HERB FORMULAS

YANG YIN QING FEI TANG

English: Nourish the Yin and Clear the Lungs Decoction
Also Known As: Decoction for Nourishing Yin and Clearing away Lung Heat
Decoction to Nourish Yin and cleanse the Lungs

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Rehmanniae Sheng Di Huang 6-20gs Nourishes Yin, clears Deficiency Heat, cools the Blood and relieves toxicity.
With Xuan Shen, for Excess or Deficiency Heat patterns, late-stage febrile disease with irritability, thirst and constipation and Kidney Yin Deficiency with Fire Blazing with soreness and swelling in the throat, dry mouth and a parched tongue.
With Xuan Shen and Mai Men Dong, for dry throat, irritability, a red tongue, and a fast thready pulse due to Devastated Yin with Blazing Fire, excessive thirst, irritability, and a scarlet tongue due to Ying Stage Heat, swelling of the throat and lymph nodes and constipation due to Excess Heat with Yin Deficiency.
With Bai Shao, for Blood Deficiency Heat.
With Mu Dan Pi, for Ying and Xue Stage Heat with a high fever, scarlet tongue, thirst, a rash all over the body, epistaxis and hemoptysis, residual Warm pathogen which has injured the Yin and Kidney Yin Deficiency with steaming bones.
Rx. Scrophulariae Xuan Shen 4.5-15g Nourishes Yin, clears Deficiency Heat, cools the Blood and relieves toxicity.
With Mu Dan Pi, for erysipelas and purplish rashes.
With Sheng Di Huang, Mai Men Dong and Mu Dan Pi, for diphtheria.
Rx. Ophiopogonis Mai Men Dong 3.6-15g Nourishes Lung Yin, moistens the Lungs, stops cough and resolves Phlegm.
With Xuan Shen and Mu Dan Pi, for those with Yin Deficiency constitution who develop a swollen, painful diphtheria disorder after contracting an epidemic toxin.
With Sheng Di Huang, for Hematemesis or epistaxis due to Yin Deficiency with Excess Heat.
With Sheng Di Huang, Xuan Shen, Mu Dan Pi and Chuan Bei Mu, for sore throat with epistaxis, hematemesis or Blood-streaked sputum and soreness and swelling of the throat due to Yin Deficiency with Excess Heat.
Dry-fried Rx. Paeoniae Alba Chao Bai Shao 2.4-9g Nourishes Blood and preserves and protects Yin.
Cx. Moutan Mu Dan Pi 2.4-9g Cools the Blood, clears Heat and reduces swelling.
Bul. Fritillariae Cirrhosae Chuan Bei Mu 2.4-9g Moistens the Lungs, stops cough, clears Heat and transforms Phlegm.
Hb. Menthae Bo He 1.5-6g Benefits the throat, clears the head and eyes, and expels Wind-Heat.
Rx. Glycyrrhizae Gan Cao 1-6g Relieves toxicity, benefits the throat, stops cough, harmonizes, moistens the Lungs and resolves Phlegm.

FORMULA ACTIONS

  • Nourishes Yin
  • Clears the Lungs
  • Improves the condition of the throat
  • Relieves toxicity
  • Cools Blood

SYNDROMES

  • Perverse Dryness Attacks the Lungs
  • Lung Yin Deficiency
  • Lung and Kidney Yin Deficiency with clumping of Heat Toxin (diphtheria)

CLINICAL MANIFESTATIONS

  • Development of a white curd-like membrane in the throat that is difficult to scrape off
  • Dry mouth and throat worse at night
  • Soft or hoarse voice
  • Low back and legs sore and weak
  • Night sweats
  • Malar flush
  • Afternoon fever
  • Sterility
  • Spermatorrhea
  • Sore and swollen throat
  • Asthma
  • Dry nose and lips
  • Low grade fever
  • Raspy breathing resembling wheezing
  • Cough with dry or little Phlegm
  • Five sole heat
  • May be fever
  • Blood flecked Phlegm
  • Irritability
  • Insomnia
  • Steaming bones
  • White complexion
  • Maybe a red face
  • Skinniness
  • Shortness of breath (maybe exertional)
  • Urgent panting
  • Allergies
  • Seminal emission with dreams
  • Diminished urination
  • Feeling miserable and agitated with fever
  • T: Red and dry
  • C: Little or None
  • P: Thready and rapid

