Arisaema with bile (Dan Nan Xing) Baikal skullcap roots (Huang Qin) Snake gourd seeds (Gua Lou Ren) Immature Bitter Oranges (Zhi Shi) Tangerine peel (Chen Pi) Poria-cocos mushrooms (Fu Ling) Crow-dipper rhizomes (Ban Xia) Apricot seeds (Xing Ren)

Qing Qi Hua Tan Wan

Chinese: 清气化痰丸

Pinyin: Qīng Qì Huà Tán Wán

Other names: Clear the Qi and Transform Phlegm Pill

Number of ingredients: 8 herbs

Formula category: Formulas that clear Heat and transform Phlegm

Conditions for which it may be prescribed: PneumoniaBronchiectasisChronic bronchitis

  1. Clears Heat
  2. Transforms Phlegm
  3. Directs Rebellious Qi downwards
  4. Stops coughing

Source date: 1584 AD

Source book: Investigations of Medical Formulas

Qing Qi Hua Tan Wan is a 8-ingredient Chinese Medicine formula with Arisaema With Bile (Dan Nan Xing) as a principal ingredient.

Invented in 1584 AD, it belongs to the category of formulas that clear Heat and transform Phlegm. Its main actions are: 1) clears Heat and 2) transforms Phlegm.

In Chinese Medicine health conditions are thought to arise due to "disharmonies" in the body as a system. These disharmonies are called "patterns" and the very purpose of herbal formulas is to fight them in order to restore the body's harmony.

In this case Qing Qi Hua Tan Wan is used by TCM practitioners to fight patterns like Phlegm-Heat. From a Western Medicine standpoint, such patterns can give rise to a range of conditions such as pneumonia, chronic bronchitis or bronchiectasis for instance.

On this page, after a detailed description of each of the eight ingredients in Qing Qi Hua Tan Wan, we review the patterns and conditions that Qing Qi Hua Tan Wan helps treat.

The eight ingredients in Qing Qi Hua Tan Wan

Dan Nan Xing is a king ingredient in Qing Qi Hua Tan Wan. Like the name indicates, it means it has more power than other ingredients in the formula.

1. Arisaema With Bile (Dan Nan Xing)

Part used: The rhizome

Nature: Cool

Taste(s): BitterPungent

Meridian affinity: SpleenLiverLung

Category: Cool herbs that transform Phlegm and stop Cough

In general Dan Nan Xing's main actions are as follows: "To clear Heat and resolve Phlegm, dispel Wind and stop convulsions"

In the context of Qing Qi Hua Tan Wan, it is used because it is a powerful substance for treating blockages caused by a combination of Fire and Phlegm.

Learn more about Arisaema With Bile (Dan Nan Xing)

Huang Qin is a deputy ingredient in Qing Qi Hua Tan Wan. This means it helps the king ingredient(s) treat the main pattern or it serves to treat a coexisting pattern.

2. Baikal Skullcap Roots (Huang Qin)

Part used: Dried root

Nature: Cold

Taste(s): Bitter

Meridian affinity: GallbladderSpleenHeartLarge intestineLungSmall intestine

Category: Herbs that clear Heat and dry Dampness

Huang Qin works together with Snake gourd seeds (Gua Lou Ren), the other assistant of this formula, to drain Lung Fire while transforming and clearing Phlegm-Heat. They markedly reinforce the actions of the key ingredient (Arisaema with bile).

Learn more about Baikal Skullcap Roots (Huang Qin)

Gua Lou Ren is a deputy ingredient in Qing Qi Hua Tan Wan. This means it helps the king ingredient(s) treat the main pattern or it serves to treat a coexisting pattern.

3. Snake Gourd Seeds (Gua Lou Ren)

Part used: The seeds, dried

Nature: Cold

Taste(s): Sweet

Meridian affinity: StomachLarge intestineLung

Category: Cool herbs that transform Phlegm and stop Cough

In general Gua Lou Ren's main actions are as follows: "Cools and nourishes the Lungs. Regulates the Qi in the chest. Used externally, it assists the healing of Phlegm-Heat induced sores and abscesses. Moistens the Intestines."

Learn more about Snake Gourd Seeds (Gua Lou Ren)

Zhi Shi is an assistant ingredient in Qing Qi Hua Tan Wan. This means that it either serves to reinforces the effect of other ingredients or it moderates their toxicity.

4. Immature Bitter Oranges (Zhi Shi)

Part used: Dried unripe fruit

Nature: Cool

Taste(s): BitterPungentSour

Meridian affinity: SpleenStomachLarge intestine

Category: Herbs that regulate Qi

Zhi Shi work together with Tangerine peel (Chen Pi), another assistant herb here, to regulate the Qi, dispelling the focal distention and dissipating the clumps of Phlegm.

