Qiang Li Yu Ping Feng San

Strengthened Jade Windscreen Powder · 强力玉屏风散

A modern preventive formula developed during the 2020 COVID-19 pandemic to strengthen the body's natural defenses against infectious illness. It builds on the classical Jade Windscreen Powder by adding herbs that clear Heat-toxins and resolve Dampness, making it suited for environments where both weak immunity and exposure to infectious pathogens are concerns.

Origin Hubei Province COVID-19 Diagnosis and Treatment Protocol (Trial Version 1), 湖北省新型冠状病毒肺炎诊疗方案(试行第一版), January 2020 — Modern, 2020 CE
Composition 7 herbs
Huang Qi
King
Huang Qi
Bai Zhu
Deputy
Bai Zhu
Fang Feng
Deputy
Fang Feng
Jin Yin Hua
Assistant
Jin Yin Hua
Guan Zhong
Assistant
Guan Zhong
Pei Lan
Assistant
Pei Lan
Chen Pi
Envoy
Chen Pi
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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. Qiang Li Yu Ping Feng San is designed to correct these specific patterns.

Why Qiang Li Yu Ping Feng San addresses this pattern

Protective Qi (Wei Qi) deficiency means the body's outermost defensive layer is weak, leaving a person vulnerable to catching colds and other infections easily. In this formula, Huang Qi is the chief herb for replenishing Protective Qi by tonifying both the Lung and Spleen systems that generate and distribute it. Bai Zhu reinforces Spleen Qi so the body can sustain the production of Protective Qi over time, while Fang Feng patrols the body surface to expel any Wind pathogens that attempt to penetrate. The Heat-clearing herbs (Jin Yin Hua and Guan Zhong) add an active antimicrobial dimension absent in standard Qi-tonifying formulas, making this version especially appropriate when Protective Qi deficiency coincides with exposure to epidemic environments.

A practitioner would look for one or more of these signs

Spontaneous Sweat

Sweating without exertion, especially during the day

Common Cold

Frequent colds and upper respiratory infections

Eye Fatigue

Generalized tiredness and low stamina

Aversion To Cold

Sensitivity to drafts and wind exposure

Dull Pale Complexion

Pale, lusterless facial color

Commonly Prescribed For

These conditions can arise from the patterns above. A practitioner would consider Qiang Li Yu Ping Feng San when these conditions are specifically caused by those patterns — not for all cases of these conditions.

TCM Interpretation

In TCM, catching colds frequently is not simply about being exposed to viruses. It points to a fundamental weakness in the body's Protective Qi (Wei Qi), which acts like a shield at the body surface. This Protective Qi is generated by the Lung and Spleen systems. When the Spleen is weak, it cannot produce enough Qi, and the Lungs cannot distribute it properly to the exterior. The result is a porous defensive barrier that allows Wind-Cold or Wind-Heat pathogens to invade easily. People with this underlying weakness often also have pale complexions, spontaneous sweating, fatigue, and a floating, weak pulse.

Why Qiang Li Yu Ping Feng San Helps

Qiang Li Yu Ping Feng San directly addresses the two main deficiencies behind recurrent colds. Huang Qi powerfully tonifies both Lung and Spleen Qi while simultaneously securing the exterior, essentially patching the holes in the defensive barrier. Bai Zhu reinforces the Spleen's ability to generate Qi, creating a sustainable supply of Protective Qi. Fang Feng patrols the body surface and expels Wind pathogens. What sets this formula apart from the original Yu Ping Feng San is the addition of Jin Yin Hua and Guan Zhong, which provide active antimicrobial and antiviral action against pathogens that may have already begun invading. Pei Lan and Chen Pi ensure the middle burner stays clear of Dampness, supporting efficient Qi production.

Also commonly used for

Influenza

Seasonal flu prophylaxis for vulnerable individuals

Upper Respiratory Tract Infections

Recurrent upper respiratory infections due to immune deficiency

Chronic Bronchitis

Prevention of acute exacerbations in the remission phase

Bronchial Asthma

Prevention of recurrent episodes triggered by external pathogens

What This Formula Does

Every TCM formula has a specific set of actions — here's what Qiang Li Yu Ping Feng San does in the body, explained in both everyday and TCM terms

Therapeutic focus

In practical terms, Qiang Li Yu Ping Feng San is primarily used to support these areas of health:

TCM Actions

In TCM terminology, these are the specific therapeutic actions that Qiang Li Yu Ping Feng San 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 Qiang Li Yu Ping Feng San works at the root level.

