Qing Hao Bie Jia Tang

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青蒿鳖甲汤 (Artemisia Annua and Soft-shelled Turtle Shell Decoction)

Source: Wen Bing Tiao Bian (1798)

Last updated October 1, 2026

Not yet clinically reviewed

heat smoldering in the Yin region at the late stage of warm-febrile diseasefever at night receding in the morning without sweatingemaciation without loss of appetite

Description

Qing Hao Bie Jia Tang (Artemisia Annua and Soft-shelled Turtle Shell Decoction), from the Wen Bing Tiao Bian, is used to nourish the Yin; reduce and vent deficient heat.

Presentation: heat smoldering in the Yin region at the late stage of warm-febrile disease; fever at night receding in the morning without sweating; emaciation without loss of appetite; tongue: red with little coating; pulse: thready and rapid.

Syndrome: Syndrome of aftermath of warm-febrile diseases.

Composition strategy:

  • Venting heat from the Yin level via the Bie Jia + Qing Hao pair (clearing plus dispersing)
  • Tonify while reducing: uses non-cloying Yin-nourishing herbs since sweet tonics may retain smoldering heat; salty, sweet, bitter and pungent tastes with cold temperature nourish Yin, reduce and vent heat

Source: Yang Y. Chinese Herbal Formulas: Treatment Principles and Composition Strategies. Churchill Livingstone Elsevier, 2010, p. 89.

Composition

Herb Amount % Role Function
Sheng Di Huang
as printed: Sheng Di Huang (Rehmanniae radix)
12g 25% Chen (Deputy) nourish Kidney-Yin, reduce deficient heat
Zhi Mu
as printed: Zhi Mu (Anemarrhenae rhizoma)
6g 12.5% Chen (Deputy) nourish Kidney-Yin, reduce deficient heat
Mu Dan Pi
as printed: Mu Dan Pi (Moutan cortex)
9g 18.75% Chen (Deputy) reduce deficient heat in the blood, cool and move blood
Qing Hao
core pair with Bie Jia; book names the pair as envoy; as printed: Qing Hao (Artemisiae annuae herba)
6g 12.5% Shi (Envoy) vent heat from the Yin region to the Yang region
Bie Jia
core pair with Qing Hao; book names the pair as envoy; toxic mark ** in source; as printed: Bie Jia (Trionycis carapax)
15g 31.25% Shi (Envoy) enter the Yin level, reduce deficient heat, lead Qing Hao inward

Dui Yao — Core Herb Pairs

The classical two-herb combinations at the heart of this formula, as recorded on the herbs' own pages — each pair has an action neither herb has alone.

Bie Jia鳖甲 + Qing Hao青蒿

Together they enter the yin level to clear deep-lying heat and vent it outward, while nourishing yin, addressing heat that lingers after a febrile illness.

Classic indication: night fevers with morning coolness and no sweating in the late stage of warm disease.

Energetics dose-weighted

The formula's overall nature, taste balance and channel reach, weighted by each herb's dose. Classical formulas often pair warm and cool herbs on purpose, so a net figure summarises the mix — it doesn't describe every herb in it.

Nature

Cold Cool Neutral Warm Hot

Net cold (-1.50)

From 100% of the weighed grams.

cold cool

Grams by band: cold 50%, cool 50%.

Taste

pungent sweet bitter salty
  • pungent 16%
  • sweet 19%
  • bitter 34%
  • salty 31%

From 100% of the weighed grams.

Channels reached

  • Kidney 100%
  • Liver 88%
  • Heart 44%
  • Stomach 25%
  • Lung 13%
  • Bladder 13%

Share of the grams entering each channel, from 100% of the weighed grams.

Dose-weighted from each herb's recorded nature, taste and channels (missing values are left out, never counted as neutral). It describes the composition — it is not a recommendation.

Compare side by side with Liu Shen San →

Preparation

Decoction, from 5 cups down to 3, in two doses a day; add Artemisia at the end to avoid prolonged heat.

Source: Scheid V, Bensky D, Ellis A, Barolet R. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. Eastland Press, 2009, p. 212.

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Formula family

Contained in Zi Yin Qing Re Tang = this without Bie Jia + Shao Yao Gan Cao Tang + Bai Wei, Chai Hu, Da Zao and 5 more
Full herb lists
  • Zi Yin Qing Re Tang = this formula without Bie Jia + Shao Yao Gan Cao Tang + Bai Wei, Chai Hu, Da Zao, Di Gu Pi, Fu Xiao Mai, Huang Bai, Suan Zao Ren and Ye Jiao Teng

Each entry reads as the larger formula written out: “+” adds its other catalogue cores, then the herbs none of them hold. A catalogue formula counts as a core only when at least 80% of its herbs are present, no more than 1 is absent, and the absent herb is not its chief.

Formula Network

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Similar Formulas by composition

Match score combines dosage-weighted composition (cosine, 70%) with shared-herb overlap (Jaccard, 30%).

Traditional formula information is for educational purposes only. Herbal formulas should be prescribed by a qualified practitioner — dosages and combinations are individualized and can interact with medications.

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