HERB FORMULAS

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, nourishes Yin, drains Fire and 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

CLINICAL MANIFESTATIONS

  • High fever worse at night
  • Severe irritability
  • Restlessness
  • Thirst
  • Delirium
  • Faint indistinct purpura and erythema
  • Insomnia
  • Dizziness
  • Vertigo
  • Maculae
  • Eyes that are open or closed for a prolonged period of time
  • T: Scarlet and dry
  • C: Little
  • P: Thready and rapid or Rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Dampness (a white slippery tongue coat).
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
+ Fr. Lycii
- Rz. Coptidis
For severe Qi Stage Fire:
+ Hb. Lophatheri
+ Gypsum
+ Cx. Moutan
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
+ Cornu Saigae Tataricae
 + 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 severe depletion 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

Gou Teng
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