HERB FORMULAS

CANG ER ZI SAN - 蒼耳子散 - XANTHIUM POWDER

English: Xanthium Powder
Also Known As: Xanthium Formula
Cang Er San

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Fr. Xanthii Cang Er Zi 6-10g Disperses Wind, dispels Dampness and opens the nasal passages.
With Xin Yi Hua, unblocks the nasal passages and treats headache and profuse nasal discharge.
Flos Magnoliae Xin Yi Hua 3-15g Expels Wind-Cold and unblocks the nasal passages.
Rx. Angelicae Dahuricae Bai Zhi 3-30g Releases the exterior, disperses Cold, opens the nasal orifices, disperses Wind-Dampness, alleviates pain and headache, reduces swelling and expels pus.
With Cang Er Zi and Xin Yi Hua, for headache due to nasal congestion with thick putrid discharge.
Hb. Menthae Bo He 1.5-6g Disperses Wind-Heat, clears the head and eyes and benefits the throat.

FORMULA ACTIONS

  • Disperses Wind
  • Alleviates pain
  • Unblocks the nose

SYNDROMES

  • Wind-Cold with interior Heat in the muscles
  • Profuse nasal discharge due to Wind-Heat Attacking the head

CLINICAL MANIFESTATIONS

  • Copious, purulent, foul nasal discharge
  • Nasal obstruction
  • Dizziness
  • Frontal or temporal headache
  • Fever
  • Intolerance of Cold
  • Muscle ache
  • Blood-shot eyes
  • Dry nose
  • Bitter taste in mouth
  • Insomnia
  • T: Normal or thin white
  • C: Yellow
  • P: Floating and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For increased Heat in the Lung: For profuse nasal discharge:
+ Cx. Mori Sang Bai Pi + Flos Lonicerae Jin Yin Hua
+ Cx. Lycii Di Gu Pi
or
or
 + Flos Lonicerae Jin Yin Hua
+ Cx. Mori Sang Bai Pi + Centipeda Minima E Bu Shi Cao
+ Rx. Scutellariae Huang Qin + Rx. Glycyrrhizae Gan Cao
For sinusitis due to Excess Stomach Heat:
For sinusitis due to Excess Stomach Heat with sticky yellow mucus:
+ Clear Stomach Heat Powder
Qing Wei San
+ Clear Stomach Heat Powder
Qing Wei San
For sinusitis due to Excess Stomach Heat with restlessness and thirst:
 + Hb. Patriniae Bai Jiang Cao
+ Clear Stomach Heat Powder
Qing Wei San
 + Sp. Gleditsiae Zao Jiao Ci
+ Rz. Anemarrhenae Zhi Mu + Gypsum Fibrosum Shi Gao
For sinusitis due to Excess Stomach Heat with gingival swelling and bleeding:
For severe nasal obstruction:
+ Clear Stomach Heat Powder
Qing Wei San
 + Centipeda Minima E Bu Shi Cao
+ Rz. Imperatae Bai Mao Gen + Hb. Asari Xi Xin
+ Hb. Cephalanoplos Xiao Ji
For concurrent fever and Heat in the Lungs:
For bloody nasal discharge:
+ Rx. Scutellariae Huang Qin
+ Rx. Rubiae Qian Cao Gen + Hb. Houttuyniae Yu Xing Cao
+ Rx. Rehmanniae Sheng Di Huang
For more severe dizziness and headache:
For copious, purulent nasal discharge:
+ Flos Chrysanthemi Ju Hua
