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Xin Yi Qing Fei Tang: a good recipe for clearing lungs, dissipating heat, and clearing nasal passages

Writer's picture: Hongji MedicalHongji Medical

Xin Yi Qing Fei Tang, from the "Orthodox Book of Surgery", is a prescription that focuses on clearing the lungs, dispersing heat, and clearing the nasal passages. It is mainly used to treat symptoms such as nasal hemorrhoids and nasal polyps caused by wind-heat and dampness in the lung meridian. Although the application and understanding of this prescription by doctors of different dynasties vary slightly, they all emphasize its function of clearing the lungs, dispersing heat, and clearing the nasal passages.


Xin Yi Qing Fei Tang Recipe Composition


According to various medical books, the composition of Xin Yi Qing Fei Tang mainly includes the following herbs:

  1. Nasal dredge type : Magnolia flower

  2. Lung-clearing and heat-dissipating herbs : gypsum, scutellaria, hollyhock, loquat leaf

  3. Yin-nourishing and lung-moistening herbs : Ophiopogon japonicus, Lilium bulbs, Anemarrhena asphodeloides

  4. Detoxification : Cimicifuga

  5. Blending drugs : Licorice


Magnolia Lung Clearing Soup
辛夷清肺湯

The uniqueness of Xin Yi Qing Fei Tang


Xin Yi Qing Fei Tang has unique advantages in treating nasal diseases:

  1. Clearing the lungs and dispersing heat : The herbs in the prescription, such as gypsum, scutellaria, and magnolia bark, have the effects of clearing the lungs and dispersing heat, purging fire and detoxifying, and are targeted at the excessive heat in the lungs caused by wind-heat and dampness in the lung meridian.

  2. Clearing the nasal passages : Magnolia flower has the effect of clearing the nasal passages, dispersing wind and detoxifying, and can be used to treat symptoms such as nasal congestion and polyps.

  3. Nourishing yin and moistening the lungs : Herbs such as Ophiopogon japonicus, Lilium bulgur, and Anemarrhena asphodeloides have the effects of nourishing yin and moistening the lungs, promoting fluid production and quenching thirst, and can relieve symptoms such as dry mouth and sore throat caused by lung heat damaging yin.

  4. Clearing away the clear and detoxifying : Cimicifuga has the effects of clearing away the clear and detoxifying, dispersing wind and dispersing evil, and can disperse the evil qi in the body from above.

  5. Harmonizing various medicines : Licorice has the effect of harmonizing various medicines, nourishing the middle and replenishing Qi, and can make various medicines work in coordination and enhance the therapeutic effect.


Magnolia Lung Clearing Soup
辛夷清肺湯

The difference between Xin Yi Qing Fei Tang and other prescriptions


In traditional Chinese medicine, different prescriptions are selected for treatment according to different syndromes. Oral administration: Clinically, it is divided into several syndromes, such as cold syndrome, heat syndrome, and deficiency syndrome.

  1. Cold syndrome

    • Xinyi Powder : Mainly used to treat nasal congestion and runny nose caused by the invasion of cold evil. Its ingredients include Xinyi, Xixin, Ligusticum chuanxiong, etc., which have the effect of dispelling cold and clearing the bowels.

    • Guizhi decoction : It is mainly used to treat nasal congestion and runny nose caused by exogenous wind and cold. Its ingredients include cinnamon twig, peony root, ginger, etc., which have the effects of relieving muscles, inducing sweating, and harmonizing the nutrient and defensive systems.

  2. Heat syndrome

    • Xinyi Qingfei Soup : Mainly used to treat nasal hemorrhoids, nasal polyps and other symptoms caused by wind-heat and dampness in the lung meridian . It has the effects of clearing the lungs and dispersing heat, clearing the nasal passages, nourishing yin and moistening the lungs, and clearing away toxins.

    • Cang Er San : Mainly used to treat nasal congestion and runny nose caused by wind-heat. Its ingredients include Cang Er Zi, Magnolia, Angelica Dahurica, and mint, which have the effects of dispelling wind and heat, clearing the bowels and relieving pain.

  3. Deficiency

    • Lung-qi deficiency : Yupingfeng Powder is often used , which includes Astragalus, Atractylodes, Saposhnikovia, etc. It has the effects of invigorating Qi, strengthening the exterior and improving immunity.

    • Deficiency of spleen and qi : Lizhong Decoction and Sijunzi Decoction are often used . Their ingredients include ginseng, Atractylodes macrocephala, Poria cocos, licorice, etc., which have the effects of strengthening the spleen and qi, warming the middle and dispersing cold.

    • Kidney Yang deficiency : Shenqi Pills are commonly used , which include Rehmannia root, Cornus officinalis, Chinese yam, Zexie, Poria, Moutan bark, Aconitum, Cinnamon bark, etc. It has the effect of warming and tonifying kidney yang, transforming qi and promoting the circulation of water.

    • Kidney yin deficiency : Liuwei Dihuang Pills are commonly used . Its ingredients include cooked rehmannia, cornus officinalis, yam, zexie, poria, moutan bark, etc. It has the effects of nourishing yin and kidney, replenishing essence and filling marrow.




Rhinitis is often accompanied by symptoms such as nasal congestion and runny nose . Chinese medicine treatment is combined with drugs that can relieve the symptoms, such as magnolia and corydalis to relieve symptoms. The characteristic of Chinese medicine treatment is to "treat both the symptoms and the root cause". It can not only relieve nasal symptoms, but also improve systemic symptoms and enhance immunity by regulating the body's qi, blood, yin and yang.


