Formula

Bu Fei Tang

补肺汤

Properties

Qi-tonifying formulas · Slightly Warm

Key Ingredients

Huang Qi, Ren Shen

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

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$55.00 ($0.55/g)
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About This Formula*

Traditional Chinese Medicine background and properties

Formula Description*

A classical formula designed to strengthen weak lungs and support breathing. It is used for people with a long-standing weak cough, shortness of breath, a quiet or feeble voice, and a tendency to sweat easily, all signs that the Lung's Qi has become depleted over time.

Formula Category*

Main Actions*

  • Tonifies Lung Qi
  • Tonifies Qi and consolidates the Exterior
  • Astringes the Lungs and Stops Cough
  • Descends Lung Qi and Calms Wheezing
  • Nourishes Kidney Yin to support the Lungs

TCM Patterns*

In TCM, symptoms don't appear randomly — they cluster into recognizable patterns of disharmony that reveal what's out of balance in the body. Bu Fei Tang is traditionally associated with these specific patterns.

The following describes this formula's classification within Traditional Chinese Medicine theory and is provided for educational purposes only.

Why Bu Fei Tang addresses this pattern

Lung Qi Deficiency is the primary pattern this formula targets. When the Lung's Qi is depleted, it can no longer descend properly, leading to cough and wheezing. It also fails to consolidate the body's defensive layer (Wei Qi), causing spontaneous sweating and vulnerability to external pathogens. The voice weakens because the Lung governs the voice through Qi, and breathing becomes short and laboured. Bu Fei Tang addresses this directly: Huang Qi and Ren Shen powerfully replenish the Lung and Spleen Qi, Wu Wei Zi astringes the leaking Lung Qi, and Zi Wan with Sang Bai Pi restore the downward-descending function of the Lung. Shu Di Huang supports the Kidney root to ensure the Lung has a stable foundation for recovery.

A practitioner would look for one or more of these signs

Chronic Coughing

Weak, lingering cough that worsens with exertion

Shortness Of Breath

Breathlessness especially on physical activity

Spontaneous Sweat

Sweating without exertion, worse during the day

Weak Voice

Low, feeble voice, reluctance to speak

Eye Fatigue

Tiredness and low stamina

Common Cold

Catches colds easily due to weak defensive Qi

Aversion To Cold

Sensitivity to wind and cold drafts

How It Addresses the Root Cause*

Bu Fei Tang addresses a pattern of chronic Lung Qi deficiency, often with an underlying Kidney weakness. The Lungs govern Qi and respiration, control the dispersal and descent of Qi throughout the body, and regulate the opening and closing of pores on the body's surface (the so-called Defensive Qi, or Wei Qi). When Lung Qi becomes depleted through prolonged illness, chronic coughing, constitutional weakness, or repeated external invasions, the Lungs can no longer perform these functions properly.

Without sufficient Qi, the Lungs fail to descend Qi smoothly, leading to cough and wheezing. The cough is characteristically weak and lingering rather than forceful. Shortness of breath appears because the Lungs lack the Qi needed to drive respiration. Spontaneous sweating occurs because the Defensive Qi at the body surface is too weak to hold the pores closed, allowing fluids to leak out. The voice becomes low and feeble because the Lungs lack the power to project sound. The tongue is pale and the pulse is weak, both reflecting the overall Qi depletion.

Crucially, the Lungs and Kidneys share a close physiological relationship: the Lungs send Qi downward and the Kidneys "grasp" and anchor it. When Lung Qi has been deficient for a long time, this communication weakens. The Kidneys can no longer adequately receive Qi from above, and the Kidney Yin that should nourish the Lungs from below fails to ascend properly. This can produce either a dry cough (from insufficient Yin reaching the Lungs) or a productive cough with thin watery sputum (from impaired fluid metabolism when the Lungs cannot properly descend and distribute fluids). Bu Fei Tang addresses both the primary Lung Qi deficiency and this secondary Lung-Kidney disconnection.

Formula Properties*

Temperature

Slightly Warm

Taste Profile

Predominantly sweet and sour, with mild bitter undertones. Sweet to tonify Qi and nourish, sour to astringe and contain Lung Qi, bitter to gently direct Qi downward.