Learn more about Immature Bitter Oranges (Zhi Shi)

Chen Pi is an assistant ingredient in Qing Qi Hua Tan Wan. This means that it either serves to reinforces the effect of other ingredients or it moderates their toxicity.

5. Tangerine Peel (Chen Pi)

Part used: Dried pericarp of the ripe fruit

Nature: Warm

Taste(s): BitterPungent

Meridian affinity: SpleenLung

Category: Herbs that regulate Qi

In general Chen Pi's main actions are as follows: "Warms the Spleen and regulates the Middle Burner Qi. Dries Dampness and disperses Phlegm from the Lungs and Middle Burner. Reduces the potential for Stagnation caused by tonifying herbs."

Learn more about Tangerine Peel (Chen Pi)

Fu Ling is an assistant ingredient in Qing Qi Hua Tan Wan. This means that it either serves to reinforces the effect of other ingredients or it moderates their toxicity.

6. Poria-Cocos Mushrooms (Fu Ling)

Part used: Dried sclerotium

Nature: Neutral

Taste(s): Sweet

Meridian affinity: SpleenHeartKidneyLung

Category: Herbs that drain Dampness

Fu Ling works together with Crow-dipper rhizome (Ban Xia) and Apricot seeds (Xing Ren), two other assistants in this formula, to facilitate the flow of Qi in the Lungs.

Learn more about Poria-Cocos Mushrooms (Fu Ling)

Ban Xia is an assistant ingredient in Qing Qi Hua Tan Wan. This means that it either serves to reinforces the effect of other ingredients or it moderates their toxicity.

7. Crow-Dipper Rhizomes (Ban Xia)

Part used: Dried rhizome and tuber

Nature: Warm

Taste(s): Pungent

Meridian affinity: SpleenStomachLung

Category: Warm herbs that transform Phlegm and stop Cough

Ban Xia strongly assists the key ingredient (Arisaema with bile) in expelling the Phlegm that has already formed.

Learn more about Crow-Dipper Rhizomes (Ban Xia)

Xing Ren is an assistant ingredient in Qing Qi Hua Tan Wan. This means that it either serves to reinforces the effect of other ingredients or it moderates their toxicity.

8. Apricot Seeds (Xing Ren)

Part used: Dried ripe seeds

Nature: Warm

Taste(s): BitterSweet

Meridian affinity: Large intestineLung

Category: Herbs that relieve coughing and wheezing

In general Xing Ren's main actions are as follows: "Stops cough and wheezing caused by either Heat or Cold. Lubricates the Intestines and relieves constipation."

Learn more about Apricot Seeds (Xing Ren)

Qing Qi Hua Tan Wan is used to treat Phlegm-Heat

It's important to remember that herbal formulas are meant to treat patterns, not "diseases" as understood in Western Medicine. According to Chinese Medicine patterns, which are disruptions to the body as a system, are the underlying root cause for diseases and conditions.

As such Qing Qi Hua Tan Wan is mostly used to treat the pattern "Phlegm-Heat" which we describe below.

But before we delve into Phlegm-Heat here is an overview of the Western conditions it is commonly associated with:

Pneumonia Chronic bronchitis Bronchiectasis

Again it wouldn't be correct to say "Qing Qi Hua Tan Wan treats pneumonia" for instance. Rather, Qing Qi Hua Tan Wan is used to treat Phlegm-Heat, which is sometimes the root cause behind pneumonia.

Now let's look at Phlegm-Heat, a pattern that TCM practitioners commonly treat with Qing Qi Hua Tan Wan.

Body Fluids (Jin Ye) is one of Chinese Medicine's vital subtances. Learn more about Body Fluids in Chinese Medicine

Phlegm-Heat

Pulse type(s): Rapid (Shu), Slippery (Hua)

Tongue coating: Yellow coating

Tongue color: Red

Tongue shape: Swollen

Symptoms: Nausea Red face Dry mouth Restlnessness Chest fullness Focal distention Feeling of oppression of the chest Coughing of copious thick yellow sputum Coughing and wheezing with copious thick and yellow sputum

Qing Qi Hua Tan Wan is sometimes prescribed by TCM practitioners to treat Phlegm-Heat. This pattern leads to symptoms such as red face, restlnessness, feeling of oppression of the chest and dry mouth. Patients with Phlegm-Heat typically exhibit rapid (Shu) or slippery (Hua) pulses as well as a red tongue with yellow coating.

Phlegm-Heat is a pattern that typically occurs when Dampness or Body Fluids combine with pathogenic Heat. In this case the Heat either invades from the Exterior or is generated by emotional disorders, long-term illness, poor diet or other internal disharmonies.

The Heart is associated with Fire,... read more about Phlegm-Heat

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