HERB FORMULAS

YANG YIN QING FEI TANG - 養陰清肺湯 - NOURISH THE YIN AND CLEAR THE LUNGS DECOCTION

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 6-20g 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 the 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

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. Hedyotis Diffusae Bai Hua She She Cao
+ 9g Rx. Platycodi Jie Geng + 9g Rz. Anemarrhenae Zhi Mu
+ 6g Rx. Glycyrrhizae Gan Cao
For chronic pharyngitis due to Lung Qi and Yin Deficiency:
+ 30g Rx. Dioscoreae Shan Yao + Rx. Platycodon Jie Geng
+ 12g Rx. Oryzae Glutinosae Nuo Dao Gen + Rz. Cyperus Xiang Fu
+ Rx. Curcuma Yu Jin
+ 9g Rx. Ophiopogonis Mai Men Dong
For tonsillitis with dysuria:
+ 9g Rx. Pseudostellariae Tai Zi Shen + Sm. Plantaginis Che Qian Zi
For tonsillitis with thirst:
For epistaxis with Heat:
+ Rx. Trichosanthis Tian Hua Fen
+ Gypsum Fibrosum Shi Gao
For epistaxis with continuous profuse bleeding:
+ Flos Lonicerae Jin Yin Hua + Rx. Notoginseng San Qi
+ Fr. Forsythiae Lian Qiao
For epistaxis with dry mouth and throat:
For epistaxis with Qi and Blood Deficiency:
+ Rx. Trichosanthis Tian Hua Fen
+ Rx. Astragali Huang Qi + Rx. Glehniae/ Adenophorae Sha Shen
+ Rx. Angelicae Sinensis Dang Gui
For diabetes due to Lung and Stomach Heat with Fluid Damage:
 + Hb. Dendrobii Shi Hu
+ Rx. Polygonati Odorati Yu Zhu
- Bul. Fritillariae Cirrhosae Chuan Bei Mu
For diabetes due to Lung and Stomach Heat with Fluid Damage and Liver Qi Stagnation:
- Hb. Menthae Bo He - Bul. Fritillariae Cirrhosae Chuan Bei Mu
+ 18g Gypsum Fibrosum Shi Gao
+ 15g Rx. Salviae Miltiorrhizae Dan Shen - Hb. Menthae Bo He
+ 18g Gypsum Fibrosum Shi Gao
+ 12g Rx. Asparagi Tian Men Dong + 15g Rx. Salviae Miltiorrhizae Dan Shen
+ 9g Hb. Dendrobii Shi Hu
+ 9g Rz. Anemarrhenae Zhi Mu + 12g Rx. Asparagi Tian Men Dong
+ 9g Rx. Trichosanthis Tian Hua Fen + 9g Hb. Dendrobii Shi Hu
For diabetes due to Lung and Stomach Heat with Fluid Damage and Spleen Qi Deficiency with fatigue:
 + 9g Rz. Anemarrhenae Zhi Mu
+ 9g Rx. Trichosanthis Tian Hua Fen
+ 9g Fr. Toosendan Chuan Lian Zi
- Bul. Fritillariae Cirrhosae Chuan Bei Mu + 9g Rx. Aucklandiae Mu Xiang
- Hb. Menthae Bo He
For diabetes due to Lung and more severe Stomach Heat with Fluid Damage with polyphagia and rapid hungering after eating:
+ 18g Gypsum Fibrosum Shi Gao
+ 15g Rx. Salviae Miltiorrhizae Dan Shen
- Bul. Fritillariae Cirrhosae Chuan Bei Mu
+ 12g Rx. Asparagi Tian Men Dong - Hb. Menthae Bo He
+ 9g Hb. Dendrobii Shi Hu + 18g Gypsum Fibrosum Shi Gao
+ 9g Rz. Anemarrhenae Zhi Mu + 15g Rx. Salviae Miltiorrhizae Dan Shen
+ 9g Rx. Trichosanthis Tian Hua Fen
+ 20g Rx. Astragali Huang Qi + 12g Rx. Asparagi Tian Men Dong
+ 20g Rx. Dioscoreae Shan Yao + 9g Hb. Dendrobii Shi Hu
+ 9g Rx. Codonopsis Dang Shen + 9g Rz. Anemarrhenae Zhi Mu
For diabetes due to Lung and Stomach Heat with Fluid Damage and constipation:
 + 9g Rx. Trichosanthis Tian Hua Fen
+ more (30-50g) Gypsum Fibrosum Shi Gao
