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Knowledge baseFormulas

Xiao Qing Long Jia Shi Gao Tang小青龙加石膏汤

Minor Blue Green Dragon Decoction Plus Gypsum

Medicinals
9

Composition

  • Ma HuangHb. Ephedrae6–10 g

    Induces sweating, releases the exterior, disseminates and facilitates Lung Qi, calms wheezing, stops coughing, warms Cold and circulates water.

    for Wind-Cold Excess with fever, chills and anhidrosis.
    • Gan Jiang
    for stagnant Fluids.
    • Gan Jian, Xi Xin
    Zhi Ban Xia,* for wheezing or cough due to an Exterior Wind-Cold Attack and Cold Stagnation in the Interior.
  • Gui ZhiRam. Cinnamomi3–12 g

    Releases the exterior, disperses Cold, and warms the channels.

    • Ma Huang
    releases the exterior and Warms Cold.
    • Bai Shao
    warms and tonifies the Middle Jiao.
  • Gan JiangRz. Zingiberis3–12 g

    Warms the Lungs, transforms thin mucus, warms the Middle and expels Cold.

    warms the interior and transforms Fluids.
    • Xi Xin, Ma Huang
    Gui Zhi,* releases the exterior.
    for vomiting of saliva or dry heaves due to Cold-induced congested fluids.
  • Xi XinHb. cum Rx. Asari3–9 g

    Releases Wind and Cold, warms the Lungs, disperses Internal Cold, circulates water, transforms Phlegm and opens the nose.

    • Ma Huang
    stops cough and wheezing due to Wind-Cold Attacks the Lungs.
    releases the Exterior.
    for coughing and wheezing due to Cold Phlegm.
  • Wu Wei ZiFr. Schisandrae3–12 g

    Prevents leakage of Lung Qi, stops cough, astringes sweat and generates fluids.

    regulates the opening and closing of the Lungs, alleviating cough and calming wheezing for patients with existing thin mucus who are exposed to Wind-Cold leading acute wheezing and coughing of clear thin sputum.
    for Cold in the Lung channel with non-stop coughing and wheezing.
    • Gan Jiang, Ma Huang
    Xi Xin*, for cough and wheezing from Cold Thin Mucus.
  • Bai ShaoRx. Paeoniae Alba3–12 g

    Nourishes Blood, astringes Yin and adjusts the Ying and Wei.

    harmonizes the Ying and Wei in Tai Yang Zhong Feng.
  • Zhi Ban XiaRz. Pinelliae Preparatum6–12 g

    Transforms Phlegm, descends Qi, dries Dampness and harmonizes the Stomach.

    for vomiting due to Cold with copious, frothy sputum with Cold signs and thin mucus in the Lungs.
  • Zhi Gan CaoRx. Glycyrrhizae Preparata3–9 g

    Augments Qi and moderates and harmonizes the harsh properties of other herbs.

    • Gan Jiang, Xi Xin
    Wu Wei Zi,* for cough due to Wind-Cold with sputum.
  • Shi GaoGypsum Fibrosum6–9 g

    Clears Heat in the Qi Stage, drains Fire, relieves irritability, quenches thirst, clears Excess Heat from the Lungs and clears Blazing Stomach Fire.

    • Ma Huang
    for cough from Heat Obstructing the Lungs with wheezing, flaring of the nostrils and fever and Wind-edema.
    • Ma Huang
    Xing Ren and Zhi Gan Cao,* for Lung Heat with cough and asthma.
    for toothache and gum swelling due to Blazing Stomach Fire.

