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Qing Hao Bie Jia Tang青蒿鳖甲汤

Sweet Wormwood and Soft-Shelled Turtle Shell Decoction

Also known asSweet Wormwood and Soft-shell Turtle Decoction · Artemisia Annua and Soft-Shelled Turtle Shell Decoction · Decoction of Sweet Wormwood and Tortoise Shell · Decoction of Artemisia Annua and Carapax Trionycis

Medicinals
5

Composition

  • Bie JiaCarapax Trionycis15–30 g

    Nourishes the Yin and anchors the *Yang*.

    • Sheng Di Huang, Mu Dan Pi, Qing Hao
    Zhi Mu, for injured Yin* in the aftermath of a febrile disease with fever and night sweats followed by a sense of cooling in the morning.
  • Qing HaoHb. Artemisiae Annuae6–10 g

    Clears Deficiency fevers.

    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.
    for fever due to Heat in the Yin regions of the body.
    • Bie Jia, Sheng Di Huang
    Mu Dan Pi, for Heat in the Ying* Level with constant feverish sensations.
  • Sheng Di HuangRx. Rehmanniae12–20 g

    Clears Heat, cools the Blood, nourishes Yin, generates fluids and increases saliva.

    for residual warm pathogen which has injured the Yin and Kidney Yin Deficiency with steaming bones.
  • Zhi MuRz. Anemarrhenae6–10 g

    Clears Heat transforms Phlegm, dissipates nodules and stops cough.

  • Mu Dan PiCx. Moutan9–10 g

    Clears Heat, cools (and harmonizes) the Blood and clears Deficiency Fire.

    for steaming bone disorder.
    for Menopause with Yin Deficiency and Heat.

Actions

  • Replenishes the Yin
  • Releases Deficiency Heat trapped in the Interior

Patterns treated

Heat concealed within the body's Yin level (typically arising in the later phases of a Warm-Heat pathogenic process)

Manifestations

  • Fever at night that subsides to coolness by morning
  • Absence of sweating
  • Marked wasting of the body
  • No reduction in appetite
  • Fever following a tidal pattern, occurring in the afternoon
Tongue body
Red in color
Coating
Sparse
Pulse
A pulse that is both thready and rapid

Indications

  • Mild fevers seen while recovering from infectious illness
  • Fever with no identifiable cause
  • Cancer-related fever
  • Postoperative fever
  • Fever occurring in pediatric patients
  • The recovery phase following typhoid fever
  • Cases of lupus erythematosus
  • Sudden flushes of heat
  • Cases of HIV infection or AIDS
  • Tuberculosis of the lungs
  • Tuberculosis affecting the kidneys
  • An ordinary cold
  • A spinning form of dizziness
  • Consumptive wasting disorder
  • Persistent inflammation of the kidney (pyelonephritis)
  • Symptoms associated with menopause
  • Long-term pyelonephritis
  • Degenerative joint disease

Modifications

Cautions

  • Not to be given during the early stage of a Warm Heat febrile illness.
  • Not to be given to patients experiencing spasms and convulsions (Yin deficiency with Liver Wind Rising).