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Knowledge baseFormulas

Qin Jiao Bie Jia He Yue Hua Wan Jia Jian秦艽鳖甲合月華丸加減

Modified Gentiana Macrophyllae and Carapax Trionycis Decoction

Medicinals
14

Composition

  • Bie JiaCarapax Trionycis15 g

    Nourishes Yin and anchors *Yang*.

    • Sheng Di Huang, Zhi Mu
    Qing Hao, for injured Yin* in the aftermath of a febrile disease with fever and night sweats followed by a sense of cooling in the morning.
    • Di Gu Pi, Qin Jiao
    Yin Chai Hu, for afternoon fevers, night sweats and steaming bone disorder due to Yin* Deficiency.
  • Di Gu PiCx. Lycii12 g

    Cools the Blood, drains Yin Deficiency Fire, clears and drains Heat in the Lung, cools the Blood and stops bleeding.

    • Yin Chai Hu, Zhi Mu
    Qin Jiao,* for Blood Deficiency, steaming bone disorder or other types of recurrent afternoon fever.
    for Blood Heat with Yin Deficiency.
    • Zhi Mu, Qin Jiao
    Bie Jia, for steaming bone sensation with tidal fever and night sweats caused by Yin* Deficiency and Heat.
  • Sheng Di HuangRx. Rehmanniae12 g

    Clears Heat, cools the Blood Nourishes Yin and generates fluids.

    for coughing, hematemesis, epistaxis, and uterine hemorrhage due to Heat from Deficiency.
    • Zhi Mu, Qing Hao
    Bie Jia, for late stage Ying or Xue Stage Heat in the Yin* areas of the body with night fever, morning coolness, emaciation, and a red tongue.
    • Mai Men Dong, Bei Sha Shen
    Nan Sha Shen, for a dry mouth, thirst, dry lips and a red tongue due to Stomach Yin* Deficiency.
  • Bei Sha ShenRx. Glehniae12 g

    Nourishes Lung Yin,d clears Lung Heat and tonifies Liver and Kidney *Yin.*

    • Chuan Bei Mu, Zhi Mu
    Bie Jia, for hemoptysis due to Yin* Deficiency and Heat from consumption.
    • Mai Men Dong
    for a dry cough with little Phlegm and a parched throat due to Lung Dryness or Heat injuring the Lung Yin and a dry throat, constipation, thirst and a red tongue with little coat due to pathogenic Warmth or Heat injuring the Stomach Yin or long-term Yin Deficiency.
    for a dry, parched throat and thirst after a warm pathogen disease injuring Stomach Yin.
    • Mai Men Dong, Chuan Bei Mu, Zhi Mu, Bie Jia
    Di Gu Pi,* for a dry cough with scanty, yellow, difficult-to-expectorate sputum.
    • Chuan Bei Mu, Zhi Mu, Bie Jia
    Di Gu Pi, for Lung Yin* Deficiency with Dryness and Rising Deficient Fire.
  • Nan Sha ShenRx. Adenophorae12 g

    Nourishes Yin, moistens the Lungs, dispels Phlegm and stops coughing.

    for a dry cough with sputum that is difficult to expectorate due to Lung Yin Deficiency.
    • Tian Men Dong, Sheng Di Huang, Chuan Bei Mu, Bai Bu
    E Jiao, a chronic dry cough with no sputum due to Lung Yin* Deficiency.
  • Bai BuRx. Stemonae12 g

    Moistens the Lungs and stops coughing.

    for coughing due to Lung Heat injuring the Qi and fluids or Lung consumption.
    for coughing and chest pain due to Phlegm Heat.
    Bei Sha Shen and Nan Sha Shen,* for pertussis.
  • Qing HaoHb. Artemisiae Annuae9 g

    Clears Deficiency fevers, cools the Blood and stops bleeding.

    for chronic low-grade fever with a sensation of Heat in the bones and a body that feels warm to the touch.
    for fevers due to Heat in the Yin regions of the body.
    for the final stages of a Warm febrile disease when the Yin Fluids have already been damaged and the pathogen still lurks deep within the Yin level with night fever with chills in the morning, the fever recedes without sweating, emaciation, rapid pulse and a red tongue with little coating.
    • Zhi Mu, Qin Jiao
    Bie Jia, for Yin* Deficient Heat.
  • Zhi MuRz. Anemarrhenae9 g

