Clearing heat 3

6 Clear the deficient heat 清虚热

— Later stage of febrile diseases: evil lingers, yin damage

— LV and KI yin deficiency: steaming sensation of bone, tidal fever, or long lasted fever

Herbs & formulas:

— Nourish yin and clear heat: Biejia, Zhimu, Shengdi

  Dang Gui Liu Huang Tang

— clear or disperse lingered heat: Jinghao, Qinjiu, Chaihu, Digupi

  Qing Hao Bie Jia Tang, Qin Jiao Bie Jia San, Qing Gu San

Qing Hao Bie Jia Tang


Functions:  nourish Yin and clear Heat

Indications: pathogenic factor lingered in yin phase and damages the yin in the later stage of febrile disease, manifested as:  body temperature increases at night and reduces in the morning, no sweat (no fluids left to produce sweat), T- red with scanty coat, P- thin rapid

Analysis of formula:

Bie Jia — nourish yin and clear heat, “enter meridians and find out evil out ”

Qing Hao – fragrant, dispersing heat in meridians and leading evil out 

Sheng Di Huang  — sweet, cold, nourish yin

Zhi Mu  — bitter cold, clear heat

Mu Dan Pi – clear heat in blood level and in yin


Bie Jia (carapax amydae sinensis)…15g     

Qing Hao (herba artemisiae annuae)…6g  [add near end]

Sheng Di Huang (radix rehmanniae glutinosae)…12g

Zhi Mu (radix anemarrhenae asphodeloidis)…6g

Mu Dan Pi (cortex moutan radicis)…9g

Method Used: decoction


Why are Beijia and Qinghuo used together?

Qin Jiao Bie Jia San


Functions: enriches Yin, nourishes blood, clears Heat, relieve steaming bone

Indications:  Wind – consumption disease, caused by exterior wind entering the interior and damaging yin and blood (due to wrong treatment), manifested as:

Steaming sensation in the bone, night sweats, emaciation, red-lip, cheeks, and fever in the afternoon, cough, tiredness, 5 center heat sensation, P- thin rapid.

Analysis of formula:

Zhi Bie Jia + Zhi Mu – nourish yin and clear heat

Dang Gui – nourish and invigorate blood

Qin Jiao + Chai Hu – disperse wind out of the body

Di Gu Pi + Qing Hao – clear heat inside, and relieve bone hot sensation

Wu Mei – astringe skin to stop sweating


Zhi Bie Jia (honey fried carapax amydae sinensis)…30g

Zhi Mu (radix anemarrhenae asphodeloidis)…15g

Dang Gui (radix angelicae sinensis)…15g

Qin Jiao (radix gentianae qinjiao)…15g

Chai Hu (radix bupleuri)…30g

Di Gu Pi (cortex lycii radicis)…30g

Qing Hao … 5 pieces

Wu Mei … 1 piece

Method Used: decoction


What are Qinjiao and Chaihu used for?

Qing Gu San


Functions:  clears deficiency heat, relieves steaming bone

Indications: heat due to yin deficiency, manifested as:

afternoon tidal fever or night fever, fereish sensation in the bone, irritability, night sweating, red tongue with little coating, thin and rapid pulse

Analysis of formula:

Yin Chai Hu – sweet, mild cold, clear heat which causes hot sensation in the bone

Hu Huang Lian + Zhi Mu + Di Gu Pi – enter yin, clear heat in it

Qing Hao + Qin Jiao – bitter, pungent, cold / bitter, pungent, mild cold, clear deficiency heat

Zhi Bie Jia nourish yin and suppress floating yang, guide others into yin

Gan Cao — harmonize


Yin Chai Hu (radix stellariae dichotomae)…4.5g

Hu Huang Lian (rhizoma picrorhizae)…3g

Zhi Mu (radix anemarrhenae asphodeloidis)…3g

Di Gu Pi (cortex lycii radicis)…3g

Qing Hao (herba artemisiae annuae)…3g

Qin Jiao (radix gentianae qinjiao)…3g

Zhi Bie Jia (honey fried carapax amydae sinensis)…3g

Gan Cao (radix glycyrrhizae yralensis)…1.5g

Method Used: decoction

Dang Gui Liu Huang Tang


Functions: nourish Yin, clears Heat, stabilize exterior, stop night sweating
Indications:  Fire due to KI Yin deficiency, manifested by: 
fever, night sweats, red face in the afternoon, anxiety, irritability, dry lips, mouth, and throat, dry stool, dark scanty urine, T- red dry, P- thin rapid.

Functions: nourish Yin, clear Heat, stabilize exterior, stop night sweating

Indications:  Fire due to KI Yin deficiency, manifested by:

fever, night sweats, red face in the afternoon, anxiety, irritability, dry lips, mouth, and throat, dry stool, dark scanty urine, T- red dry, P- thin rapid.

