Cong Bai Qi Wei Yin

Scallion Bulb Seven-Ingredient Drink · 葱白七味饮

Also known as: Qi Wei Cong Bai Tang (七味葱白汤, Seven-Ingredient Scallion Bulb Decoction)

A classical formula for treating colds or flu in people who are already weakened from illness or blood loss. It gently expels the cold pathogen from the body's surface while simultaneously nourishing the blood and fluids that have been depleted, making it a safe and balanced approach for vulnerable patients who cannot tolerate strong sweating therapies.

Origin 《外台秘要》(Wài Tái Mì Yào) Volume 3, citing Xu Renze (许仁则方) — Táng dynasty, 752 CE
Composition 6 herbs
Shu Di Huang
King
Shu Di Huang
Tian Men Dong
King
Tian Men Dong
Ge Gen
Deputy
Ge Gen
Dan Dou Chi
Deputy
Dan Dou Chi
Cong Bai
Assistant
Cong Bai
Sheng Jiang
Assistant
Sheng Jiang
Explore composition

Educational content Consult qualified TCM practitioners for diagnosis and treatment

Patterns Addressed

In TCM, symptoms don't appear randomly — they cluster into recognizable patterns of disharmony that reveal what's out of balance in the body. Cong Bai Qi Wei Yin is designed to correct these specific patterns.

Why Cong Bai Qi Wei Yin addresses this pattern

This is the primary pattern for Cong Bai Qi Wei Yin. When a person has lost blood (from nosebleeds, heavy menstruation, vomiting blood, or other bleeding) or has become blood-deficient after a prolonged illness, their body's defensive Qi and fluid reserves are weakened. If they then catch a cold (Wind-Cold invasion), the body cannot mount an effective sweating response to expel the pathogen. Ordinary cold-dispelling formulas that rely heavily on inducing sweat would further deplete these patients. This formula addresses both sides of the problem simultaneously: Gan Di Huang and Mai Men Dong rebuild the blood and fluids, while Cong Bai, Dan Dou Chi, Ge Gen, and Sheng Jiang gently release the exterior pathogen. The result is a mild, nourishing sweat that expels the cold without harming the patient's reserves.

A practitioner would look for one or more of these signs

Headaches

Headache from Wind-Cold invasion

Fever

Fever with mild chills

Chills

Mild aversion to cold, less pronounced than typical Wind-Cold patterns

Absence Of Sweating

No sweating despite fever, due to insufficient fluids

Dull Pale Complexion

Pallor indicating underlying blood deficiency

Eye Fatigue

General weakness from prior illness or blood loss

Commonly Prescribed For

These conditions can arise from the patterns above. A practitioner would consider Cong Bai Qi Wei Yin when these conditions are specifically caused by those patterns — not for all cases of these conditions.

TCM Interpretation

In TCM, the body's ability to fight off colds depends on a protective layer of Qi called Wei Qi (defensive Qi), which circulates at the body's surface. Wei Qi is generated from the blood and fluids. When someone has recently been ill, undergone surgery, experienced significant bleeding, or given birth, their blood and Yin reserves are depleted. This weakens the Wei Qi, leaving the person highly vulnerable to Wind-Cold invasion. When such a person catches a cold, the body wants to sweat to push the pathogen out, but lacks the fluid foundation to do so effectively. This creates a stalemate where the cold lingers: the patient has fever, headache, and chills but cannot break a sweat.

Why Cong Bai Qi Wei Yin Helps

Cong Bai Qi Wei Yin breaks this stalemate by working on both sides simultaneously. Gan Di Huang and Mai Men Dong rebuild the depleted blood and fluids, restoring the material basis for sweating. Meanwhile, Cong Bai, Sheng Jiang, Dan Dou Chi, and Ge Gen gently open the body's surface to release the pathogen. The formula produces only a mild, controlled sweat, which is critical because profuse sweating would further damage the already depleted patient. This two-pronged approach makes it particularly effective for people who keep catching colds during recovery from other conditions, or for postpartum or perimenstrual colds where blood loss is a factor.

