HERB FORMULAS

XIE BAI SAN - 瀉白散 - DRAIN THE WHITE POWDER

English: Drain the White Powder
Also Known As: Morus and Lyceum Formula
Lung-Draining Powder
Xie Fei San
Powder to Drain Lung Heat
Powder to Purge Lung Heat
Drain the Lungs Powder
White Draining Powder

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Dry-fried Cx. Mori Chao Sang Bai Pi 10-30g Drains stagnant Heat from the Lungs and stops cough and wheezing.
With Di Gu Pi and Gan Cao, for cough with thick sputum, fever, irritability and thirst due to Phlegm-Heat Obstructing the Lungs.
Cx. Lycii Radicis Di Gu Pi 10-30g Cools the Blood, clears Deficiency Fire, clears Heat, clears Lung Heat and stops cough.
With Sang Bai Pi, for Lung Heat cough or wheezing.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 1-30g Moistens the Lungs, resolves Phlegm, stops cough, clears Heat, relieves Fire toxicity and harmonizes.
Sm. Oryzae Geng Mi 8-30g Protects the Stomach from the Cold properties of the other herbs.

FORMULA ACTIONS

  • Drains (Hidden) Heat from the Lungs
  • Calms wheezing (asthma)
  • Stops coughing
  • Relieves dyspnea

SYNDROMES

  • Liver Fire Scorches the Lungs
  • Lung Heat
  • Cough due to Yin Deficiency caused by Lung Heat
  • Children who alternate between Excess and Deficiency

CLINICAL MANIFESTATIONS

  • Coughing (high and clear sounding)
  • Wheezing
  • Fever
  • Skin that feels hot to the touch
  • Symptoms worse in the late afternoon
  • Dry mouth
  • Little or difficult to expectorate sputum
  • Burning pain in the chest and hypochondrium
  • Yellow sputum
  • Hemoptysis
  • A warm steaming sensation from the skin that is most prominent in the late afternoon
  • Maybe constipation
  • Impatience
  • Dry throat
  • Hurried respiration leading to dyspnea
  • Irritability
  • Dyspnea
  • Afternoon fever
  • Anhidrosis
  • Dizziness
  • Conjunctival congestion
  • Dry, bitter taste in the mouth
  • T: Red
  • C: Yellow
  • P: Thready and rapid - maybe wiry