Qiang Li Yu Ping Feng San addresses a condition where the body's protective Qi (Wei Qi) is insufficient, leaving the surface of the body vulnerable, while at the same time Dampness accumulates internally and the risk of toxic pathogenic invasion is high. This was the clinical scenario it was designed for: people in environments with elevated exposure to infectious pathogens who also have underlying Qi deficiency.

In TCM terms, when Lung and Spleen Qi are weak, the Wei Qi that circulates on the body's surface cannot adequately "close the gates" of the pores and skin. This creates two problems simultaneously. First, the person sweats easily and loses more Qi through the open pores, creating a vicious cycle of further weakness. Second, external pathogens, especially what classical texts call "epidemic toxins" (疫毒), can penetrate the weakened exterior with little resistance. At the same time, Spleen Qi deficiency leads to poor transformation of fluids, allowing Dampness to collect in the Middle Burner, which further obstructs the normal circulation of Qi and creates an internal environment favorable to disease.

The formula works by simultaneously addressing all three vulnerabilities: it builds up the defensive Qi to seal the exterior, clears lurking Heat-toxin that might have already reached the body, and transforms the Dampness that has accumulated due to Spleen weakness. This multi-pronged approach is what distinguishes it from the original three-herb Yu Ping Feng San, which focused solely on Qi tonification and exterior consolidation.

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 sweet and pungent with mild bitter notes. Sweet from Huang Qi and Bai Zhu to tonify Qi, pungent from Fang Feng and Pei Lan to disperse and transform, and bitter from Guan Zhong and Chen Pi to clear and dry.

Channels Entered

Ingredients

7 herbs

The herbs that make up Qiang Li Yu Ping Feng San, 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
Envoy — Directs the formula to its target
King — Main ingredient driving the formula
Huang Qi

Huang Qi

Astragalus root

Dosage 10 - 15g
Temperature Slightly Warm
Taste Sweet (甘 gān)
Organ Affinity Spleen, Lungs

Role in Qiang Li Yu Ping Feng San

The primary herb that tonifies Qi, strengthens the Spleen and Lungs, and secures the exterior (Wei Qi layer) to prevent pathogenic invasion. It is the foundation of the entire immune-strengthening strategy.
Deputies — Assists and enhances the King
Bai Zhu

Bai Zhu

White Atractylodes rhizome

Dosage 10g
Temperature Warm
Taste Bitter (苦 kǔ), Sweet (甘 gān)
Organ Affinity Spleen, Stomach
Preparation Dry-fried (炒)

Role in Qiang Li Yu Ping Feng San

Strengthens the Spleen and augments Qi, reinforcing Huang Qi's ability to generate Protective Qi. Dry-frying enhances its Spleen-tonifying and Dampness-drying properties. The Spleen is the root of postnatal Qi production, so strengthening it supports sustained immune function.
Fang Feng

Fang Feng

Siler root

Dosage 10g
Temperature Slightly Warm
Taste Acrid / Pungent (辛 xīn), Sweet (甘 gān)
Organ Affinity Urinary Bladder, Liver, Spleen

Role in Qiang Li Yu Ping Feng San

Expels Wind from the exterior and guards against Wind-pathogen invasion. Works synergistically with Huang Qi: Fang Feng prevents exterior pathogens from gaining entry, while Huang Qi ensures the body's defensive barrier is strong. Together they secure without trapping, and disperse without weakening.
Assistants — Supports or moderates other herbs
Jin Yin Hua

Jin Yin Hua

Honeysuckle flower

Dosage 10g
Temperature Cold
Taste Sweet (甘 gān)
Organ Affinity Lungs, Heart, Stomach, Large Intestine

Role in Qiang Li Yu Ping Feng San

Clears Heat and resolves toxins, providing direct anti-pathogenic action against infectious agents. Adds a layer of active defense against epidemic toxins (疫毒) that the original Yu Ping Feng San lacks, making the formula suitable for use during outbreaks of infectious disease.
Guan Zhong

