Qing Fei Clearing Formula

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Qing Fei Clearing Formula, based on the formula Lung Clearing Fire Eliminating Tablets (Qing Fei Yi Huo Pian), is indicated for Lung Heat with Phlegm that is aggravated by Liver Fi re. The Liver and Lungs normally work together to ensure the smooth flow of Qi throughout the chest. However, if the Liver Qi becomes excessive and transforms into Fire, it may rise up to the Lungs and obstruct the descent of the Lung Qi, causing occasional congestion, fluid depletion, occasional flank discomfort and occasional breathlessness. There may also be the typical manifestations of Liver Fire, such as a bitter taste in the mouth, irritability, easily provoked anger, red cheeks and a red tongue with a yellow coating. Phlegm Heat in the Liver and Lungs also leads to a generalized sensation of heat throughout the body and, as the Heat ascends, a heavy sensation of the head, occasional dizziness and insomnia. This formula also addresses an exterior invasion that has not been properly cleared, and instead has sunk deeper into the Lungs, transforming into Fire. Qing Fei Clearing Formula clears Heat from the Lungs, reduces the counterflow of Liver Fire, moistens the throat and increases fluids. Chinese skullcap root, the chief herb in this formula, clears Heat in the Upper Burner and dries Dampness. Chinese rhubarb rhizome and root, Shrubby sophora root, and Gardenia fruit drain Heat, purge accumulations, transform Dampness, support healthy urination and invigorate the Blood. Platycodon root opens up and disseminates Lung Qi, dispels Phlegm, benefits the throat and directs the actions of the other herbs to the upper regions of the body. It also reinforces the clearing and draining actions of the other herbs in the formula. Trichosanthes root clears and drains Lung Heat, cools Stomach Heat, transforms Phlegm, generates fluids and invigorates Blood. Anemarrhena rhizome clears Heat, drains Fire, enriches the Yin, moistens dryness and generates fluids. Peucedanum root directs Qi downward, assists the dissemination of Lung Qi, directs Fire downward and transforms Phlegm. This formula clears Lung Heat and drains Liver Fire through a purging action and must only be used with Fire symptoms. Similar formulas to clear Heat include BreathEase to clear Phlegm Heat accumulation in the Lungs with a possible Wind Cold Invasion; and Pinellia Dispersing Formula to clear Phlegm Heat from the Lungs. Exterior releasing formulas include Calm Breath Formula to clear Heat from the Lungs caused by an external invasion, moisten Lungs and transform Phlegm; Great White Lung Formula to clear Wind Heat or Wind Cold invasion transforming into Heat in the Lung and to clear Phlegm; and Lung Qi Release to warm and release an exterior lingering invasion. Combine with Gan Mao Ling, Yin Qiao or Initial Defense if Wind Heat invasion is present. ORIGINS AND DEVELOPMENTLung Clearing Fire Eliminating Tablets (Qing Fei Yi Huo Pian) is a modern formula based on the classic formula Qing Qi Hua Tan Wan, published in Shou Shi Bao Yuan (Longevity and Health), Ming Dynasty, 1368-1644. Show more