Target Organs
Lungs Kidneys Spleen
Channels Entered
Lung Kidney Spleen

Formula Origin

Yǒng Lèi Qián Fāng (永类钤方, Everlasting Categorization of Seal Formulas) by Lǐ Zhòng Nán (李仲南)

This is just partial information on the formula's TCM properties. More detailed information is available on the formula's dedicated page

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

Product Details

Manufacturing, supplier, and product specifications

Product Type

Granules

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Supplier Information

Treasure of the East

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Miscellaneous Info

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Ingredients in Bu Fei Tang

Detailed information about each herb in Bu Fei Tang and their roles

Kings
Deputies
Assistants
Envoys
Huang Qi
Huang Qi

Astragalus root

Dosage: 18 - 24g

Temperature Slightly Warm
Taste Sweet (甘 gān)
Organ Affinity Spleen, Lungs
Parts Used Root (根 gēn)
Role in Bu Fei Tang

The chief Qi-tonifying herb in the formula. Huang Qi powerfully supplements Lung Qi, strengthens the body's defensive (Wei) Qi on the exterior, and stops spontaneous sweating. Its sweet and slightly warm nature directly tonifies the Lung and Spleen, addressing the root deficiency.

Ren Shen
Ren Shen

Ginseng root

Dosage: 6 - 9g

Temperature Slightly Warm
Taste Sweet (甘 gān), Bitter (苦 kǔ)
Organ Affinity Spleen, Lungs, Heart, Kidneys
Parts Used Root (根 gēn)
Role in Bu Fei Tang

Works synergistically with Huang Qi to strongly tonify the Qi of both the Lung and Spleen. Ren Shen also generates fluids and calms the spirit, addressing the breathlessness and fatigue that accompany chronic Lung Qi deficiency.

Shu Di Huang
Shu Di Huang

Prepared Rehmannia root

Dosage: 18 - 24g

Temperature Slightly Warm
Taste Sweet (甘 gān)
Organ Affinity Liver, Kidneys
Parts Used Tuber (块茎 kuài jīng / 块根 kuài gēn)
Role in Bu Fei Tang

Nourishes Kidney Yin and fills the Essence (Jing). By enriching the Kidney, the mother of the Lung in five-phase theory (Water generates Metal), Shu Di Huang supports the Lung from its root source, helping to restore the compromised Lung-Kidney axis and prevent further Yin depletion.

Wu Wei Zi
Wu Wei Zi

Schisandra berry

Dosage: 3 - 6g

Temperature Warm
Taste Sour (酸 suān), Sweet (甘 gān)
Organ Affinity Lungs, Heart, Kidneys
Parts Used Fruit (果 guǒ / 果实 guǒ shí)
Role in Bu Fei Tang

Astringes and contains the Lung Qi, preventing its further leakage. Its sour and warm nature helps restrain the dissipated Lung Qi, stop chronic cough, and improve the Kidney's ability to grasp the Qi descending from the Lung.

Zi Wan
Zi Wan

Tatarian aster root

Dosage: 6 - 9g

Temperature Warm
Taste Acrid / Pungent (辛 xīn), Bitter (苦 kǔ)
Organ Affinity Lungs
Parts Used Root (根 gēn)
Role in Bu Fei Tang

Moistens the Lung and dissolves Phlegm while directing Lung Qi downward to stop coughing. Its mild warming and moistening nature makes it suitable for both dry and productive coughs from Lung deficiency without aggravating Heat.

Sang Bai Pi
Sang Bai Pi

Mulberry root bark

Dosage: 6 - 12g

Temperature Cold
Taste Sweet (甘 gān)
Organ Affinity Lungs, Spleen
Parts Used Bark (皮 pí / 树皮 shù pí)
Role in Bu Fei Tang

Clears Lung Heat, descends Lung Qi, and calms wheezing. Within this formula of warming tonifying herbs, Sang Bai Pi provides a balancing coolness and ensures the Lung Qi moves downward as it should, preventing the cloying nature of the tonics from causing stagnation.