Guan Zhong

Male fern rhizome

Dosage 6 - 10g
Temperature Cool
Taste Bitter (苦 kǔ)
Organ Affinity Liver, Stomach

Role in Qiang Li Yu Ping Feng San

Clears Heat, resolves toxins, and has a traditional reputation for preventing epidemic diseases. Pairs with Jin Yin Hua to form the 'cleansing' arm of the formula, addressing Heat-toxins associated with pestilential Qi.
Pei Lan

Pei Lan

Eupatorium Herb

Dosage 10g
Temperature Neutral
Taste Acrid / Pungent (辛 xīn), Aromatic (芳香 fāng xiāng)
Organ Affinity Spleen, Stomach, Lungs

Role in Qiang Li Yu Ping Feng San

Aromatically transforms Dampness and revives the Spleen. Addresses the Damp component of epidemic pathogens (湿疫), which tend to obstruct the middle burner and impair digestive function. Its aromatic nature helps clear turbidity from the Qi level.
Envoy — Directs the formula to its target
Chen Pi

Chen Pi

Tangerine peel

Dosage 6g
Temperature Warm
Taste Acrid / Pungent (辛 xīn), Bitter (苦 kǔ)
Organ Affinity Lungs, Spleen
Preparation Dry-fried (炒) in some preparations

Role in Qiang Li Yu Ping Feng San

Regulates Qi, harmonizes the Stomach, and dries Dampness. Ensures the tonifying herbs do not cause stagnation in the middle burner, and supports the smooth movement of Qi throughout the formula. Its Qi-regulating action helps all the other herbs work more efficiently.

Why This Combination Works

How the herbs in Qiang Li Yu Ping Feng San complement each other

Overall strategy

This formula combines the classical immune-fortifying strategy of Yu Ping Feng San with additional herbs that actively clear epidemic toxins and resolve Dampness. The result is a formula that both strengthens the body's defensive barrier and provides direct action against pathogenic factors associated with infectious disease outbreaks.

King herb

Huang Qi (Astragalus) serves as the King because it is the single most important herb for tonifying Protective Qi (Wei Qi). It works on two levels simultaneously: internally, it powerfully tonifies Spleen and Lung Qi to ensure robust production of defensive resources; externally, it secures the body surface to prevent spontaneous sweating and pathogenic invasion. Its dual interior-exterior action makes it the anchor of the entire formula.

Deputy herbs

Bai Zhu (dry-fried White Atractylodes) strengthens the Spleen and augments Qi, directly supporting Huang Qi's tonifying action. In TCM theory, a strong Spleen (Earth) generates strong Lung function (Metal), creating a sustained source of Protective Qi. Fang Feng (Saposhnikovia) complements Huang Qi from the exterior side: it expels Wind pathogens and guards the body surface. The classical pairing of Huang Qi with Fang Feng is considered one of the most elegant in TCM: Huang Qi secures the exterior without trapping pathogens inside, while Fang Feng disperses pathogens without weakening the body's defenses.

Assistant herbs

Jin Yin Hua (Honeysuckle, reinforcing assistant) clears Heat-toxins, providing the active anti-pathogenic dimension that the original Yu Ping Feng San lacks. This makes the formula appropriate for epidemic contexts where simple immune support is insufficient. Guan Zhong (Male Fern, reinforcing assistant) has a traditional role in epidemic prevention, clearing Heat-toxins and working alongside Jin Yin Hua as the formula's 'cleansing' pair. Pei Lan (Eupatorium, reinforcing assistant) aromatically transforms Dampness in the middle burner, addressing the Damp component of epidemic pathogens and supporting the Spleen's digestive function so the tonifying herbs can be absorbed properly.

Envoy herb

Chen Pi (Tangerine Peel) regulates the flow of Qi and harmonizes the Stomach. It prevents the heavy tonifying herbs (Huang Qi, Bai Zhu) from causing stagnation and bloating, ensures smooth Qi circulation throughout all three burners, and mildly dries Dampness to support Pei Lan's function.