Analysis of formula:

Dang Gui + Sheng Di Huang + Shu Di Huang nourish yin and blood → clear heat

Huang Lian + Huang Qin + Huang Bai put out (clear) heat → relieve anxiety

Huang Qi – strengthens the exterior and check sweating


Dang Gui (radix angelicae sinensis)…15g

Sheng Di Huang (radix rehmanniae glutinosae)…15g

Shu Di Huang (radix rehmanniae glutinosae conquitae)…15g

Huang Lian (rhizoma coptidis)…15g

Huang Qin (radix scutellariae)…15g

Huang Bai (cortex phellodendri)…15g

Huang Qi (radix astragali membranacei)…30g

Method Used: decoction

7 Clear the summer-heat (4)

Summer heat

— qi and fluid damage

— damp

— external wind/cold


— clear summer heat

— Clear summer heat and relieve the exterior

— clear summer heat and dissolve damp

— clear summer heat and invigorate qi  

Treatment: clearing summer heat + dissolving damp

— more summer heat: avoid using too many warm and dry herbs

— more damp: avoid using too many sweet and cold herbs

                                                 Summer heat & damp

Liu Yi San


Functions: clears summer-heat, resolves damp

Indications: summer heat and damp attacking, manifested by:

Fever, irritability, unsmooth urination, or diarrhea

Analysis of formula:

Hua Shi – cold, sweet, bland, clear heat, promotes urination, let damp heat in Triple Jiao go away with urine

Gan Cao – clear heat and combine with Huashi (cold / sweet) to nourish body fluid

Composition:  6 : 1

Hua Shi (talcum)…6 parts

Gan Cao (radix glycyrrhizae uralensis)…1 part

Method Used: decoction, or powder

                                            Summer heat & qi deficiency                          

Qing Shu Yi Qi Tang


Functions: clears summer-heat, strengthens Qi, nourishes Yin, generates fluids

Indications: summer-heat damaging qi and fluid, manifested as: 

fever, copious sweating, irritability, thirst, dark scanty urine, fatigue, shortness of breath, P- rapid deficient.

Analysis of formula:

Xi Yang Shen – generate qi and fluid

nourish yin and clear heat — Shi Hu + Mai Men Dong

Xi Gua Pi – clear summer heat — Lian Geng

Dan Zhu Ye + Zhi Mu – clear heat, relieve irritability — Huang Lian

Gan Cao + Geng Mi – tonify qi and benefit ST


Xi Yang Shen (radix panacis quinquefolii)…4.5-6g

Xi Gua Pi (pericarpium citrulli vulgaris)…24-30g

Lian Geng (ramulus nelumbinis nuciferae)…12-15g

Shi Hu (herba dendrobii)…12-15g**

Mai Men Dong (tuber ophiopogonis japonici)…6-9g

Dan Zhu Ye (herba lphatheri gracilis)…4.5-6g

 (radix anemarrhenae asphodeloidis)…4.5-6g

Gan Cao (radix glycyrrhizae uralensis)…2-3g

Geng Mi (non-glutinous rice)…12-15g

Huang Lian (rhizoma coptidis)…2-3g

Method Used: decoction

Note: If less fever and more fluid damage, remove Huang Lian

                                            Summer heat & exterial cold                

Xin Jia Xiang Ru Yin


Functions: releases summer-heat and external cold, clear heat and resolve damp

Indications: early stage summer-heat with concurrent Wind/Cold, manifested as:

fever and chills without sweating, headache, thirst, red face, tightness in chest, T- white greasy coat, P- floating rapid 

Analysis of formula:

Xiang Ru – aromatic, warm, pungent, induce sweating and relieve the exterior, clear summer heat and resolve damp

Bai Bian Dou + Jin Yin Hua + Lian Qiao — pungent, cool, aromatic, dispersing summer heat in the upper jiao

Hou Po — pungent, warm, remove damp


Xiang Ru (herba elsholtiziae seu moslae)…6g

Bai Bian Dou (semen dolichoris lablab)…9g

Jin Yin Hua (flos lonicerae japonicae)…9g

Lian Qiao (fructus forsythiae suspensae)…6g 

Hou Po (cortex magnoliae officinalis)…6g

Method Used: decoction


1) “pungent warm” + “pungent cool”

2) Sweating: remove Xiangru; 

3) No tightness in chest and greasy coating: remove Houpo

                                                         Summer heat                

Qing Luo Yin


Functions: releases summer-heat

Indications: summer-heat staying qi level and damaging LU, manifested as:

fever, mild thirst, unclear head and vision with light headedness, slight distension of the head, pink tongue with thin white coat. 

Analysis of formula:

Xian Jin Yin Hua – pungent, aromatic, clear summer heat

Xian Bian Dou Hua – aromatic, clear summer heat

Xi Gua Shuang — clear summer heat

Si Gua Luo – clear LU heat

Xian He Ye – disperse and clear summer heat

Xian Dan Zhu Ye Xin – clear heat and promote urination 


Xian Jin Yin Hua (flos lonecerae japonicae recens)…6g

Xian Bian Dou Hua (flos dolichoris lablab recens)…6g

Xi Gua Shuang (mirabilitum praeparata citrulli)…6g

Si Gua Luo (pericarpium luffae acutangulae)…6g

Xian He Ye (folium nelumbinis nuciferae recens)…6g

Xian Dan Zhu Ye (herba lophatheri gracilis recens)…6g

Method Used: decoction