Modern Research (2 studies)

  • Multicenter RCT: Bu-Fei Yi-Shen Granules for GOLD 3-4 COPD (2023)
  • Multicenter RCT: Bu-Fei Yi-Shen Granule with Acupoint Sticking for Stable COPD (2012)
See all research on the formula page

Usage & Safety

How to use this formula and important safety information

Important Medical Disclaimer

The information provided here is for educational purposes only and is not intended as medical advice or to replace consultation with a qualified healthcare professional. This formula is a dietary supplement and has not been evaluated by the FDA. It is not intended to diagnose, treat, cure, or prevent any disease.

Always consult with a qualified healthcare provider, particularly if you are pregnant, nursing, have a medical condition, or are taking other medications. Discontinue use and consult your healthcare provider if you experience any adverse reactions.

Recommended Dosage

Instructions for safe storage and consumption

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Best Time to Take

Twice daily, 30 minutes before meals in the morning and afternoon, taken warm. Avoid taking late at night.

Typical Duration

Chronic use: typically prescribed for 4-8 weeks as a course, then reassessed. May be taken intermittently over several months for chronic Lung Qi deficiency conditions.

Dietary Advice

Favor warm, easy-to-digest, nourishing foods that support Lung and Spleen Qi: congee (rice porridge), soups, cooked root vegetables, pears (steamed with a little honey), white fungus (Bai Mu Er), lily bulb, walnuts, and mild warming spices like ginger in small amounts. Avoid cold and raw foods (salads, iced drinks, raw fruit in excess) as these can impair Spleen function and worsen phlegm production. Avoid greasy, fried, or heavily spiced foods that generate Dampness and Heat. Dairy products should be limited as they tend to promote phlegm. Alcohol and smoking should be strictly avoided as they damage Lung Qi directly and undermine the formula's therapeutic intent.

Special Populations

Pregnancy

Generally considered safe during pregnancy, but caution is advised. None of the six classical herbs (Ren Shen, Huang Qi, Shu Di Huang, Wu Wei Zi, Zi Wan, Sang Bai Pi) are traditionally classified as contraindicated or cautioned during pregnancy. However, Shu Di Huang (prepared Rehmannia) is heavy and cloying and may aggravate nausea or digestive sluggishness common in pregnancy. Huang Qi in high doses can theoretically affect fluid dynamics. As a tonifying formula, it is unlikely to cause harm, but pregnant women should only take it under the guidance of a qualified practitioner who can adjust dosages and monitor appropriately.

Breastfeeding

No specific contraindications for breastfeeding have been identified. The herbs in this formula are mild tonics without known toxic components that would concentrate in breast milk. Ren Shen (Ginseng) and Huang Qi (Astragalus) are commonly used in postpartum recovery formulas in traditional practice and are generally considered compatible with breastfeeding. Shu Di Huang may cause mild digestive sluggishness in some mothers. As with any herbal formula during lactation, it should be taken under practitioner supervision, and the infant should be monitored for any unusual changes in feeding or digestion.

Pediatric Use

Bu Fei Tang can be used in children, typically those over 3 years of age, with appropriate dosage reductions. A common guideline is to use approximately one-third of the adult dose for children aged 3-6, and one-half for children aged 6-12. For adolescents over 12, two-thirds to full adult dose may be appropriate depending on body weight. The formula is indicated for children with recurrent respiratory infections, chronic cough with weak constitution, or asthma with underlying Qi deficiency. Shu Di Huang (prepared Rehmannia) can be cloying to the digestion, which is especially relevant in children whose Spleen function is considered constitutionally immature. Practitioners often add small amounts of Chen Pi (tangerine peel) or reduce the Shu Di Huang dose to protect digestive function.

Cautions & Warnings

Bu Fei Tang is typically safe for most individuals, but it can lead to side effects in some cases. Pregnant, nursing, or postpartum women, as well as those with liver conditions, should use this formula cautiously and preferably under professional supervision.

As with any Chinese herbal remedy, it is advisable to seek guidance from a qualified Traditional Chinese Medicine (TCM) practitioner before beginning treatment with this formula.