Also commonly used for

Fever

Low-grade fever with inability to sweat in blood-deficient patients

Headaches

Headache accompanying exterior Wind-Cold in weakened patients

Eye Fatigue

Post-illness fatigue complicated by a new external pathogen invasion

What This Formula Does

Every TCM formula has a specific set of actions — here's what Cong Bai Qi Wei Yin does in the body, explained in both everyday and TCM terms

Therapeutic focus

In practical terms, Cong Bai Qi Wei Yin is primarily used to support these areas of health:

TCM Actions

In TCM terminology, these are the specific therapeutic actions that Cong Bai Qi Wei Yin performs to restore balance in the body:

How It Addresses the Root Cause

TCM doesn't just suppress symptoms — it aims to resolve the underlying imbalance. Here's how Cong Bai Qi Wei Yin works at the root level.

This formula addresses a specific and clinically important scenario: a person who has become Blood- and Yin-deficient, and then catches a common cold (Wind-Cold invasion). This commonly occurs after illness, surgery, childbirth, or significant blood loss (such as nosebleeds, vomiting blood, or heavy menstrual bleeding), when the body's reserves of Blood and nourishing fluids are depleted. In this weakened state, the body's defensive Qi at the surface is insufficiently supported, making the person especially vulnerable to catching cold.

The core dilemma is that Wind-Cold lodged at the body's surface normally requires sweating to expel it, but sweating consumes Blood and fluids. In a Blood-deficient patient, aggressive sweating would worsen the underlying deficiency and could even be dangerous. The body lacks sufficient "sweat source" (汗源, the fluid reserves from which sweat is generated), so it cannot mount an adequate sweat response on its own. This explains the characteristic symptom of being unable to sweat despite having fever with mild chills and headache. The formula must therefore accomplish two things simultaneously: gently open the surface to release the pathogen while replenishing the Blood and fluids so the body actually has the material basis to produce a light, effective sweat.

Formula Properties

Every formula has an inherent temperature, taste, and affinity for specific organs — these properties determine how it interacts with the body

Overall Temperature

Slightly Warm

Taste Profile

Predominantly pungent and sweet with a mildly bitter undertone. The pungent quality (from scallion, ginger, fermented soybean) disperses the exterior pathogen, while the sweet and slightly bitter flavors (from rehmannia, ophiopogon, kudzu root) nourish Blood and generate fluids.

Channels Entered

Lung Stomach Heart Kidney

Ingredients

6 herbs

The herbs that make up Cong Bai Qi Wei Yin, organized by their role in the prescription

King — Main ingredient driving the formula
Deputy — Assists and enhances the King
Assistant — Supports or moderates other herbs
Kings — Main ingredient driving the formula
Shu Di Huang

Shu Di Huang

Prepared Rehmannia root

Dosage 9 - 16g
Temperature Slightly Warm
Taste Sweet (甘 gān)
Organ Affinity Liver, Kidneys

Role in Cong Bai Qi Wei Yin

Nourishes the blood and enriches Yin to replenish the depleted fluid foundation. As the primary tonic in this formula, it ensures there is sufficient material (blood and fluids) to serve as the source for gentle sweating, addressing the root deficiency.
Tian Men Dong

Tian Men Dong

Asparagus tuber

Dosage 9g
Temperature Cold
Taste Sweet (甘 gān), Bitter (苦 kǔ)
Organ Affinity Lungs, Kidneys
Preparation Remove the inner core (去心)

Role in Cong Bai Qi Wei Yin

Nourishes Yin and generates fluids, working alongside Gan Di Huang to replenish blood and body fluids. Together they form a classical pairing for blood deficiency, providing the fluid reserves needed for safe diaphoresis.
Deputies — Assists and enhances the King
Ge Gen

Ge Gen

Kudzu root

Dosage 9g
Temperature Cool
Taste Sweet (甘 gān), Acrid / Pungent (辛 xīn)
Organ Affinity Spleen, Stomach, Lungs

Role in Cong Bai Qi Wei Yin

Releases the muscles and exterior, generates fluids, and lifts clear Yang. It assists in expelling the external pathogen while simultaneously promoting fluid production, bridging the nourishing and dispersing functions of the formula.
Dan Dou Chi

Dan Dou Chi

Fermented soybean

Dosage 6g
Temperature Cool
Taste Bitter (苦 kǔ), Acrid / Pungent (辛 xīn)
Organ Affinity Lungs, Stomach
Preparation Wrap in cloth before decocting (绵裹)