TREATS

  • Bronchitis
  • Bronchiectasis
  • Pharyngitis
  • Tonsillitis
  • Side effects of radiation therapy to tumors of the head and throat
  • Epistaxis
  • Agranulocytic angina
  • Pulmonary tuberculosis
  • Chronic nephritis
  • Diphtheria
  • Nasopharyngeal cancer
  • Congestive cardiac failure
  • Sinusitis
  • Follicular conjunctivitis

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Use caution for those with diphtheria.
  • Use with caution for who have loose stools due to Spleen Deficiency.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For extreme Heat: For extreme sore throat with swelling:
+ Fr. Forsythiae Lian Qiao + Rz. Belamcandae She Gan
+ Flos Lonicerae Jin Yin Hua + Rx. Platycodi Jie Geng
+ Rx. Isatidis Ban Lan Gen + Bombyx Batryticatus Jiang Can
For signs of External Wind attack:
 + Fr. Lasiosphere/ Calvatia Ma Bo
+ Fol Mori Sang Ye + Rx. Isatidis Ban Lan Gen
+ Fr. Arctii Niu Bang Zi
or
+ Per. Cicadae Chan Tui + Rz. Belamcandae She Gan
+ Rx Puerariae Ge Gen + Rx. Platycodi Jie Geng
or
 + Bombyx Batryticatus Jiang Can
+ Fol Mori Sang Ye + Fr. Lasiosphere/ Calvatia Ma Bo
+ Per. Cicadae Chan Tui + Rx. Isatidis Ban Lan Gen
or
 + Hb. Taraxaci Pu Gong Ying
+ Fol Mori Sang Ye
For diphtheria:
+ Flos Lonicerae Jin Yin Hua + Rx. Scutellariae Huang Qin
or
 + Fr. Forsythiae Lian Qiao
+ Fr. Arctii Niu Bang Zi
For serious heat syndrome:
+ Per. Cicadae Chan Tui + Flos Lonicerae Jin Yin Hua
For the initial stage of diphtheria when the External symptoms are still present:
+ Rx. Achyranthis Bidentatae Niu Xi
+ Fol. Mori Sang Ye
For extreme Dryness:
+ Rx. Puerariae Ge Gen + Rx. Asparagi Tian Men Dong
For extreme Yin Deficiency:
+ Rx. Anemarrhenae Zhi Mu
+ Rx. Rehmanniae Preparata Shu Di Huang + Rz. Phragmitis Lu Gen
For side effects of radiotherapy for nasopharyngeal cancer:
or
- Hb. Menthae Bo He + Rx. Asparagi Tian Men Dong
+ 15g Rz. Imperatae Bai Mao Gen Caul. Dendrobii Shi Hu
+ 9g Rz. Polygonati Huang Jing
For side effects of radiotherapy for nasopharyngeal cancer with lingering dryness and fever:
+ 9g Rx. Platycodi Jie Geng - Hb. Menthae Bo He
+ 6g Rx. Glycyrrhizae Gan Cao + 15g Rz. Imperatae Bai Mao Gen
For side effects of radiotherapy for nasopharyngeal cancer with general weakness:
+ 9g Rz. Polygonati Huang Jing
- Hb. Menthae Bo He + 9g Rx. Platycodi Jie Geng
+ 15g Rz. Imperatae Bai Mao Gen + 6g Rx. Glycyrrhizae Gan Cao
+ 9g Rz. Polygonati Huang Jing + 30g Hb. Oldenlandia Bai Hua She She Cao
+ 9g Rx. Platycodi Jie Geng + 9g Rz. Anemarrhenae Zhi Mu
+ 6g Rx. Glycyrrhizae Gan Cao    
+ 30g Rx. Dioscoreae Shan Yao    
+ 12g Rx. Oryzae Glutinosae Nuo Dao Gen    
+ 9g Rx. Ophiopogonis Mai Men Dong    
+ 9g Rx. Pseudostellariae Tai Zi Shen