Notable synergies

The Huang Qi and Fang Feng pairing is the classical heart of the formula: together they create a 'permeable shield' that lets pathogenic Qi out while keeping it from entering. Jin Yin Hua and Guan Zhong form a detoxifying pair that addresses epidemic poisons the original Yu Ping Feng San was not designed for. Pei Lan and Chen Pi work as an aromatic pair that keeps the middle burner clear and functioning, which is essential because the Spleen's transforming ability is the foundation for generating all the Qi that Huang Qi and Bai Zhu are trying to build.

How to Prepare

Traditional preparation instructions for Qiang Li Yu Ping Feng San

As a decoction from raw herbs: combine all herbs in a pot with approximately 400ml of water. Bring to a boil, then simmer on low heat for 20-25 minutes. Strain and divide into two portions. Take one portion in the morning and one in the evening, after meals. One daily prescription for 7-10 consecutive days as a preventive course.

As concentrated granules (5:1): dissolve approximately 6 grams (one level teaspoon) in hot water and drink as a warm decoction, twice daily.

Common Modifications

How practitioners adapt Qiang Li Yu Ping Feng San for specific situations

Added
Xin Yi Hua

6-9g, opens the nasal passages and disperses Wind-Cold from the nose

Cang Er Zi

6-9g, unblocks the nose and disperses Wind-Dampness

Xin Yi Hua and Cang Er Zi are the classic pair for nasal obstruction, directing the formula's action upward to the nasal passages and sinuses to relieve congestion and sneezing.

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

Contraindications

Situations where Qiang Li Yu Ping Feng San should not be used or requires extra caution

Caution

Excess exterior patterns with strong pathogenic factors already lodged in the body. This formula is designed to prevent invasion, not to release a fully established external pathogen. If the person already has high fever, severe sore throat, thick yellow phlegm, or other signs of vigorous Heat toxin, stronger clearing and releasing formulas are more appropriate.

Caution

Yin deficiency with Heat signs. The formula's warm, Qi-tonifying herbs (especially Huang Qi) can aggravate conditions of Yin deficiency with night sweats, five-centre heat, dry mouth, and a red tongue with little coating. As the classical teaching notes, Yin-deficient sweating requires nourishing Yin and descending Fire, not warming and consolidating the exterior.

Caution

Excessive dosing or prolonged unsupervised use. Overuse of Huang Qi in Qi-tonifying formulas may cause chest tightness and distension. The formula should be taken in moderate doses and reassessed periodically by a practitioner.

Caution

Active acute infection with high fever and strong inflammatory response. While the formula contains Heat-clearing herbs (Jin Yin Hua, Guan Zhong), its primary strategy is preventive tonification rather than aggressive pathogen elimination. In acute febrile disease, a dedicated clearing formula is more suitable as the primary treatment.

Special Populations

Important considerations for pregnancy, breastfeeding, and pediatric use

Pregnancy

Use with caution during pregnancy. Guan Zhong (Male Fern Rhizome / Dryopteris crassirhizoma) is the primary herb of concern in this formula. It is classified as slightly toxic in many materia medica references and has historically been listed among herbs to avoid or use cautiously in pregnancy. While the other ingredients (Huang Qi, Bai Zhu, Fang Feng, Jin Yin Hua, Pei Lan, Chen Pi) are generally considered safe in pregnancy at standard doses, the presence of Guan Zhong means this formula should only be taken during pregnancy under direct guidance from a qualified practitioner who can assess the risk-benefit ratio for the individual situation.

Breastfeeding

Caution is advised during breastfeeding. Guan Zhong (Male Fern Rhizome) is the main concern, as it is classified as mildly toxic and there is insufficient data on whether its constituents transfer into breast milk. The remaining herbs in the formula (Huang Qi, Bai Zhu, Fang Feng, Jin Yin Hua, Pei Lan, Chen Pi) are commonly used during the postpartum period and are not known to adversely affect lactation or the nursing infant at standard doses. However, out of caution regarding Guan Zhong, breastfeeding mothers should consult a qualified practitioner before using this formula. The original three-herb Yu Ping Feng San (without Guan Zhong) may be a safer alternative for breastfeeding women who need immune support.