+ Flos Lonicerae Jin Yin Hua + Fr. Tribuli Bai Ji Li
+ Fr. Forsythiae Lian Qiao
For nasal congestion and sinusitis due to Wind-Heat Attacking the Lungs:
For nasal congestion and sinusitis due to Wind-Heat Attacking the Lungs with severe frontal or maxillary headache:
+ 9g Rx. Scutellariae Huang Qin
+ 9g Rx. Scutellariae Huang Qin + 12g Flos Chrysanthemi Ju Hua
+ 12g Flos Chrysanthemi Ju Hua + 15g Fr. Forsythiae Lian Qiao
+ 15g Fr. Forsythiae Lian Qiao + 15g Rx. Puerariae Ge Gen
+ 15g Rx. Puerariae Ge Gen
For nasal congestion and sinusitis due to Wind-Heat Attacking the Lungs with a temporal headache:
+ Increase Rx. Angelicae Dahuricae to 12g Bai Zhi + 9g Rx. Scutellariae Huang Qin
+ 9g. Fr. Viticis Man Jing Zi + 12g Flos Chrysanthemi Ju Hua
For nasal congestion and sinusitis due to Wind-Heat Attacking the Lungs with a cough with copious sputum:
+ 15g Fr. Forsythiae Lian Qiao
+ 9g Rx. Scutellariae Huang Qin + 15g Rx. Puerariae Ge Gen
+ 12g Flos Chrysanthemi Ju Hua + 9g Rx. Bupleuri Chai Hu
+ 15g Fr. Forsythiae Lian Qiao
For nasal congestion and sinusitis due to Wind-Heat Attacking the Lungs with purulent nasal discharge:
+ 15g Rx. Puerariae Ge Gen + 9g Rx. Scutellariae Huang Qin
+ 9g Sm. Armeniacae Xing Ren + 12g Flos Chrysanthemi Ju Hua
+ 9g Rx. Platycodi Jie Geng + 15g Fr. Forsythiae Lian Qiao
+ 12g Sm. Trichosanthis Gua Lou Ren + 15g Rx. Puerariae Ge Gen
+ 12g Sm. Benincasae Dong Gua Ren +15g Flos Lonicerae Jin Yin Hua
For nasal congestion and sinusitis due to Wind-Heat Attacking the Lungs with Lung Heat:
+ 15g Hb. Houttuyniae Yu Xing Cao
+ 9g Rx. Scutellariae Huang Qin
For nasal congestion and sinusitis due to Wind-Heat Attacking the Lungs with pre-existing Phlegm-Damp:
+ 12g Flos Chrysanthemi Ju Hua + 9g Rx. Scutellariae Huang Qin
+ 15g Fr. Forsythiae Lian Qiao + 12g Flos Chrysanthemi Ju Hua
+ 15g Rx. Puerariae Ge Gen + 15g Fr. Forsythiae Lian Qiao
+ Gypsum Fibrosum Shi Gao + 15g Rx. Puerariae Ge Gen
+ 12g Rz. Anemarrhenae Zhi Mu + 6g Rz. Pinelliae Preparatum Zhi Ban Xia
For nasal congestion and sinusitis due to Wind-Heat Attacking the Lungs with remnants of Wind-Cold:
+12g Poria Fu Ling
+ 9g Rx. Scutellariae Huang Qin + 6g Per. Citri Reticulatae Chen Pi
+ 12g Flos Chrysanthemi Ju Hua
For rhinitis due to Lung Qi Deficiency:
+ 15g Fr. Forsythiae Lian Qiao
+ Jade Windscreen Powder
Yu Ping Feng San
+ 15g Rx. Puerariae Ge Gen
+ Two or three of the following:
+ 6g Hb. Asari Xi Xin + 12g Sm. Cuscutae Tu Si Zi
+ 9g Rz. et Rx. Ligustici Gao Ben +12g Cx. Eucommiae Du Zhong
+ 9g Rx. Saposhnikoviae Fang Feng + 9g Sm. Juglandis Hu Tao Ren
+ 9g Rz. et Rx. Notopterygii Qiang Huo + 12g Fr. Psoraliae Bu Gu Zhi
For rhinitis due to Lung Qi Deficiency with severe congestion:
 + 12g Rx. Morindae Ba Ji Tian
+ Jade Windscreen Powder
Yu Ping Feng San
+ 12g Rx. Dipsaci Xu Duan
+ Two or three of the following:
+ 9g Fr. Rubi Fu Pen Zi
+ 12g Sm. Cuscutae Tu Si Zi + 9g Fr. Schisandrae Wu Wei Zi
+12g Cx. Eucommiae Du Zhong + Large Dose Rx. Astragali Huang Qi
+ 9g Sm. Juglandis Hu Tao Ren
For rhinitis due to Lung Qi Deficiency with exhausting paroxysms of sneezing:
+ 12g Fr. Psoraliae Bu Gu Zhi
+ Jade Windscreen Powder
Yu Ping Feng San
+ 12g Rx. Morindae Ba Ji Tian
+ Two or three of the following:
+ 12g Rx. Dipsaci Xu Duan + 12g Sm. Cuscutae Tu Si Zi
+ 9g Fr. Rubi Fu Pen Zi +12g Cx. Eucommiae Du Zhong
+ 9g Fr. Schisandrae Wu Wei Zi + 9g Sm. Juglandis Hu Tao Ren
+ Large Dose Rx. Astragali Huang Qi + 12g Fr. Psoraliae Bu Gu Zhi
+ Two or three of the following:
+ 12g Rx. Morindae Ba Ji Tian
+ 3g Hb. Asari Xi Xin + 12g Rx. Dipsaci Xu Duan
+ 9g Ram. Cinnamomi Gui Zhi + 9g Fr. Rubi Fu Pen Zi
+ 3g Per. Zanthoxyli Chuan Jiao + 9g Fr. Schisandrae Wu Wei Zi
+ 6g Rx. Aucklandiae Mu Xiang + Large Dose Rx. Astragali Huang Qi
For rhinitis due to Lung Qi Deficiency with continuous, copious, watery nasal discharge:
+ One or two of the following:
+ Jade Windscreen Powder
Yu Ping Feng San
+ 9g Per. Cicadae Chan Tui
+ Two or three of the following:
+ 1.5g Scorpio Quan Xie
+ 12g Sm. Cuscutae Tu Si Zi + 2g Periostracum Serpentis She Tui
+12g Cx. Eucommiae Du Zhong + 9g Pheretima Di Long
+ 9g Sm. Juglandis Hu Tao Ren
For nasopharyngeal cancer:
+ 12g Fr. Psoraliae Bu Gu Zhi + 30g Rx. Scutellariae Barbatae Ban Zhi Lian
+ 12g Rx. Morindae Ba Ji Tian + 10g Rx. Sophorae Tonkinensis Shan Dou Gen
+ 12g Rx. Dipsaci Xu Duan + 15g Sp. Prunellae Xia Ku Cao
+ 9g Fr. Rubi Fu Pen Zi + 10g Fr. Viticis Man Jing Zi
+ 9g Fr. Schisandrae Wu Wei Zi + 10g Placenta Hominis Zi He Che
+ Large Dose Rx. Astragali Huang Qi + 10g Flos Chrysanthemi Indici Ye Ju Hua
+ One or two of the following:
For rhinorrhea due to Wind-Cold Attacking the Lungs:
+ 9g Fr. Rosae Laevigatae Jin Ying Zi - Hb. Menthae Bo He
+ 12g Fr. Tritici Levis Fu Xiao Mai + 10g Hb. Ephedrae Ma Huang
+ 12g Rx. Oryzae Glutinosae Nuo Dao Gen + 10g Hb. Schizonepetae Jing Jie
For rhinorrhea due to Wind-Heat Invading the Lungs:
+ 10g Hb. Agastaches/ Pogostemmi Huo Xiang
+ 10g Fol. Mori Sang Ye + 3g Hb. Asari Xi Xin
+ 10g Flos Chrysanthemi Ju Hua
For nasal congestion due to Lung Heat:
+ 10g Rx. Puerariae Ge Gen + 10g Rx. Scutellariae Huang Qin
For nasal congestion and sinusitis due to Lung Heat:
+ 10g Hb. Houttuyniae Yu Xing Cao
+ Rx. Scutellariae Huang Qin + 10g Rx. Platycodi JIe Geng
+ Flos Chrysanthemi Ju Hua
For nasal congestion and sinusitis due to Lung Heat with Wind-Heat predominant:
+ Fr. Forsythiae Lian Qiao
+ Mulberry Leaf and Chrysanthemum Decoction
Sang Ju Yin
+ Rx. Puerariae Ge Gen
For nasal congestion and sinusitis due to Lung Heat with Depressed Heat predominant:
For allergic rhinitis due to Wind-Cold Attacking the Lungs:
+ 15g Cx. Mori Sang Bai Pi
- Hb. Menthae Bo He + 10g Flos Chrysanthemi Ju Hua
+ 9g Hb. Agastaches Huo Xiang + 15g Rz. Anemarrhenae Zhi Mu
+ 3g Hb. Asari Xi Xin
For allergic rhinitis due to Wind-Cold Attacking the Lungs with sneezing:
For allergic rhinitis due to Wind-Cold Attacking the Lungs with a runny nose with profuse, clear mucus:
- Hb. Menthae Bo He
- Hb. Menthae Bo He + 9g Hb. Agastaches Huo Xiang
+ 9g Hb. Agastaches Huo Xiang + 3g Hb. Asari Xi Xin
+ 3g Hb. Asari Xi Xin + 9g Pheretima Di Long
+ 9g Fr. Chebulae He Zi + 9g Periostracum Cicadae Chan Tui
+ 9g Fr Schisandrae Wu Wei Zi
For allergic rhinitis due to Wind-Cold Attacking the Lungs with itchy eyes
For allergic rhinitis due to Wind-Cold Attacking the Lungs with nasal congestion:
- Hb. Menthae Bo He
- Hb. Menthae Bo He + 9g Hb. Agastaches Huo Xiang
+ 9g Hb. Agastaches Huo Xiang + 3g Hb. Asari Xi Xin
+ 3g Hb. Asari Xi Xin + 9g Rz. Chuanxiong Chuan Xiong
+ 6g Rz. Acori Tatarinowii Shi Chang Pu + 9g Hb. Schizonepetae Jing Jie
+ 9g Ram. Cinnamomi Gui Zhi
For allergic rhinitis due to Wind-Cold Attacking the Lungs with enduring nasal congestion with purple-blue nasal mucosa:
For allergic rhinitis due to Wind-Cold Attacking the Lungs with pronounced Wind-Cold symptoms:
- Hb. Menthae Bo He
- Hb. Menthae Bo He + 9g Hb. Agastaches Huo Xiang
+ 9g Hb. Agastaches Huo Xiang + 3g Hb. Asari Xi Xin
+ 3g Hb. Asari Xi Xin + 9g Fr. Liquidamberis Lu Lu Tong
+ 9g Hb. Ephedrae Ma Huang + 15g Rz. Chuanxiong Chuan Xiong
+ 9g Hb. Schizonepetae Jing Jie
For allergic rhinitis due to Wind-Cold Attacking the Lungs with concurrent severe Qi Deficiency:
For nasal congestion:
 - Hb. Menthae Bo He
+ Mulberry Leaf and Chrysanthemum Decoction
Sang Ju Yin
+ 9g Hb. Agastaches Huo Xiang
+ 3g Hb. Asari Xi Xin
or
+ 15g Rx. Astragali Huang Qi
+ Fr. Arctii Niu Bang Zi + 9g Rz. Atractylodis Macrocephalae Bai Zhu
For sinusitis due to Wind-Heat Attacking the Lungs with severe Lung Heat and purulent nasal discharge:
For sinusitis due to Wind-Heat Attacking the Lungs with coughing and profuse Phlegm:
+ 12g Flos Chrysanthemi Ju Hua
+ 9g Rx. Scutellariae Huang Qin
+ 12g Flos Chrysanthemi Ju Hua + 15g Fr. Forsythiae Lian Qiao
+ 15g Rx. Puerariae Ge Gen
+ 15g Fr. Forsythiae Lian Qiao + 9g Sm. Armeniacae Xing Ren
+ 15g Rx. Puerariae Ge Gen + 9g Rx. Platycodi Jie Geng
+ 15g Hb. Taraxaci Pu Gong Ying