Actions

  • Expels pathogens lodged at the body's surface
  • Breaks up and disperses accumulated Fluids (Thin Mucus)
  • Breaks down and dispels Phlegm
  • Applies warmth to the Lung organ
  • Directs Qi downward
  • Eases labored breathing and coughing fits
  • Dispels pathogenic Heat

Patterns treated

  • Severe invasion of Wind-Cold striking the Lungs
  • An externally contracted Wind-Cold invasion, complicated by Water Retention stemming from Spleen Deficiency accompanied by Internal Heat
  • The pattern known as Yi Yin

Manifestations

  • Alternating fever and chills, with the chills more pronounced
  • A restless, agitated temperament
  • Absence of sweating
  • A persistent cough
  • Wheezing breath sounds (asthmatic type)
  • Abundant white, ropy phlegm that is hard to bring up
  • A sense of oppression or tightness across the chest
  • Excessive tearing of the eyes
  • A pervasive sense of heaviness, most notable in the upper body
  • Aching throughout the body
  • Absence of thirst
  • Marked superficial swelling
  • Severe breathlessness that worsens on lying flat
  • Marked aversion to cold conditions
  • Puffiness surrounding the eyes
  • Labored, short breath
  • Bringing up frothy saliva while pregnant
  • Fluid swelling
  • A bloated, full feeling in the chest and abdomen
  • Non-productive retching with nothing expelled
  • Reduced urinary output
  • Swelling beneath the region of the heart
  • A harsh, high-pitched breathing sound
  • Intermittent coldness felt across the back
  • Involuntary diaphragm spasms causing hiccups
  • Heaving with an urge to vomit
  • Trouble swallowing
  • Loose, frequent stools
  • Painful or difficult urination
  • A reddened complexion
  • A sense of lightheadedness
  • Pain in the head
  • Swelling and irritation of the lacrimal ducts
  • Overflow of tears from the eyes
Tongue body
A pink-colored tongue body
Coating
Damp, or a greasy White tongue fur, or a greasy Yellow tongue fur
Pulse
Floating, taut and quick

Indications

  • Bronchitis in its acute stage
  • A sudden flare-up of long-standing bronchitis
  • Arthritis accompanied by swelling
  • Inflammation of the sinuses
  • Asthma of bronchial origin
  • The flu
  • An ordinary head cold
  • Asthmatic bronchitis, whether acute or chronic
  • An acute infection of the upper respiratory tract
  • Disease involving the heart and lungs together
  • Heart failure accompanied by fluid congestion
  • Conjunctivitis of viral origin
  • Inflammation of the intestines
  • Gastritis marked by atrophy of the stomach lining
  • Long-standing bacillary dysentery
  • Heart disease of rheumatic origin
  • Seizure disorder
  • Inflammation around the shoulder joint
  • Permanent widening of the bronchi
  • Swelling encircling the eye sockets
  • Pink eye
  • Head pain as a presenting complaint
  • A coughing complaint
  • A bloated, distended abdomen
  • Shortness of breath
  • Emphysema of the lungs
  • Allergic rhinitis occurring in infants
  • Asthma occurring in children
  • Whooping cough
  • Rhinitis of allergic origin
  • Elevated body temperature
  • Cirrhotic changes of the kidney
  • Emphysema occurring in old age
  • Long-standing bronchitis
  • COPD, chronic obstructive lung disease
  • Seasonal pollen allergy
  • Inflammation of the tear duct passage
  • Ulceration of the stomach or duodenum
  • Fibrotic degeneration of the kidney
  • Inflammation of the kidneys
  • Inflammation of the pleura
  • Involuntary urination, especially bedwetting
  • Infection and inflammation of the lung tissue
  • Tuberculosis affecting the lungs
  • Widening of the bronchial passages
  • The lacrimal ducts becoming inflamed
  • Excess tear production
  • Swallowing that has become difficult
  • Nausea of early pregnancy

Cautions

  • Not intended for extended, ongoing use.
  • Contraindicated in the presence of hemoptysis.
  • Contraindicated when Excess Heat is present.
  • Contraindicated when the cough stems from Yin Deficiency.
  • Contraindicated in cases of dry mouth and throat accompanied by thick, yellow sputum.
  • Contraindicated when a sore throat occurs together with a rapid pulse.
  • Use cautiously in patients who have hypertension.

Interactions

Pairing inhaled fluticasone with this formula may serve as a valuable approach for managing asthma patients across mild to severe severity.

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