Qing Qi Hua Tan Wan

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清气化痰丸 (Clear the Qi and Transform Phlegm Pill)

Source: Yin Fang Kao (1584)

Last updated October 1, 2026

Not yet clinically reviewed

cough with yellow sticky sputum difficult to expectoratefullness in chest, upper abdominal distensionscanty urinedifficulty breathing in severe cases

Description

Qing Qi Hua Tan Wan (Clear the Qi and Transform Phlegm Pill), from the Yin Fang Kao, is used to clear heat and transform phlegm; regulate the Qi and stop cough.

Presentation: cough with yellow sticky sputum difficult to expectorate; fullness in chest, upper abdominal distension; scanty urine; difficulty breathing in severe cases; tongue: red tongue with yellow sticky coating; pulse: slippery and rapid.

Syndrome: Syndrome of phlegm.

Composition strategy:

  • Most herbs enter the Lung and descend, removing phlegm-heat directly
  • Large Intestine-descending herbs assist the Lung-Qi descent
  • Dispersing herbs make Lung-Qi movement more active
  • Few heat-clearing herbs: once phlegm clears and Qi flows, heat subsides

Source: Yang Y. Chinese Herbal Formulas: Treatment Principles and Composition Strategies. Churchill Livingstone Elsevier, 2010, p. 243.

Composition

Herb Amount % Role Function
Dan Nan Xing
as printed: Dan Nan Xing (Pulvis arisaemae cum felle bovis)
45g 16.67% Jun (Chief) clear heat and dissolve phlegm
Huang Qin
as printed: Huang Qin (Scutellariae radix)
30g 11.11% Chen (Deputy) clear heat
Gua Lou Ren
as printed: Gua Lou Ren (Trichosanthis semen)
30g 11.11% Chen (Deputy) remove phlegm-heat, descend Qi via Large Intestine
Zhi Shi
as printed: Zhi Shi (Aurantii fructus immaturus)
30g 11.11% Chen (Deputy) regulate Qi, remove phlegm, promote bowel movement
Chen Pi
as printed: Chen Pi (Citri reticulatae pericarpium)
30g 11.11% Chen (Deputy) regulate Qi and remove phlegm
Fu Ling
as printed: Fu Ling (Poria)
30g 11.11% Zuo (Assistant) strengthen Spleen, leach out dampness
Xing Ren
as printed: Xing Ren (Armeniacae semen)
30g 11.11% Zuo (Assistant) disperse and descend Lung-Qi, remove phlegm
Ban Xia
as printed: Ban Xia (Pinelliae rhizoma)
45g 16.67% Zuo (Assistant) disperse and descend Lung-Qi, remove phlegm

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.

Dan Nan Xing胆南星 + Gua Lou Ren瓜蒌子

Clears heat and transforms thick phlegm while moistening and directing phlegm downward.

Phlegm-heat cough with thick yellow sputum.

Dan Nan Xing胆南星 + Huang Qin黄芩

Clears and transforms phlegm-heat while draining fire from the lungs at its source.

Phlegm-heat cough. Dan Nan Xing is Tian Nan Xing processed with bile, which moderates its toxicity; the raw root is toxic.

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 slightly cool (-0.33)

From 100% of the weighed grams.

cold cool neutral warm

Grams by band: cold 22%, cool 28%, neutral 11%, warm 39%.

Pairs warm and cool. 39% of the weighed grams are warm or hot and 50% cool or cold — the net is their average, not the whole story.

Taste

pungent sweet sour bitter bland
  • pungent 26%
  • sweet 17%
  • sour 4%
  • bitter 48%
  • bland 6%

From 100% of the weighed grams.

Channels reached

  • Lung 89%
  • Spleen 78%
  • Stomach 50%
  • Large intestine 44%
  • Heart 22%
  • Liver 17%

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

Powder and form into pills with ginger juice; 6-9g twice daily. May be decocted with proportionally reduced doses.

Source: Scheid V, Bensky D, Ellis A, Barolet R. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. Eastland Press, 2009, p. 791.

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Formula family

Contains Ju Xing Wan + Dan Nan Xing, Gua Lou Ren, Huang Qin and 3 more
Full herb lists
  • This formula = Ju Xing Wan + Dan Nan Xing, Gua Lou Ren, Huang Qin, Zhi Shi, Ban Xia and Fu Ling

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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