Therapeutic principle of Xin Yi Qing Fei Tang


The therapeutic principle of Xin Yi Qing Fei Tang can be understood from the following aspects:

  1. Clearing the lungs and dispersing heat, relieving wind and detoxifying : The drugs in the prescription, such as gypsum, scutellaria, and magnolia bark, have the effects of clearing the lungs and dispersing heat, purging fire and detoxifying, and are aimed at the excessive heat in the lungs caused by wind-heat and dampness in the lung meridian.

  2. Clearing the nasal passages, dispelling wind and removing dampness : Magnolia flower has the effect of clearing the nasal passages, dispersing wind and detoxifying, and can be used to treat symptoms such as nasal congestion and polyps.

  3. Nourishing yin and moistening the lungs, promoting the production of body fluids and quenching thirst : Herbs such as Ophiopogon japonicus, Lilium bulbus, and Anemarrhena asphodeloides have the effects of nourishing yin and moistening the lungs, promoting the production of body fluids and quenching thirst, and can relieve symptoms such as dry mouth and sore throat caused by lung heat damaging yin.

  4. Cimicifuga has the effects of clearing away the clear and detoxifying , dispersing the wind and dispersing the evil, and can disperse the evil qi in the body from above.

  5. Harmonizing various medicines, replenishing the middle and invigorating Qi : Licorice has the effect of harmonizing various medicines, replenishing the middle and invigorating Qi, which can make various medicines work in coordination and enhance the therapeutic effect.


Magnolia Lung Clearing Soup
辛夷清肺湯

Targeted pathogenesis: All doctors believe that this syndrome is mostly caused by wind-heat and dampness in the lung meridian, which leads to qi stagnation and blood vessel obstruction, and eventually forms symptoms such as nasal hemorrhoids and polyps.


Clinical application and modern research of Xin Yi Qing Fei Tang


Xin Yi Qing Fei Tang is mainly used to treat nasal hemorrhoids and nasal polyps caused by wind-heat and dampness in the lung meridian, with symptoms such as nasal congestion, runny nose, swelling in the nasal cavity, and difficulty breathing. Modern medicine believes that the ingredients inXin Yi Qing Fei Tang have anti-inflammatory, anti-allergic, and anti-tumor effects, and can be used to treat chronic rhinitis, sinusitis, nasal polyps and other diseases.


Comparison of the Views of Ancient and Modern Physicians

  • Gu Shicheng : The Complete Book of Ulcer Medicine believes that nasal hemorrhoids are caused by unclear lung qi and stagnation of rheumatism and dampness, and proposes the use of magnolia lung-clearing drink combined with external medication for treatment.

  • Yang Chengbo : "A Quick Guide to Ulcers" states that "wind-heat and dampness in the lung meridian can be treated by taking magnolia internally and applying external medicines", pointing out that nasal hemorrhoids are related to wind-heat and dampness in the lung meridian and should be treated by taking medicine internally and externally.

  • Qi Kun : The "Compendium of Surgery" believes that nasal hemorrhoids are caused by internal steaming of damp heat in the lung meridian, and should be treated with Xinyi Qingfei Drink taken internally and Xiaozhi Powder applied externally.

  • Qi Hongyuan : "Essentials of Surgery" believes that nasal hemorrhoids are caused by stagnation of wind, dampness and heat in the lung meridian, and need to be treated with Xinyi Qingfei Drink internally and borax powder externally.

  • Chen Shigong : "The Authentic Surgery" believes that nasal hemorrhoids are caused by unclear lung qi and stagnation of rheumatism and dampness. It is necessary to take magnolia lung-clearing drink internally and apply borax powder externally.

  • Gao Bingjun : "Collection of Experiences in Ulcers" believes that nasal hemorrhoids are caused by unclear lung qi and stagnation of rheumatism and dampness, and proposes taking Xinyi powder or Xinyi lung-clearing drink internally and using bromine sand powder externally.


Magnolia Lung Clearing Soup
辛夷清肺湯

Modern application of Xin Yi Qing Fei Tang


In recent years, with the change of environment and lifestyle, nasal diseases such as paranasal inflammation and pyogenic syndrome have gradually increased. Xin Yi Qing Fei Tang has a good effect on these diseases because of its strong heat-clearing effect. In clinical practice, it is often combined with other prescriptions for comprehensive treatment according to the specific conditions of the patient to achieve the best effect.


Xin Yi Qing Fei Tang is a prescription that mainly clears the lungs and dissipates heat, and clears the nasal passages. It is well formulated, ingeniously matched, and has a precise therapeutic effect. Although the application and understanding of this prescription by doctors of different dynasties vary slightly, they all affirm its efficacy in clearing the lungs and dissipating heat, and clearing the nasal passages. In clinical application, it should be treated according to the specific condition of the patient, and the drugs and dosages should be reasonably selected to achieve the best therapeutic effect.


Magnolia Lung Clearing Soup
辛夷清肺湯

Precautions and side effects

  • This prescription should be used with caution if the patient does not have wind-heat stagnation in the lungs and stomach : Xin Yi Qing Fei Tang has the effects of clearing the lungs and dispersing wind, clearing the nose and relieving sore throat, but it should be used with caution if the patient has yin deficiency and excessive fire.

  • Side effects : When using Xin Yi Qing Fei Tang, pay attention to the patient's constitution and condition to avoid unnecessary side effects.


Conclusion


As a traditional Chinese medicine prescription, Xin Yi Qing Fei Tang plays an important role in the treatment of nasal diseases with its unique formula and efficacy. With the development of modern medicine, its application scope and efficacy have been further verified and expanded. In clinical application, it should be used reasonably according to the specific conditions of the patient to achieve the best efficacy.

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