Children

The original Yu Ping Feng San has a long history of safe use in children, particularly for recurrent upper respiratory infections and allergic rhinitis in pediatric populations. For the strengthened version (Qiang Li Yu Ping Feng San), dosage should be reduced according to age and body weight. A general guideline: children aged 6-12 may take roughly half the adult dose; children aged 3-5 approximately one-third. Children under 3 years should only take this formula under direct practitioner supervision. The presence of Guan Zhong (classified as mildly toxic) requires extra caution in pediatric use. For young children requiring simple immune support without the Heat-clearing and Dampness-resolving additions, the original three-herb Yu Ping Feng San may be more appropriate and has stronger clinical evidence in the pediatric population.

Drug Interactions

If you are taking pharmaceutical medications, be aware of these potential interactions with Qiang Li Yu Ping Feng San

Immunosuppressant medications: Huang Qi (Astragalus) is well documented to stimulate immune function, including enhancing T-cell activity and macrophage phagocytosis. This may theoretically counteract immunosuppressive drugs such as cyclosporine, tacrolimus, mycophenolate, and corticosteroids used for autoimmune conditions or post-transplant management. People taking immunosuppressants should consult their physician before using this formula.

Anticoagulant and antiplatelet drugs: Huang Qi and Jin Yin Hua may have mild effects on blood clotting parameters. Caution is warranted when combining this formula with warfarin, heparin, aspirin, or clopidogrel. Monitoring of INR or clotting times may be appropriate.

Antihypertensive medications: Huang Qi may affect blood pressure regulation. While its effects are complex (it can both raise and lower blood pressure depending on context), patients on antihypertensive therapy should monitor blood pressure when starting this formula.

Diabetes medications: Huang Qi has demonstrated hypoglycemic effects in some studies. People taking insulin or oral hypoglycemic agents should monitor blood sugar levels more closely, as additive blood-sugar-lowering effects are possible.

Usage Guidance

Practical advice for getting the most out of Qiang Li Yu Ping Feng San

Best time to take

Twice daily, 30 minutes after meals, dissolved in warm or hot water.

Typical duration

Preventive use during epidemic exposure: 7-14 days per course, reassessed by a practitioner. May be extended or repeated as needed based on ongoing risk and individual response.

Dietary advice

While taking this formula, favor warm, easily digestible, cooked foods that support Spleen function, such as congee, soups, cooked vegetables, and moderate amounts of lean protein. Foods like yam, jujube dates, and millet are traditionally considered helpful. Avoid cold and raw foods (salads, iced drinks, raw sushi), greasy or heavily fried foods, and excessive dairy products, as these can generate Dampness and impair Spleen function, working against the formula's therapeutic goals. Alcohol and spicy-hot foods should also be minimized, as they can generate internal Heat and interfere with the formula's balanced approach to clearing toxins while tonifying Qi. During the period of use, maintaining regular meal times and avoiding overeating supports the Spleen and Stomach Qi that this formula is working to strengthen.

Qiang Li Yu Ping Feng San originates from Hubei Province COVID-19 Diagnosis and Treatment Protocol (Trial Version 1), 湖北省新型冠状病毒肺炎诊疗方案(试行第一版), January 2020 Modern, 2020 CE

Classical Texts

Key passages from the classical Chinese medical texts that first described Qiang Li Yu Ping Feng San and its clinical use

Ke Yunbo (柯韵伯), Ming Yi Fang Lun (《名医方论》):

Original: 「邪之所凑,其气必虚。故治风者,不患无以祛之,而患无以御之;不畏风之不去,而畏风之复来。何则?发散太过,玄府不闭故也。」

Translation: "Where pathogenic factors gather, the Qi must be deficient. Therefore in treating Wind, the worry is not that we lack means to expel it, but that we lack means to defend against it; we do not fear that Wind will not leave, but that it will return. Why? Because excessive dispersing leaves the pores unable to close."

This passage captures the core philosophy behind Yu Ping Feng San and its strengthened derivative: the best defence against recurrent illness is not endless dispersing of pathogens, but rather building up the body's own protective barrier.


