bubble_chart Efficacy

Descending qi and relieving dyspnea, eliminating phlegm and stopping cough.

bubble_chart Indications

Shortness of breath and cough, profuse phlegm, chest and diaphragm fullness, upper excess and lower deficiency; or lower back pain, weak feet, limb fatigue, or limb swelling, tongue coating white and slippery or white and greasy.

bubble_chart Formula Principles

This prescription is primarily used to treat cough and asthma caused by upper excess and lower deficiency, with the main focus on upper excess. Therefore, the treatment should mainly focus on descending qi and relieving dyspnea, supplemented by arming the kidney to improve qi reception. In the prescription, cultivated purple perilla fruit descends qi and relieves dyspnea; Pinellia dries dampness and resolves phlegm; Magnolia Bark lowers qi and eliminates phlegm; Peucedanum diffuses the lung to downbear counterflow; Cassia Bark arms the kidney to improve qi reception to calm asthma; Chinese Angelica nourishes blood to moisten dryness and mainly treats cough with dyspnea; Liquorice Root harmonizes all the herbs; Fresh Ginger Rhizome and Chinese Date harmonize the middle, dispel phlegm, and disperse cold to regulate qi. The combination of these herbs uses both descending qi and improving qi reception, with descending qi as the main focus, to lower qi and dissipate phlegm, thereby naturally calming cough and asthma.

bubble_chart Syndrome Differentiation

1. Wheezing and shortness of breath.
2. Coughing with thin, clear phlegm.
3. Exhaling more and inhaling less.
4. Pale tongue with white, slippery coating.
5. Upper excess and lower deficiency (shortness of breath and cold feet).

bubble_chart Formula Modification

1. qi deficiency: add Ginseng, Schisandra Fruit.
2. failure of kidney to receive qi in severe cases: add Ginseng, walnut kernel, Tokay Gecko.
3. cough and asthma with qi counterflow: add Aquilaria.
4. cough and asthma with profuse phlegm: add Fritillaria Bulb, Bitter Apricot Seed.
5. vomiting of phlegm and saliva: add Poria, Platycodon Root.
6. chest and diaphragm stuffiness and fullness: add Bupleurum, Skullcap Root.
7. aversion to cold without sweating: add Ephedra, Bitter Apricot Seed.
8. vomiting and counterflow: add Hematite.
9. wind-cold cough and asthma: combine with Panting-Arresting Decoction.
10. phlegm-fluid retention cough and asthma: combine with Two Old Ingredients Decoction.

bubble_chart Cautions and Contraindications

1. Avoid raw, cold, and greasy foods, and avoid wind-cold.
2. This prescription is not suitable for cough and asthma due to deficiency of both the lung and kidney, nor for phlegm asthma caused by lung heat.

bubble_chart Modern Application

This formula strengthens the heart, improves alveolar blood circulation, enhances effective oxygen intake, expels phlegm, and relieves wheezing. It is used for bronchial asthma, chronic bronchitis, lung qi swelling, cor pulmonale, and beriberi.