAL MANIFESTATIONS

  • Fever and chills (chills predominant)
  • Anhidrosis
  • Cough
  • Wheezing (asthma)
  • Copious, white, stringy, difficult to expectorate sputum
  • Stifling sensation in the chest
  • Lachrymation
  • General heaviness (especially upper body)
  • General body aches
  • No thirst
  • Floating edema (severe)
  • Considerable difficulty breathing while lying down (severe)
  • Intolerance of Cold
  • Periorbital edema
  • Dyspnea
  • Vomiting of frothy saliva during pregnancy
  • Chest distention
  • Dry heaves
  • Decreased urine
  • Subcardiac edema
  • Stridor
  • Occasional chills on the back
  • Hiccoughs
  • Retching
  • Dysphagia
  • Diarrhea
  • Dysuria
  • Flushed face
  • Dizziness
  • Headache
  • Inflammation of the tear ducts
  • T: Pink
  • C: Moist or White and greasy
  • P: Superficial and tight

TREATS

  • Acute bronchitis
  • Acute exacerbation of chronic bronchitis
  • Edematous arthritis
  • Sinusitis
  • Bronchial asthma
  • Influenza
  • Common cold
  • Acute asthmatic bronchitis
  • Acute upper respiratory tract infections
  • Cardiopulmonary disease
  • Congestive Heart failure
  • Viral conjunctivitis
  • Enteritis
  • Atrophic gastritis
  • Chronic bacillary dysentery
  • Rheumatic Heart disease
  • Epilepsy
  • Periarthritis of the shoulder
  • Bronchiectasis
  • Periorbital edema
  • Conjunctivitis
  • Pulmonary emphysema
  • Infantile allergic rhinitis
  • Pediatric asthma
  • Pertussis
  • Allergic rhinitis
  • Renal cirrhosis
  • Senile emphysema
  • Chronic bronchitis
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Hay fever
  • Dacryosolenitis
  • Peptic ulcer
  • Renal cirrhosis
  • Nephritis
  • Pleuritis
  • Enuresis
  • Pneumonia
  • Pulmonary tuberculosis
  • Bronchial dilation
  • Inflammation of the tear ducts
  • Lachrymation

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Do not use long term.
  • Contraindicated for those with Heat conditions.
  • Contraindicated for those with hemoptysis.
  • Contraindicated for those with coughing due to Yin Deficiency.
  • Contraindicated for those with dry mouth and throat with thick, yellow sputum.
  • Contraindicated for those with a sore throat and a rapid pulse.
  • Use with caution for those with hypertension.
HERB/DRUG INTERACTIONS
  • The combination of inhaled fluticasone and this formula can be an important modality in the treatment of mild and severe asthma patients.

NOTES

MODIFICATIONS

For cough: For Yin Deficient cough:
+ Sm. Armeniacae Xing Ren - Rx. Glycyrrhizae Preparata Zhi Gan Cao
For severe Wind-Cold Attacks the Lungs:
 + Rx. Glycyrrhizae Gan Cao
+ More Rx. Ephedrae Ma Huang
For severe chest congestion, profuse Phlegm, dyspnea when reclining, a slippery moist tongue coat and a tight or wiry and slippery pulse:
+ More Ram. Cinnamomi Gui Zhi + More Hb. Asari Xi Xin
For nasal congestion, rhinitis and headache:
 + More Rz. Pinelliae Preparatum Zhi Ban Xia
- Rz. Zingiberis Gan Jiang + Rz. Zingiberis Recens Sheng Jiang
+ Rz. Zingiberis Recens Sheng Jiang
For internal Heat:
- Rx. Paeoniae Alba Bai Shao + Gypsum Fibrosum Shi Gao
+ Rx. Paeoniae Rubra Chi Shao
For cough and dyspnea:
+ Rx. Saposhnikoviae Fang Feng + Sm. Armeniacae Xing Ren
+ Hb. Schizonepetae Jing Jie + Cx. Magnoliae Officinalis Hou Po
For fever and a sore throat:
For thirst due to Lung Heat:
+ Rx. Platycodi Jie Geng + Gypsum Fibrosum Shi Gao
+ Gypsum Fibrosum Shi Gao + Rx. Scutellariae Huang Qin
For sweating with a severe aversion to Cold:
for less severe Exterior symptoms:
+ More Ram. Cinnamomi Gui Zhi - Ram. Cinnamomi Gui Zhi
+ More Rx. Paeoniae Alba Bai Shao - Rx. Ephedrae Ma Huang
+ Rz. Zingiberis Recens Sheng Jiang + Honey-fried Rx. Ephedrae Mi Zhi Ma Huang
+ Fr. Jujube Da Zao
For allergic rhinitis:
For allergic rhinitis, acute episodes of chronic rhinitis and hay fever with severe sneezing and an itching nose:
+ Rx. Bupleuri Chai Hu
+ 6g Fr. Xanthii Cang Er Zi
For allergic rhinitis, acute episodes of chronic rhinitis and hay fever with sore, itchy and watery eyes:
+ 9g Rx. Angelicae Dahuricae Bai Zhi + 9g Flos Buddlejae Mi Meng Hua
+ 9g Flos Magnoliae Xin Yi Hua