Herb

Sang Bai Pi

Mulberry Bark (Processed) | 桑白皮

*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*

White mulberry root bark is a widely used herb for clearing heat from the lungs and relieving cough and wheezing, especially when caused by an accumulation of heat. It also helps reduce fluid retention and swelling by restoring the lungs' ability to regulate water in the body. It is the key ingredient in the classic children's formula Xiè Bái Sǎn (Drain the White Powder).

Herb Category*

Main Actions*

  • Clears Lung Heat
  • Stops Cough and Calms Wheezing
  • Promotes Urination and Reduces Edema
  • Descends Lung Qi and Stops Cough

How These Actions Work*

'Drains Lung Heat' means Sāng Bái Pí clears excess heat that has accumulated in the Lungs. When heat lodges in the Lungs, it disrupts their normal downward-directing function, leading to cough with thick yellow phlegm, fever, and a feeling of fullness in the chest. The herb's cold nature and sweet taste enter the Lung channel to clear this heat gently, without being as harsh as very bitter, cold herbs like Huáng Qín or Huáng Lián. This makes it especially suitable for children and people with delicate constitutions who cannot tolerate strong cold-bitter herbs.

'Calms wheezing and stops cough' refers to the herb's ability to restore the Lungs' natural descending function. When Lung Qi rebels upward (due to heat or fluid accumulation), it causes wheezing, rapid breathing, and persistent cough. Sāng Bái Pí redirects the Lung Qi downward, thereby calming these symptoms. It is a primary herb for cough and wheezing caused by Lung Heat, and is the star ingredient in the classic formula Xiè Bái Sǎn.

'Promotes urination and reduces edema' relates to the Lungs' role in regulating water metabolism. In TCM, the Lungs are described as the 'upper source of water,' governing the distribution of fluids throughout the body. When the Lungs are obstructed by heat or fluid, water accumulates and causes swelling of the face, eyes, and limbs. Sāng Bái Pí clears and descends Lung Qi, thereby restoring the Lungs' ability to regulate and direct fluids downward to the Kidneys and Bladder, which promotes urination and resolves edema.

Patterns Addressed*

In TCM, symptoms cluster into recognizable patterns of disharmony that reveal what's out of balance in the body. Sang Bai Pi 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 Sang Bai Pi addresses this pattern

Sāng Bái Pí directly addresses Lung Heat by entering the Lung channel with its cold, sweet nature. When heat lodges in the Lungs, it scorches fluids and forces Lung Qi to rebel upward, causing cough with yellow phlegm, wheezing, and fever. The herb's cold temperature clears the heat, while its sweet taste gently nourishes without creating dryness. Unlike strongly bitter cold herbs, it drains Lung Heat mildly, making it suitable even for lingering, 'hidden' (伏 fú) fire in the Lungs where the heat is not extreme but persistent.

A practitioner would look for one or more of these signs

Hypochondrial Pain That Is Worse On Coughing And Breathing

Cough with thick yellow phlegm

Wheezing

Wheezing and rapid breathing from heat

Fever

Skin feels warm to the touch, especially in the afternoon

Thirst

Thirst with desire for cold drinks

TCM Properties*

Temperature

Cold

Taste

Sweet (甘 gān)

Channels Entered
Lungs Spleen
Parts Used

Bark (皮 pí / 树皮 shù pí)

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

Honey is diluted with a small amount of boiling water, mixed with sliced Sāng Bái Pí, allowed to soak in, then stir-fried over gentle heat until the pieces turn deep yellow and are no longer sticky. Approximately 25-30 kg of refined honey is used per 100 kg of herb.

How it changes properties

Honey-processing moderates the cold, draining nature of raw Sāng Bái Pí. The result is a less cold herb whose ability to harshly purge the Lungs is reduced, but whose capacity to moisten the Lungs and stop coughing and wheezing is enhanced. The honey adds a moistening, Lung-nourishing quality that balances the herb's inherently draining action.

When to use this form

Use the honey-processed form when the goal is to calm wheezing and stop cough in patients with milder heat or when Lung dryness is a concern. It is preferred when the cold, purging action of raw Sāng Bái Pí would be too strong, such as in patients with some underlying deficiency. This is the default form dispensed in many pharmacies when the prescription simply writes 'Sāng Bái Pí.'

Special Populations

Pregnancy

Use with caution during pregnancy. Sang Bai Pi's cold nature and its strong draining and descending action on the Lungs may theoretically disturb fetal stability, particularly in women with underlying Spleen-Lung deficiency. Classical sources from the Qing dynasty note that children and pregnant women should use this herb cautiously. There is no specific evidence of teratogenicity, but the herb's potent fluid-moving and Qi-descending properties warrant care. Pregnant women should only use this herb under professional supervision.

Breastfeeding

No specific classical or modern contraindications for breastfeeding have been documented. However, as a cold-natured draining herb, prolonged or high-dose use could theoretically affect milk production in mothers with underlying Spleen-Qi deficiency by further depleting Qi. Short-term use at standard doses under professional guidance is generally considered acceptable. Monitor for any reduction in milk supply.

Pediatric Use

Sang Bai Pi has a long history of paediatric use, most notably in Qian Yi's Xie Bai San (泻白散), designed specifically for children with Lung Heat causing cough and wheezing. Dosage should be reduced proportionally by age and body weight, typically one-third to one-half of the adult dose for children. However, because of its cold and draining nature, it should be used cautiously and for limited periods in children to avoid harming the Spleen and Stomach. Honey-processed Sang Bai Pi (蜜炙桑白皮) is gentler and often preferred for paediatric use.

Dietary Advice

While taking Sang Bai Pi, avoid excessively cold and raw foods if the person has a weak digestive system, as the herb's cold nature combined with cold foods may aggravate Spleen-Stomach deficiency. Spicy, greasy, or heavily fried foods should be limited as these can generate internal Heat and Phlegm, counteracting the herb's Lung-clearing effects. Light, easily digestible foods that support Lung health are beneficial, such as pears, white radish, and lily bulb.

Cautions & Warnings

Although this formula 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.