For sinusitis due to Wind-Heat Attacking the Lungs with a headache at the vertex:
+ 15g Hb. Patriniae Bai Jiang Cao + 12g Flos Chrysanthemi Ju Hua
For sinusitis due to Wind-Heat Attacking the Lungs with a frontal headache or Supraorbital bone pain:
+ 15g Fr. Forsythiae Lian Qiao
+ 12g Flos Chrysanthemi Ju Hua + 15g Rx. Puerariae Ge Gen
+ 12g Rx. et Rz. Ligustici Gao Ben
+ 15g Fr. Forsythiae Lian Qiao
For sinusitis due to Wind-Heat Attacking the Lungs with pain in the area of the point
Tai Yang:
+ 15g Rx. Puerariae Ge Gen
+ 12g Fr. Viticis Man Jing Zi + 12g Flos Chrysanthemi Ju Hua
+ more (125g) Rx.
Angelicae Dahuricae		 Bai Zhi
+ 15g Fr. Forsythiae Lian Qiao
For sinusitis due to Wind-Heat Attacking the Lungs with an occipital headache:
 + 15g Rx. Puerariae Ge Gen
+ Rx. Bupleuri Chai Hu
+ 12g Flos Chrysanthemi Ju Hua
For sinusitis due to Wind-Heat Attacking the Lungs with severe nasal congestion:
+ 15g Fr. Forsythiae Lian Qiao + 12g Flos Chrysanthemi Ju Hua
+ 18g Rx. Puerariae Ge Gen
For sinusitis with damage to Qi and Yin:
+ 15g Fr. Forsythiae Lian Qiao
+ Magnolia Flower Drink to Clear the Lungs
Xin Yi Qing Fei Yin
+ 18g Rx. Puerariae Ge Gen
+ 18g Hb. Houttuyniae Yu Xing Cao
- Flos Magnoliae Xin Yi Hua + 9g Hb. Agastaches Huo Xiang
- Rx. Scutellariae Huang Qin
For chronic sinusitis with Liver and Spleen disharmony and profuse, purulent greenish Phlegm:
+ 18g Rx. Astragali Huang Qi
For sinusitis with Qi Deficiency:
+ Warm the Lungs, Stop the Flow Special Pill
Wen Fei Zhi Liu Dan
+ Warm the Lungs, Stop the Flow Special Pill
Wen Fei Zhi Liu Dan
- Rx. Ginseng Ren Shen
+ 12g Rx. Codonopsis Dang Shen + 9g Rx. Codonopsis Dang Shen
+ 12g Rx. Astragali Huang Qi + 6g Rx. Acori Tatarinowii Shi Chang Pu
For sinusitis with easy contraction of Wind pathogens:
+ 15g Flos Lonicerae Jin Yin Hua
+ Warm the Lungs, Stop the Flow Special Pill
Wen Fei Zhi Liu Dan
 + 15g Hb. Houttuyniae Yu Xing Cao
+ 15g Hb. Centipeda E Bu Shi Cao
+ Jade Windscreen Powder
Yu Ping Feng San
For sinusitis with a headache, heavy-headedness or dizziness:
For sinusitis with severe nasal congestion:
+ Warm the Lungs, Stop the Flow Special Pill
Wen Fei Zhi Liu Dan
+ Warm the Lungs, Stop the Flow Special Pill
Wen Fei Zhi Liu Dan
+ 9g Rx. Angelicae Dahuricae Bai Zhi
+ 9g Rz. Acori Tatarinowii Shi Chang Pu
+ 9g Rz. Chuanxiong Chuan Xiong
+ 9g Hb. Agastaches Huo Xiang + 9g Rz. Acori Tatarinowii Shi Chang Pu
For sinusitis with white nasal discharge alternating with yellow nasal discharge:
For sinusitis with Blood Stagnation:
+ Warm the Lungs, Stop the Flow Special Pill
Wen Fei Zhi Liu Dan
+ 9g Cx. Moutan Mu Dan Pi
+ 9g Rx. Paeoniae Rubra Chi Shao
+ 6g Rx. Scutellariae Huang Qin
+ 12g Hb. Houttuyniae Yu Xing Cao