Formula song verse (方歌) for the base formula Yu Ping Feng San:

Original: 「玉屏风散少而精,芪术防风鼎足形,表虚汗多易感冒,固卫敛汗效特灵。」

Translation: "Yu Ping Feng San is small yet refined; Huang Qi, Bai Zhu, and Fang Feng form a tripod. For exterior deficiency with excessive sweating and susceptibility to colds, it consolidates the defensive layer and controls sweating with remarkable effect."

Historical Context

How Qiang Li Yu Ping Feng San evolved over the centuries — its origins, lineage, and place in the broader tradition of Chinese medicine

Qiang Li Yu Ping Feng San (强力玉屏风, literally "Strengthened Yu Ping Feng San") is a modern adaptation of the classical Yu Ping Feng San. The base formula was originally recorded in the Shi Yi De Xiao Fang (《世医得效方》) by the Yuan Dynasty physician Wei Yilin (危亦林), and also appears in Zhu Danxi's Dan Xi Xin Fa (《丹溪心法》). The original three-herb formula of Huang Qi, Bai Zhu, and Fang Feng has been one of the most widely used preventive prescriptions in Chinese medicine for over 700 years.

This strengthened version emerged in early 2020 during the COVID-19 pandemic. It was developed in connection with the Hubei Province Health Commission's TCM prevention protocols for epidemic disease and became known by several names including "Wuhan #2 Formula" and "Frontline Immune Formula." The modification added four herbs to the classical base: Guan Zhong and Jin Yin Hua to clear Heat and resolve toxins, and Pei Lan with Chen Pi to transform Dampness and harmonize the Middle Burner. This reflected the clinical understanding of COVID-19 as a "Cold-Damp Epidemic" (寒湿疫) with toxic Heat characteristics, requiring not just immune support but also active detoxification and Dampness resolution. The formula was subsequently made available to frontline practitioners internationally as a concentrated granule extract.

Modern Research

3 published studies investigating the pharmacological effects or clinical outcomes of Qiang Li Yu Ping Feng San

1

Potential effectiveness of Chinese herbal medicine Yu ping feng san for adult allergic rhinitis: a systematic review and meta-analysis of RCTs (2017)

Luo Q, Zhang CS, Yang L, Zhang AL, Guo X, Xue CC, Lu C. BMC Complementary and Alternative Medicine, 2017, 17(1):485.

This systematic review evaluated the base formula Yu Ping Feng San for adult allergic rhinitis across seven databases up to September 2017. The meta-analysis of randomized controlled trials found that YPFS showed potential effectiveness for managing allergic rhinitis, though the authors noted methodological limitations in the included studies and called for higher-quality trials. Note: this study examined the base three-herb formula, not the strengthened version.

DOI
2

Yu Ping Feng San regulates the release of cytokines in murine macrophages: in vitro study (2013)

Yan F, Zhang QY, Jiao L, Han T, Zhang H, Qin LP, Khalid R. PLoS ONE, 2013, 8(8):e71592.

This laboratory study investigated how Yu Ping Feng San affects immune cell function. The researchers found that the formula had bi-directional immune-modulatory effects: it stimulated cytokine release in resting macrophages (boosting immune readiness) while suppressing excessive pro-inflammatory cytokines in an inflammation model. It also enhanced the ability of macrophages to engulf pathogens. These findings provide a pharmacological basis for the formula's traditional use in immune regulation. Note: this studied the base three-herb formula.

PubMed
3

Yu ping feng san for pediatric allergic rhinitis: a systematic review and meta-analysis of RCTs (2021)

Liao Y, Zhong J, Liu S, Dai M, Liu Y, Li X, Yang Y, Zhang D, Lai D, Lu T, Zhang Q, Zhao Y. Medicine (Baltimore), 2021, 100(13):e24534.

This systematic review assessed the base formula Yu Ping Feng San specifically for pediatric allergic rhinitis, searching seven databases through November 2019. The review found that YPFS-based treatments showed potential benefits for symptom relief in children with allergic rhinitis, though the quality of evidence was limited and higher-quality studies were recommended. Note: this studied the base formula, not the strengthened version.

DOI

Research on TCM formulas is growing but still limited by Western clinical trial standards. These studies provide emerging evidence and should be considered alongside practitioner expertise.