Role in Cong Bai Qi Wei Yin

Releases the exterior and disperses pathogens with a mild, gentle action that is particularly suited for Yin-deficient patients. It supports the sweating function without being overly drying or depleting.
Assistants — Supports or moderates other herbs
Cong Bai

Cong Bai

Scallion Bulb

Dosage 9g
Temperature Warm
Taste Acrid / Pungent (辛 xīn)
Organ Affinity Lungs, Stomach
Preparation Use with roots attached (连根切)

Role in Cong Bai Qi Wei Yin

Opens Yang and disperses Cold, inducing mild sweating to expel Wind-Cold from the surface. Its warm, pungent nature helps drive the pathogen outward while the formula's nourishing herbs prevent excessive fluid loss.
Sheng Jiang

Sheng Jiang

Fresh ginger rhizome

Dosage 6g
Temperature Slightly Warm
Taste Acrid / Pungent (辛 xīn)
Organ Affinity Lungs, Spleen, Stomach

Role in Cong Bai Qi Wei Yin

Warms the surface and assists Cong Bai in releasing the exterior. It also warms the Middle Burner and harmonizes the Stomach, counterbalancing the cold, rich nature of Sheng Di Huang and Mai Men Dong to prevent them from hindering digestion.

Why This Combination Works

How the herbs in Cong Bai Qi Wei Yin complement each other

Overall strategy

This formula addresses the challenge of expelling an external Wind-Cold pathogen from a body that lacks the blood and fluid reserves needed for normal sweating. The prescription pairs gentle exterior-releasing herbs with blood- and Yin-nourishing herbs, so the pathogen can be pushed out without further depleting an already weakened patient.

King herbs

Gan Di Huang (dried Rehmannia root) and Sheng Mai Men Dong (Ophiopogon) serve as the King herbs, nourishing blood and enriching Yin. In TCM, sweat is understood to be derived from body fluids, which themselves originate from blood. When blood is deficient, the body lacks the material basis to produce sweat and expel pathogens. These two herbs replenish that foundation. Historically, the combination of Di Huang and Mai Men Dong was recognized as a classical pairing for treating blood deficiency, sometimes prepared as a paste (麦冬地黄膏).

Deputy herbs

Ge Gen (Kudzu root) releases the muscle layer and generates fluids, helping to guide the pathogen outward while simultaneously supporting hydration. Dan Dou Chi (fermented soybean) gently disperses the exterior pathogen, and is especially valued for its mildness, making it ideal for patients with underlying Yin or blood deficiency. Together with the King herbs, these Deputies ensure that the exterior is released without harsh sweating.

Assistant herbs

Cong Bai (scallion white, with root) and Sheng Jiang (fresh ginger) are reinforcing Assistants that open Yang and disperse Cold from the body surface. They provide the necessary warm, pungent push to drive the pathogen outward. Additionally, Sheng Jiang serves a restraining role by warming the Middle Burner and protecting the Stomach from the cold, enriching nature of Di Huang and Mai Men Dong, which could otherwise impede digestion in a weakened patient.

Envoy herbs

The seventh ingredient is not a herb but the preparation medium: lao shui (百劳水), water that has been aerated by repeated ladling. Classical theory held that this processed water is lighter and sweeter in nature, assisting the King herbs in nourishing Yin and fluids without creating heaviness or stagnation in the Stomach and Spleen.

Notable synergies

The Cong Bai and Dan Dou Chi pairing forms the classical Cong Chi Tang (葱豉汤) combination, a time-honored duo for gently releasing Wind-Cold. Di Huang paired with Mai Men Dong creates a potent blood- and Yin-nourishing axis. The formula essentially merges these two small formulas into one coherent strategy, with Ge Gen and Sheng Jiang bridging the gap between nourishing and dispersing.

How to Prepare

Traditional preparation instructions for Cong Bai Qi Wei Yin

Traditionally, the formula is prepared using lao shui (劳水, also called bai lao shui 百劳水 or gan lan shui 甘澜水), which is water that has been vigorously ladled and poured back repeatedly about a thousand times until aerated. This special water was believed to be lighter in nature and gentler on the Stomach, helping to nourish without burdening digestion.

Place all herbs in 800 mL of lao shui (or plain water in modern practice). Bring to a boil and simmer until the liquid is reduced by approximately two-thirds, yielding about 300 mL. Strain and remove the dregs. Divide into 2 to 3 warm doses, taken approximately one hour apart. After taking the decoction, if a slight sweat begins to appear, gradually add covers or blankets to encourage gentle perspiration. Only a light sweat is desired. Profuse sweating should be avoided as it would further deplete the already weakened body.

