HERB FORMULAS

XIAO QING LONG TANG - 小青龙汤 - MINOR BLUE GREEN DRAGON DECOCTION

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 coughing due to an Exterior Wind-Cold Attack and Cold Stagnation in the Interior.
Ram. Cinnamomi Gui Zhi 3-12g Releases the exterior, disperses Cold, adjusts the Ying and Wei 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. cum Rx. 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 coughing and calming wheezing for patients with existing thin mucus who are exposed to Wind-Cold leading to 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 coughing and wheezing from Cold Thin Mucus.
Rx. Paeoniae Alba 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 coughing 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 coughing

SYNDROMES

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

CLINICAL MANIFESTATIONS

  • Fever and chills (chills predominant)
  • Anhidrosis
  • Cough
  • Wheezing (asthma)
  • Copious, white, stringy, difficult to expectorate sputum
  • Stifling sensation in the chest
  • Lacrimation
  • 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
  • Stiff neck
  • Dry heaves
  • Decreased urine
  • Subcardiac edema
  • Stridor
  • Occasional chills on the back
  • Hiccups
  • Retching
  • Dysphagia
  • Diarrhea
  • Dysuria
  • Decreased urination
  • Flushed face
  • Dizziness
  • Headache
  • Inflammation of the tear ducts
  • T: Pink
  • C: Moist or White and greasy
  • P: Superficial and tight