- Bul. Fritillariae Cirrhosae Chuan Bei Mu
- Hb. Menthae Bo He + 12g Rz. Polygonati Odorati Yu Zhu
+ 18g Gypsum Fibrosum Shi Gao
+ 15g Rx. Salviae Miltiorrhizae Dan Shen
For diabetes due to Lung and Stomach Heat with Fluid Damage and Heart palpitations:
+ 12g Rx. Asparagi Tian Men Dong - Bul. Fritillariae Cirrhosae Chuan Bei Mu
+ 9g Hb. Dendrobii Shi Hu - Hb. Menthae Bo He
+ 9g Rz. Anemarrhenae Zhi Mu + 18g Gypsum Fibrosum Shi Gao
+ 9g Rx. Trichosanthis Tian Hua Fen + 15g Rx. Salviae Miltiorrhizae Dan Shen
+12-18g Rx. et Rz. Polygoni Cuspidati Hu Zhang
+ 12g Rx. Asparagi Tian Men Dong
For diabetes due to Lung and Stomach Heat with Fluid Damage and Heart Fire with tongue sores and reddish urine:
 + 9g Hb. Dendrobii Shi Hu
+ 9g Rz. Anemarrhenae Zhi Mu
- Bul. Fritillariae Cirrhosae Chuan Bei Mu + 9g Rx. Trichosanthis Tian Hua Fen
- Hb. Menthae Bo He + 12g Sm. Zizyphi Spinosae Suan Zao Ren
+ 18g Gypsum Fibrosum Shi Gao
+ 15g Rx. Salviae Miltiorrhizae Dan Shen + 12g Sm. Platycladi Bai Zi Ren
For diabetes due to Dry Heat in the Lung and Stomach:
+ 12g Rx. Asparagi Tian Men Dong
+ 9g Hb. Dendrobii Shi Hu - Rx. Paeoniae Alba Bai Shao
+ 9g Rz. Anemarrhenae Zhi Mu - Bul. Fritillariae Cirrhosae Chuan Bei Mu
+ 9g Rx. Trichosanthis Tian Hua Fen
+ 9g Fr. Gardeniae Zhi Zi - Hb. Menthae Bo He
+ 9g Hb Phylostachys Nigra Zhu Ye - Cx. Moutan Mu Dan Pi
+ 25g Gypsum Fibrosum Shi Gao
For diabetes due to Dry Heat in the Lung and Stomach with constipation:
 + 20g Rx. Glehniae Bei Sha Shen
+ 12g Rz. Anemarrhenae Zhi Mu
- Rx. Paeoniae Alba Bai Shao
- Bul. Fritillariae Cirrhosae Chuan Bei Mu + 15g Rz. Polygonati Odorati Yu Zhu
- Hb. Menthae Bo He + 12g Rx. Trichosanthis Tian Hua Fen
- Cx. Moutan Mu Dan Pi + 12g Cx. Lycii Di Gu Pi
+ 25g Gypsum Fibrosum Shi Gao
For diabetes due to Dry Heat in the Lung and Stomach with ulceration of the tongue:
+ 20g Rx. Glehniae Bei Sha Shen
+ 12g Rz. Anemarrhenae Zhi Mu - Rx. Paeoniae Alba Bai Shao
- Bul. Fritillariae Cirrhosae Chuan Bei Mu
+ 15g Rz. Polygonati Odorati Yu Zhu
- Hb. Menthae Bo He
+ 12g Rx. Trichosanthis Tian Hua Fen - Cx. Moutan Mu Dan Pi
+ 12g Cx. Lycii Di Gu Pi + 25g Gypsum Fibrosum Shi Gao
+ 10g Rx. et Rz. Rhei Da Huang + 20g Rx. Glehniae Bei Sha Shen
For diabetes due to Dry Heat in the Lung and Stomach with shortness of breath, fatigue, spontaneous perspiration and a thready, weak pulse:
 + 12g Rz. Anemarrhenae Zhi Mu
+ 15g Rz. Polygonati Odorati Yu Zhu
- Rx. Paeoniae Alba Bai Shao + 12g Rx. Trichosanthis Tian Hua Fen
- Bul. Fritillariae Cirrhosae Chuan Bei Mu + 12g Cx. Lycii Di Gu Pi
+ 10g Rz. Coptidis Huang Lian
- Hb. Menthae Bo He + 20g Flos Lonicerae Jin Yin Hua
- Cx. Moutan Mu Dan Pi    
+ 25g Gypsum Fibrosum Shi Gao    
+ 20g Rx. Glehniae Bei Sha Shen    
+ 12g Rz. Anemarrhenae Zhi Mu    
   
+ 15g Rz. Polygonati Odorati Yu Zhu    
   
+ 12g Rx. Trichosanthis Tian Hua Fen    
+ 12g Cx. Lycii Di Gu Pi    
+ 10g Rx. Codonopsis Dang Shen    
+ 15g Rx. Astragali Huang Qi    
+ 10g Fr. Schisandrae Wu Wei Zi