Dietary caution: Avoid wu yi (芜荑, Ulmus macrocarpa fruit) during the course of treatment.

Common Modifications

How practitioners adapt Cong Bai Qi Wei Yin for specific situations

Added
Jin Yin Hua

9 - 15g, clears Heat and resolves toxins

Lian Qiao

9 - 12g, clears Heat and disperses Wind-Heat

Huang Qin

6 - 9g, clears Heat from the Lung

When fever is more prominent, adding these Heat-clearing herbs prevents the warm dispersing herbs from worsening internal Heat, and directly addresses the Heat component that has developed from the pathogen transforming.

Educational content — always consult a qualified healthcare provider or TCM practitioner before using any herbal formula.

Contraindications

Situations where Cong Bai Qi Wei Yin should not be used or requires extra caution

Avoid

Wind-Heat patterns (fever with sore throat, yellow nasal discharge, thirst for cold drinks). This formula is designed for Wind-Cold invasion and would be inappropriate for Heat-type exterior conditions.

Avoid

Exterior excess conditions with a strong constitution and no Blood deficiency. Standard exterior-releasing formulas like Ma Huang Tang or Gui Zhi Tang are more appropriate when there is no underlying Blood or Yin deficiency.

Avoid

Profuse spontaneous sweating. The original text cautions that only a gentle sweat is desired. If the patient is already sweating, this formula risks further depleting fluids and Blood in someone who is already deficient.

Caution

Severe Yin deficiency with prominent Heat signs (night sweats, five-palm heat, red tongue with no coating). While the formula addresses mild Blood and Yin deficiency, pronounced Yin deficiency Heat requires stronger Yin-nourishing treatment rather than exterior-releasing strategies.

Caution

Concurrent consumption of wu yi (芜荑, Ulmus macrocarpa fruit). The original text specifically lists this as a dietary prohibition.

Special Populations

Important considerations for pregnancy, breastfeeding, and pediatric use

Pregnancy

Generally considered safe for use during pregnancy with appropriate practitioner guidance. This formula was historically used for postpartum and pregnancy-related common colds. None of the ingredients (Cong Bai, Ge Gen, Dan Dou Chi, Sheng Jiang, Mai Men Dong, Sheng Di Huang) are classified as abortifacient or uterine-stimulating. The formula's gentle sweating action and Blood-nourishing properties make it one of the safer exterior-releasing formulas for pregnant women. However, as with all herbal medicine during pregnancy, it should only be taken under practitioner supervision, and the dosage of Sheng Jiang (fresh ginger) should be kept moderate.

Breastfeeding

Generally considered safe during breastfeeding. The formula's ingredients are mild and commonly used food-grade or gentle herbs (scallion, ginger, fermented soybean, kudzu root, ophiopogon, rehmannia). None are known to produce toxic metabolites that transfer significantly into breast milk or to suppress lactation. Mai Men Dong and Sheng Di Huang may even support fluid production, which can be beneficial for milk supply. As always, breastfeeding mothers should consult a qualified practitioner before use.

Children

This formula can be used in children with appropriate dosage reduction. As a general guide: children aged 6-12 may take approximately half the adult dose, and children aged 2-5 approximately one-quarter to one-third. The herbs are mild and food-grade in nature (scallion, ginger, soybean), which makes this formula relatively well-tolerated by children. It is particularly relevant for children recovering from illness or with a constitutionally delicate, pale, thin presentation who catch cold. For infants under 2, use only under close practitioner supervision with significantly reduced dosages. The decoction can be given in smaller, more frequent sips if the child has difficulty taking the full dose at once.

Drug Interactions

If you are taking pharmaceutical medications, be aware of these potential interactions with Cong Bai Qi Wei Yin

No major drug interactions have been well-documented for this specific formula. However, a few theoretical considerations apply:

  • Sheng Di Huang (Rehmannia) may have mild blood sugar-lowering effects. Patients taking insulin or oral hypoglycemic agents should monitor blood glucose closely.
  • Ge Gen (Pueraria root) contains isoflavones that may have mild estrogenic activity and could theoretically interact with hormone therapies or oral contraceptives. Ge Gen has also been studied for cardiovascular effects and could theoretically potentiate the effects of antihypertensive medications.
  • Anticoagulant/antiplatelet drugs: Sheng Di Huang has mild Blood-cooling and Blood-activating properties. While clinically significant interaction is unlikely at standard doses, patients on warfarin or similar medications should exercise caution.