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with coughing and wheezing from Wind-Cold, Wind-Heat or Damp-Phlegm.
  • Modify to protect the Spleen from the Cold herbs.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For severe Heat: For dry cough:
+ Rx. Scutellariae Huang Qin + Per. Trichosanthis Gua Lou Pi
+ Rz. Anemarrhenae Zhi Mu + Bul. Fritillariae Cirrhosae Chuan Bei Mu
For severe thirst and irritability:
+ Rx. Adenophorae/ Glehniae Sha Shen
+ Rz. Anemarrhenae Zhi Mu + Sm. Armeniacae Xing Ren
+ Rx. Glehniae/ Adenophorae Sha Shen
For obstruction due to Phlegm:
+ Rx. Trichosanthis Tian Hua Fen + Sm. Descurainiae/ Lepidii Ting Li Zi
For mild Phlegm and to protect the Spleen and Stomach:
+ Rx. et Rz. Cynanchi Bai Qian
- Sm. Oryzae
For coughing and wheezing due to Heat from Lung Qi Deficiency:
+ Poria Fu Ling + Rx. Ginseng Ren Shen
For early-stage Lung abscess with coughing of dark-green or Blood-streaked sputum that is worse in the morning:
+ Poria Fu Ling
- Dry-fried Cx. Mori Chao Sang Bai Pi + Rz. Anemarrhenae Zhi Mu
+ Cx. Mori Sang Bai Pi + Rx. Scutellariae Huang Qin
- Sm. Oryzae Geng Mi
For alternating chills and fever:
+ Bul. Fritillariae Thunbergii Zhe Bei Mu + Rx. Bupleuri Chai Hu
+ Rx. Platycodi Jie Geng + Rx. Paeoniae Alba Bai Shao
+ Sm. Trichosanthis Gua Lou Ren
For thirst with irritability:
+ Rz. Zingiberis Recens Sheng Jiang + Rx. Ophiopogonis Mai Men Dong
For cough and wheezing:
+ Fr. Schisandrae Wu Wei Zi
+ Sm. Armeniacae Xing Ren
For Qi Deficiency:
+ Rx. Platycodi Jie Geng + Rx. Ginseng Ren Shen
For Lung abscess:
+ Rx. Astragali Huang Qi
+ Bul. Fritillariae Thunbergii Zhe Bei Mu
For more severe Heat in the Lungs:
+ Rx. Asteris Zi Wan + Rz. Anemarrhenae Zhi Mu
+ Rx. Platycodi Jie Geng + Rx. Scutellariae Huang Qin
+ Rx. Angelicae Sinensis Dang Gui + Hb. Houttuyniae Yu Xing Cao
+ Sm. Trichosanthis Gua Lou Ren + Gypsum Fibrosum Shi Gao
For severe cough:
For Deficiency Heat with afternoon fevers:
+ Per. Trichosanthis Gua Lou Pi + Hb. Artemisiae Annuae Qing Hao
+ Bul. Fritillariae Cirrhosae Chuan Bei Mu + Carapax Trionycis Bie Jia
For irritability:
+ Rx. Stellariae Yin Chai Hu
+ Fr. Gardeniae Zhi Zi
or
+ Hb. Phylostachys Nigra Zhu Ye + Hb. Artemisiae Annuae Qing Hao
For dry stool:
+ Carapax Trionycis Bie Jia
+ Rx. et Rz. Rhei Da Huang + Rx. Rehmanniae Sheng Di Huang
+ Fr. Aurantii Immaturus Zhi Shi
For hemoptysis
For chronic cough in children with dyspnea:
+ Cx. Moutan Mu Dan Pi
+ Fr. Perillae Zi Su Zi + Cx. Lycii Di Gu Pi
+ Flos Farfarae Kuan Dong Hua + Rx. Glycyrrhizae Gan Cao
For chronic cough in children with profuse Phlegm:
+ Ten Partially-Charred Substances Decoction
Shi Hui San
+ Rz. Pinelliae Preparatum Zhi Ban Xia
For chronic cough in children with anorexia:
+ Fr. Crataegi Shan Zha
For chronic cough in children with constipation:
For pneumonia in children:
+ Sm. Benincasae Dong Gua Zi - Sm. Oryzae Geng Mi
For epistaxis with Yin Deficiency with Lung Dryness:
+ 6g Rx. Glehniae/ Adenophorae Sha Shen
+ Rx. Glehniae/ Adenophorae Sha Shen + 6g Rx. Ophiopogonis Mai Men Dong
+ 3g Rx. Scutellariae Huang Qin
+ Rz. Polygonati Odorati Yu Zhu + 3g Sm. Armeniacae Xing Ren
+ Rx. Ophiopogonis Mai Men Dong + 3g Sm. Persicae Tao Ren
+ Fol Mori Sang Ye + 3g Rx. Stemonae Bai Bu
For epistaxis with Lung Heat:
+ 3g Bul. Fritillariae Cirrhosae Chuan Bei Mu
+ Rx. Rehmanniae Sheng Di Huang
For epistaxis with Stomach Fire:
+ 3gt Rx. Cynanchi Stauntonii Bai Qian
+ Rx. et. Rz. Rhei Da Huang
+ Rz. Coptidis Huang Lian + 3g Rz. Pinelliae Preparatum Zhi Ban Xia
For epistaxis with Qi and Yin Deficiency:
+ Rx. Panacis Quinquifolii Xi Yang Shen +1-1.5g Pseudobulbus Cremastrae/Pleiones Shan Ci Gu
+ Rx. Rehmanniae Sheng Di Huang
For hemoptysis:
For hemoptysis with severe bleeding:
+ Powder of Natural Indigo and Cyclina
Dai Ge San
+ Powder of Natural Indigo and Cyclina
Dai Ge San
+ 9g Rx. Scutellariae
+ 9g Rx. Scutellariae
+ 9g powdered Concha Cyclinae/Meretricis
+ 9g powdered Concha Cyclinae/Meretricis
+ 9g dry-fried Pollen Typhae
+ 9g dry-fried Pollen Typhae
+ 18g Rz. Imperatae
+ 18g Rz. Imperatae
+ 12g Nodus Nelumbinis Rhizomatis
+ 12g Nodus Nelumbinis Rhizomatis
+ 12g Rx. Rubiae
+ 12g Rx. Rubiae
For hemoptysis with severe Liver Heat:
+ Patent Medicine
Yunnan Bai Yao
+ Powder of Natural Indigo and Cyclina
Dai Ge San
or
+ 9g Rx. Scutellariae
+ + 3g powdered Rx. Notoginseng San Qi Fen
+ 9g powdered Concha Cyclinae/Meretricis
For tongue pain:
+ 9g dry-fried Pollen Typhae
+ 20g Gypsum Fibrosum
+ m10g Rx. Scutellariae
+ 18g Rz. Imperatae
For tongue pain with a dry cough:
+ 12g Nodus Nelumbinis Rhizomatis
+ 20g Gypsum Fibrosum
+ m10g Rx. Scutellariae
+ 12g Rx. Rubiae
+ 10g Bul. Fritillariae Cirrhosae
+ 9g Rx. Gentianae
+ 12g Haematitum
+ 10g Rx. Scrophulariae
For tongue pain with a yellow Phlegm:
For tongue pain with chest pain:
 + 20g Gypsum Fibrosum
+ 20g Gypsum Fibrosum
+ m10g Rx. Scutellariae
+ 10g Rx. Scutellariae
10g Caulis Bambusae in Taeniam
+ 10g Rx. Paeoniae Alba
+ 10g Fr. Aurantii
+ 10g Fr. Trichosanthis
For tongue pain with epistaxis:
+ 20g Gypsum Fibrosum
+ 10g Rx. Scutellariae
+ 15g Rz. Imperatae