BLACK PEARL BP018 QING QI HUA TAN WAN CITRUS & ARISAEMA

QING QI HUA TAN WAN
清氣化痰丸
Scutellaria & Trichosanthes Formula
Product Code: BP018

TCM Actions
Clears Heat, resolves Phlegm redirects the Lung Qi downward and alleviates cough.

Indications
Bronchitis, rhinitis, nasosinusitis, influenza, pneumonia, emphysema, chronic obstructive pulmonary disease.

Dosage & Course Of Treatment
8 pills, 3 times daily, half to one hour away from food.

Course of treatment: 2 – 3 weeks for acute conditions (at higher dosage); 3 months or more for chronic conditions (at lower dosage).

Signs and Syndromes
Phlegm-Heat obstruction of the Lung

Productive cough with thick yellow sputum that is difficult to expectorate

Dry mouth with sticky and unpleasant taste

Fever

Chest oppression

Cough worse at night and early morning

Wheezing

Rattles and rales

Dyspnoea

Nausea

Red tongue with a yellow greasy coat

Rapid and slippery pulse

Cautions & Contraindications
Caution for those on anti-coagulant medications (i.e. heparin, warfarin or aspirin).

Caution in patients taking drugs that affect the central nervous system, antihypertensives, antiarrhythmic drugs (e.g. quinidine, procainamide, disopyramide)

Caution during early stage pregnancy.

Comments
This formula was first recorded in the ‘Investigations of Medical Formulas’ (yi fang kao), by Wu Kun, 1584. It is an elegant formula that is directed towards both the pathogens (Phlegm and Heat) as well as their pathogenesis. Phlegm-Heat may develop in the Lung as a consequence of invasion by exogenous Wind-Heat or Wind-Cold (which transforms into Heat). As such it is often seen as an acute disorder – with or without the concomitant clinical manifestations of an Exterior syndrome. Because the pathogens obstruct the Lung Qi, fluids stagnate in the Lung and are readily transformed into Phlegm under the influence of Heat. Alternatively, Phlegm-Heat may develop in the Lung in patients with chronic Phlegm- Damp obstruction of the Lung. In these cases, the underlying cause is deficiency of the Spleen Qi with impaired fluid metabolism, which leads to the development of Phlegm. This scenario manifests in an acute episode of coughing or dyspnea in patients with a chronic respiratory disease, e.g. bronchitis or asthma. Treatment of acute on chronic conditions requires ongoing therapy with appropriate tonification and Phlegm dispelling formulas during the remission stage. The synergistic actions of the herbs are as follows:

• Fritillaria bulb (zhe bei mu), Trichosanthes seed (gua luo ren), Scutellaria root (huang qin): clear Phlegm-Heat from the Lung

• Citrus fruit (zhi shi), Citrus fruit peel (chen pi), Trichosanthes seed (gua luo ren), Prunus seed (fu xing ren): regulate the Lung Qi, redirect the Lung Qi downwards, dispel Phlegm and alleviate cough

• Fritillaria bulb (zhe bei mu), Pinellia tuber (ban xia): expel Phlegm from the Lung

• Wolfiporia cocos (fu ling), Citrus fruit peel (chen pi), Pinellia tuber (ban xia): strengthen the Spleen and dispel Damp (in order to prevent the production of Phlegm)

Ingredients
WOLFIPORIA COCOS, FRUIT. BODY (fu ling) – 茯苓 – 72.2mg
SCUTELLARIA BAICALENSIS, ROOT (huang qin) – 黃芩 – 57.7mg
PRUNUS ARMENIACA, SEED (ku xing ren) – 苦杏仁 – 57.7mg
TRICHOSANTHES KIRILOWIL, SEED (gua luo ren) – 瓜簍仁 – 43.3mg
PINELLIA TERNATA, TUBER (ban xia) – 半夏 – 43.3mg
CITRUS AURANTIUM, FRUIT (zhi shi) – 枳實 – 43.3mg
FRITILLARIA THUNDBERGI, BULB (zhe bei mu*) – 浙貝母 – 28.8mg
CITRUS RETICULATA, FRUIT PEEL (chen pi) – 陳皮 – 28.8mg