    Clears Heat, drains Fire from the Lungs and Stomach, nourishes Yin, moistens Dryness, generates Fluids, clears Deficiency Fire and quenches thirst.

    for Steaming Bone disorder.
  • Mai Men DongRx. Ophiopogonis9 g

    Moistens the Lungs, nourishes Yin and stops coughing.

    for Lung and Kidney Yin Deficiency with consumptive coughing and occasional hemoptysis.
    for a dry cough with little Phlegm and a parched throat due to Lung Dryness or Heat injuring the Lung Yin.
    for hematemesis or epistaxis due to Yin Deficiency with Excess Heat.
  • Tian Men DongRx. Asparagi9 g

    Nourishes Kidney Yin, clears Lung Heat, sedates Fire, moistens the Lungs, generates Fluids and resolves Phlegm.

  • E JiaoColla Corii Asini9 g

    Tonifies and nourishes the Blood, stops bleeding, nourishes and moistens Yin and moistens the Lungs and Large Intestine.

    • Mai Men Dong, Bei Sha Shen
    Nan Sha Shen, for a dry cough with Blood streaked sputum due to Lung Yin* Deficiency.
    for fire or Dryness in the Lungs and Kidneys with emaciation, afternoon fever, parched throat and a dry cough with blood streaked-sputum.
  • Qin JiaoRx. Gentianae Macrophyllae6 g

    Clears Deficiency Heat.

    • Bie Jia, Qing Hao, Di Gu Pi
    Zhi Mu, for bone steaming fever and afternoon fever or other low grade fevers due to Yin* Deficiency as a result of long term illness.
    vents the muscle layer and cools tidal fevers associated with consumption, especially Wind consumption with steaming bones.
  • Yin Chai HuRx. Stellariae6 g

    Clears Deficiency Heat, cools the Blood and stops bleeding.

    for febrile disorders with tidal fevers, a thin body and dry skin and nails.
    Qing Hao and Bie Jia, for Yin* Deficiency Heat with night sweats and steaming bone sensations.
  • Chuan Bei MuBul. Fritillariae Cirrhosae6 g

    Clears Heat, transforms Phlegm, clears Heat, stops coughing and nourishes and moistens the Lungs.

    for coughing with scanty, difficult to expectorate sputum due to Yin Deficiency Fire burning the Lungs.

Actions

  • Builds up Yin
  • Brings Fire under control

Patterns treated

Deficient Kidney Yin with Fire blazing upward

Manifestations

  • Light-headedness
  • Ringing in the ears, or loss of hearing
  • Forgetfulness
  • The lower back feels achy, sore or weak
  • Involuntary seminal discharge, or
  • Ejaculating earlier than desired
  • A deep ache within the bones
  • Bone-steaming fever that rises and falls
  • Soreness through the legs and heels
  • The mouth, nose, lips and throat are all dry
  • Parched skin
  • A thirsty sensation
  • Sweating during sleep
  • The Five Soles feel hot
  • A flush over the cheekbones
  • Marked wasting
  • A slight fever that appears each afternoon
  • Throat dryness, sometimes with a sore throat that keeps returning
  • A dry, Phlegm-free cough, or
  • A dry cough bringing up scant, thick, yellow Phlegm
  • Repeated bouts of coughing up large quantities of fresh Blood
  • Parched stool and/or
  • Difficulty passing stool
  • Urine that is scanty and red
  • A stronger-than-normal sex drive
  • Trouble falling or staying asleep
  • Sleep filled with dreaming
  • A pounding heart
  • A spinning, light-headed feeling
  • Vision that is hazy or blurred
  • Quick to become angry
  • Cramping discomfort in the chest, ribs and flanks
Tongue body
Red in color
Coating
Scant, or absent entirely
Pulse
Fine and quick

Indications

TB affecting the lungs

Modifications