TREATS

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 severe Wind-Cold Attacks the Lungs:
 For Yin Deficient cough:
+ More Rx. Ephedrae Ma Huang - Rx. Glycyrrhizae Preparata Zhi Gan Cao
+ More Ram. Cinnamomi Gui Zhi
For nasal congestion, rhinitis and headache:
 + Rx. Glycyrrhizae Gan Cao
- Rz. Zingiberis Gan Jiang
For severe chest congestion, profuse Phlegm, dyspnea when reclining, a slippery moist tongue coat and a tight or wiry and slippery pulse:
+ Rz. Zingiberis Recens Sheng Jiang
- Rx. Paeoniae Alba Bai Shao + More Hb. cum Rx. Asari Xi Xin
+ Rx. Paeoniae Rubra Chi Shao + More Rz. Pinelliae Preparatum Zhi Ban Xia
+ Rx. Saposhnikoviae Fang Feng
+ Hb. Schizonepetae Jing Jie + Rz. Zingiberis Recens Sheng Jiang
For fever and a sore throat:
For internal Heat and irritability:
+ Rx. Platycodi Jie Geng + Gypsum Fibrosum Shi Gao
+ Gypsum Fibrosum Shi Gao
For cough and dyspnea:
For sweating with a severe aversion to Cold:
+ Sm. Armeniacae Xing Ren
+ More Ram. Cinnamomi Gui Zhi + Cx. Magnoliae Officinalis Hou Po
+ Fr. Jujube Da Zao
+ More Rx. Paeoniae Alba Bai Shao
For thirst due to Lung Heat:
+ Rz. Zingiberis Recens Sheng Jiang + Gypsum Fibrosum Shi Gao
For allergic rhinitis, acute episodes of chronic rhinitis and hay fever with severe sneezing and an itching nose:
+ Rx. Scutellariae Huang Qin
For less severe Exterior symptoms:
+ 6g Fr. Xanthii Cang Er Zi - Ram. Cinnamomi Gui Zhi
+ 9g Rx. Angelicae Dahuricae Bai Zhi - Rx. Ephedrae Ma Huang
+ Honey-fried Rx. Ephedrae Mi Zhi Ma Huang
+ 9g Flos Magnoliae Xin Yi Hua
For bronchitis in children with Heat:
For allergic rhinitis:
+ Bul. Fritillariae Cirrhosae Chuan Bei Mu + Rx. Bupleuri Chai Hu
+ Rx. Platycodi Jie Geng
For allergic rhinitis, acute episodes of chronic rhinitis and hay fever with sore, itchy and watery eyes:
+ Rx. Asteris Zi Wan
+ Flos Lonicerae Jin Yin Hua + 9g Flos Buddlejae Mi Meng Hua
+ Fr. Gardeniae Zhi Zi
For bronchitis in children:
+ Gypsum Fibrosum Shi Gao + Bul. Fritillariae Cirrhosae Chuan Bei Mu
For bronchitis in children with a repetitive cough and a hoarse voice:
+ Rx. Platycodi Jie Geng
+ Bul. Fritillariae Cirrhosae Chuan Bei Mu + Rx. Asteris Zi Wan
+ Rx. Platycodi Jie Geng
For bronchitis in children with Wind-Cold:
+ Rx. Asteris Zi Wan + Bul. Fritillariae Cirrhosae Chuan Bei Mu
+ Sm. Armeniacae Xing Ren
+ Fr. Arctii Niu Bang Zi + Rx. Platycodi Jie Geng
+ Rx. Scrophulariae Xuan Shen + Rx. Asteris Zi Wan
For pneumonia:
+ Hb. Schizonepetae Jing Jie
+ Hb. Houttuyniae Yu Xing Cao + Rz. Cynanchi Stauntonii Bai Qian
+ Rx. Scutellariae Huang Qin
+ Sm. Armeniacae Xing Ren
For bronchitis in children with profuse Dampness and Phlegm:
For pneumonia with Phlegm-Heat:
- Rz. Zingiberis Gan Jiang + Bul. Fritillariae Cirrhosae Chuan Bei Mu
- Ram. Cinnamomi Gui Zhi
- Hb. cum Rx. Asari Xi Xin + Rx. Platycodi Jie Geng
+ Hb. Houttuyniae Yu Xing Cao + Rx. Asteris Zi Wan
+ Rx. Scutellariae Huang Qin + Hb. Agastaches Huo Xiang
+ Sm. Armeniacae Xing Ren + Rz. Atractylodis Cang Zhu
+ Gypsum Fibrosum Shi Gao
For pneumonia with sticky cold Phlegm:
+ Bul. Fritillariae Cirrhosae Chuan Bei Mu - Rx. Paeoniae Alba Bai Shao
+ Hb. Houttuyniae Yu Xing Cao
For cough: + Sm. Armeniacae Xing Ren
+ Sm. Armeniacae Xing Ren + Sm. Sinapis Bai Jie Zi
or + Fr. Perillae Zi Su Zi
+ Rx. Glehniae/ Adenophorae Sha Shen + Flos Inulae Xuan Fu Hua
For pneumonia with generalized weakness and Deficiency:
+ Rx. Asteris Zi Wan
For cough with fever: - Hb. Ephedrae Ma Huang
+ Rx. Glehniae/ Adenophorae Sha Shen + Hb. Houttuyniae Yu Xing Cao
+ Sm. Armeniacae Xing Ren
+ Rx. Asteris Zi Wan + Rx. Ginseng Ren Shen
+ Rz. Anemarrhenae Zhi Mu + Rz. Atractylodis Macrocephalae Bai Zhu
For cough with Qi Deficiency and profuse sweat:
+ Rx. Glehniae/ Adenophorae Sha Shen + Rx. Angelicae Sinensis Dang Gui
+ Rx. Rehmanniae Preparata Shu Di Huang
+ Rx. Asteris Zi Wan
+ Rx. Astragali Huang Qi For cough with scanty, thick, yellow sputum:
For severe wheezing: + Rx. Glehniae/ Adenophorae Sha Shen
+ 9g Sm. Armeniacae Xing Ren
+ 9g Rz. Belamcandae She Gan + Rx. Asteris Zi Wan
+ 9g Rx. Peucedani Qian Hu + Less Hb. cum Rx. Asari Xi Xin
+ 0g Rx. Asteris Zi Wan + Less Rz. Zingiberis Gan Jiang
For Heat: + Rx. Scutellariae Huang Qin
+ 18g Gypsum Fibrosum Shi Gao + Gypsum Fibrosum Shi Gao
+ 18g Rz. Phragmitis Lu Gen For copious Phlegm Fluids with marked congestion and orthopnea:
For acute wheezing:
+ 6g Cx. Magnoliae Officinalis Hou Po
+ Lepidium/Descurania and Jujube Decoction to Drain the Lungs
Ting Li Da Zao Xie Fe Tang
+ 6g Sm. Armeniacae Xing Ren
For chronic bronchitis with Cold Phlegm: For chronic bronchitis with Cold Phlegm without Exterior symptoms:
+ 12g Flos Farfarae Kuan Dong Hua
    + 12g Flos Farfarae Kuan Dong Hua
    - Hb. Ephedrae Ma Huang
    - Ram. Cinnamomi Gui Zhi
    - Rx. Paeoniae Alba Bai Shao
    + 12g Exocarpium Citri Grandis Rubrum Ju Hong
   
    + 15g Poria Fu Ling
    + 10g Fr. Perillae Zi Su Zi
    + 10g Cx. Magnoliae Officinalis Hou Po
   
    + 10g Rz. Atractylodis Cang Zhu