These interactions are theoretical and based on known pharmacological properties of individual herbs rather than documented clinical events with this formula specifically.

Usage Guidance

Practical advice for getting the most out of Cong Bai Qi Wei Yin

Best time to take

Warm, divided into 2-3 doses per day, spaced several hours apart. Best taken when the patient is confirmed to not already be sweating, and gradually covered with blankets afterward if a mild sweat begins.

Typical duration

Acute use: 1-3 days, typically until the exterior symptoms (headache, chills, fever) resolve and a mild sweat is achieved.

Dietary advice

While taking this formula, favor warm, easily digestible foods such as rice congee, light soups, and steamed vegetables. These support the Stomach and Spleen without burdening digestion, which is important when the body is fighting off an exterior pathogen while Blood-deficient. Avoid cold and raw foods (salads, iced drinks, raw fruit), greasy or heavy foods, and dairy products, as these can obstruct the gentle sweating action the formula aims to produce. The original text specifically prohibits wu yi (芜荑, Ulmus macrocarpa fruit) during treatment. Also avoid alcohol and spicy, excessively heating foods that might cause excessive sweating and further deplete fluids.

Cong Bai Qi Wei Yin originates from 《外台秘要》(Wài Tái Mì Yào) Volume 3, citing Xu Renze (许仁则方) Táng dynasty, 752 CE

Classical Texts

Key passages from the classical Chinese medical texts that first described Cong Bai Qi Wei Yin and its clinical use

《外台秘要》卷三引许仁则方 (Wài Tái Bì Yào, Volume 3, citing the formula of Xu Renze):

Original text on preparation: 「劳水八升,以杓扬之一千遍。上药用劳水煎之,三分减二,去滓,分温三服。相去行八九里,如觉欲汗,渐渐覆之。兼主伤寒。忌芜荑。」

Translation: "Take eight sheng of lao shui [water that has been vigorously ladled and poured a thousand times]. Decoct the above herbs using lao shui, reducing the liquid by two-thirds. Remove the dregs, and divide into three warm doses taken apart by the time it takes to walk eight or nine li. If the patient begins to feel a slight sweat coming on, gradually cover them with blankets. Also treats Cold Damage. Avoid wu yi [Ulmus fruit]."

This passage highlights two distinctive features of the formula: the use of specially prepared water (lao shui/gan lan shui) as the decoction medium, and the instruction to induce only a very gentle sweat, reflecting the need to protect the patient's deficient Blood and Yin.

Historical Context

How Cong Bai Qi Wei Yin evolved over the centuries — its origins, lineage, and place in the broader tradition of Chinese medicine

Cong Bai Qi Wei Yin originates from the Wai Tai Bi Yao (《外台秘要》, Arcane Essentials from the Imperial Library), compiled by Wang Tao (王焘) during the Tang Dynasty in 752 CE. The formula is specifically attributed to the physician Xu Renze (许仁则), whose prescriptions Wang Tao preserved by citing them within his encyclopedic work. The Wai Tai Bi Yao is one of the most important medical compilations in Chinese history, drawing from over 60 earlier medical texts, many of which are now lost. It thus serves as an invaluable repository of earlier medical knowledge.

The formula later appeared under the alternative name Qi Wei Cong Bai Tang (七味葱白汤) in the Lei Zheng Huo Ren Shu (《类证活人书》, Volume 18), a Song Dynasty text. One of the formula's most distinctive features is its use of lao shui (劳水), also called gan lan shui (甘澜水, "sweet soaking water"), which is prepared by vigorously ladling and pouring water a thousand times until it becomes light and aerated. Classical theory held that this specially treated water is gentler on the Spleen and Stomach, nourishes without being heavy or cloying, and supports the Blood-nourishing herbs without impeding the mild sweating action. Zhang Zhongjing also used this same type of water in his Fu Ling Gui Zhi Gan Cao Da Zao Tang. While this water preparation method is rarely practiced today, it reflects a sophisticated Tang-era understanding of how even the decoction medium can be tailored to a patient's condition.