Herb

Pi Pa Ye (Mi Zhi)

Loquat leaves (Honey processed) | 蜜枇杷叶

Parts Used

Leaf (叶 yè)

*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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About This Herb*

Traditional Chinese Medicine background and properties

Herb Description*

Loquat leaf is a gentle, cooling herb best known for soothing coughs caused by Lung Heat. It works by directing rebellious Qi downward, which is why it also helps settle nausea and vomiting from Stomach Heat. It is a key ingredient in many popular cough syrups and respiratory formulas in Chinese medicine.

Herb Category*

Main Actions*

  • Clears Lung Heat and Stops Cough
  • Descends Qi and Transforms Phlegm
  • Directs Rebellious Qi Downward and Stops Vomiting
  • Clears Stomach Heat and stops vomiting
  • Generates Fluids and Relieves Thirst

How These Actions Work*

'Clears Lung Heat and stops coughing' means Pi Pa Ye cools down excess Heat that has accumulated in the Lungs, which is the root cause of a hot, productive cough with yellow or sticky phlegm. Its bitter taste and cool nature make it naturally suited for this task. This is the herb's most well-known action and the reason it appears in many popular cough remedies.

'Transforms Phlegm and descends Qi' refers to the herb's ability to direct Lung Qi downward. In health, Lung Qi should descend. When Lung Qi rebels upward, the result is coughing, wheezing, and shortness of breath. Pi Pa Ye's bitter, descending nature helps restore this proper downward flow while also helping to thin and expel sticky Phlegm. As the Ben Cao Gang Mu noted, once Qi descends, Fire settles and Phlegm follows suit.

'Harmonizes the Stomach and stops vomiting' works on the same principle of directing Qi downward, but applied to the Stomach instead of the Lungs. The Stomach's natural direction is also downward. When Stomach Qi rebels upward, it causes nausea, vomiting, hiccups, and belching. Pi Pa Ye's cool, bitter nature clears Stomach Heat and restores the Stomach's normal descending function. It is often combined with Zhu Ru (Bamboo Shavings) and Lu Gen (Reed Rhizome) for this purpose.

'Relieves thirst' is a secondary action that stems from the herb's ability to clear Heat from the Stomach. When Stomach Heat burns up body fluids, it causes intense thirst and dry mouth. By clearing the Heat, Pi Pa Ye helps preserve and restore fluids, relieving thirst. This makes it useful in patterns of excessive thirst related to Heat.

Patterns Addressed*

In TCM, symptoms cluster into recognizable patterns of disharmony that reveal what's out of balance in the body. Pi Pa Ye is traditionally associated with these specific patterns.

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

Why Pi Pa Ye addresses this pattern

Pi Pa Ye is bitter and slightly cool, entering the Lung channel directly. Its cool nature counters the pathological Heat lodged in the Lungs, while its bitter taste exerts a descending and drying action that redirects rebellious Lung Qi downward and helps resolve sticky, Heat-generated Phlegm. This dual mechanism of clearing Heat and descending Qi addresses the core pathology of Lung Heat, where Heat causes the Lung's normal descending function to reverse, producing coughing, wheezing, and yellow Phlegm.

A practitioner would look for one or more of these signs

Hypochondrial Pain That Is Worse On Coughing And Breathing

Cough with yellow, sticky phlegm

Wheezing

Wheezing or shortness of breath

Dry Mouth

Dry mouth and throat

Thirst

TCM Properties*

Temperature

Slightly Cool

Taste

Bitter (苦 kǔ)

Channels Entered
Lungs Stomach
Parts Used

Leaf (叶 yè)

This is partial information on the herb's TCM properties. More detailed information is available on the herb'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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Treasure of the East

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Usage & Safety

How to use this herb 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 herb 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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Processing Methods

Processing method

The cut loquat leaf strips are mixed with diluted honey (approximately 20g refined honey per 100g of herb), allowed to absorb the honey thoroughly, then stir-fried over low heat until the leaves are no longer sticky, slightly yellow, and have a mild sheen. They are then removed and cooled.

How it changes properties

Honey processing moderates Pi Pa Ye's cool nature, making it less cold. More importantly, it significantly enhances the herb's ability to moisten the Lungs and stop coughing. The honey adds a sweet, moistening quality that strengthens the Lung-nourishing aspect. The processed form is better at treating dryness-related cough, while the raw form is stronger at clearing Heat.

When to use this form

Preferred for Lung Dryness cough, chronic dry cough with little or no phlegm, cough due to Lung Yin deficiency, and dry throat. When the cough pattern involves more dryness than active Heat, honey-processed Pi Pa Ye is the standard choice.

Special Populations

Pregnancy

Generally considered safe at standard decoction doses during pregnancy. In traditional Chinese medicine, Pi Pa Ye has actually been used to treat pregnancy-related nausea (morning sickness / 妊娠恶阻) by directing Stomach Qi downward. However, its cool nature means it should be used with caution in pregnant women with underlying Spleen-Stomach cold deficiency. There are no well-documented reports of teratogenicity or uterine-stimulating effects. Concentrated extracts or high doses have not been specifically studied in pregnancy, so standard doses under practitioner guidance are advised.

Breastfeeding

Generally considered compatible with breastfeeding at standard decoction doses. In Chinese folk medicine, loquat root (and to some extent the leaf) used with pig trotters is a traditional galactagogue (milk-promoting remedy). There are no known reports of adverse effects on nursing infants or on breast milk production from standard use of Pi Pa Ye. Its cooling nature may theoretically affect digestion in very young infants if transferred in significant amounts through breast milk, so very large doses should be avoided.

Pediatric Use

Pi Pa Ye can be used in children at appropriately reduced doses (typically one-third to one-half of adult dosage depending on age and body weight). It has traditionally been used for childhood Lung heat cough and even for infant vomiting of milk (小儿吐乳). Ensure all leaf hairs have been completely removed, as children's airways are more sensitive to irritation. Honey-processed (Mi Zhi) Pi Pa Ye is preferred for paediatric cough as it is gentler and more moistening. Avoid prolonged use in children with weak digestion or loose stools due to the herb's cooling nature.

Dietary Advice

When taking Pi Pa Ye for cough or vomiting conditions, avoid cold, raw, and greasy foods that can generate phlegm or impair Stomach function. Spicy, deep-fried, and heavily seasoned foods should also be limited, as they can aggravate Lung heat. Light, easily digestible foods such as congee, steamed vegetables, and pears are supportive. If Pi Pa Ye is being used for Stomach heat vomiting, foods that are gentle on the Stomach (bland soups, rice porridge) are most appropriate.

Cautions & Warnings

Although this herb is typically safe for most individuals, it may cause side effects in some people. Pregnant women, nursing mothers, postpartum women, and those with liver disease should use the formula with caution.

As with any Chinese herbal remedy, it is advisable to seek guidance from a qualified TCM practitioner before beginning treatment.