Qing Fei Yin

Lung-Clearing Decoction · 清肺饮

Also known as: Dongyuan Qing Fei Yin (东垣清肺饮, Dongyuan Lung-Clearing Drink)

Qing Fei Yin is a classical TCM formula that clears Heat from the Lungs, relieves cough and thirst, and promotes urination. It is used for conditions like acute bronchitis or urinary tract infections when symptoms include cough with yellow phlegm, dry mouth, and difficult urination.

Origin 《证治汇补》卷八引东垣方 — Jin Dynasty (1115–1234), attributed to Li Dongyuan (Li Gao)
Composition 7 herbs
Sang Bai Pi
King
Sang Bai Pi
Huang Qin
Deputy
Huang Qin
Mai Dong
Deputy
Mai Dong
Fu Ling
Assistant
Fu Ling
Che Qian Zi
Assistant
Che Qian Zi
山栀
Assistant
山栀子
Mu Tong
Assistant
Mu Tong
Explore composition

Educational content Consult qualified TCM practitioners for diagnosis and treatment

Patterns Addressed

In TCM, symptoms don't appear randomly — they cluster into recognizable patterns of disharmony that reveal what's out of balance in the body. Qing Fei Yin is designed to correct these specific patterns.

Why Qing Fei Yin addresses this pattern

This formula clears Heat and resolves Phlegm from the Lungs, addressing the core pathomechanism of Phlegm-Heat obstructing Lung Qi. Sang Bai Pi and Huang Qin directly clear Lung Heat, while Mai Dong generates fluids to counteract the drying nature of Heat. The diuretic herbs help drain Heat downward, relieving the sensation of fullness and aiding the Lung's descending function.

A practitioner would look for one or more of these signs

Cough

Cough with thick yellow sputum

Thirst

Dry mouth and thirst

Dysuria

Difficult or painful urination

Oliguria

Scanty urine

Commonly Prescribed For

These conditions can arise from the patterns above. A practitioner would consider Qing Fei Yin when these conditions are specifically caused by those patterns — not for all cases of these conditions.

TCM Interpretation

In TCM, acute bronchitis with productive cough and yellow sputum is viewed as Phlegm-Heat obstructing the Lungs. External pathogens (often Wind-Heat) invade the Lung, transforming into Heat and congealing fluids into Phlegm. This disrupts the Lung's descending and dispersing function, causing cough and chest tightness.

Why Qing Fei Yin Helps

Sang Bai Pi and Huang Qin clear the Lung Heat directly, while the diuretic herbs help drain Heat downward. Mai Dong protects Lung Yin from being damaged by Heat. The formula not only stops cough but also addresses the underlying Heat, reducing phlegm production and easing breathing.

Also commonly used for

Pneumonia

Addresses Lung Heat pattern with fever, cough, and thick sputum.

Upper Respiratory Tract Infections

Reduces throat inflammation and cough caused by Wind-Heat invading the Lung.

What This Formula Does

Every TCM formula has a specific set of actions — here's what Qing Fei Yin does in the body, explained in both everyday and TCM terms

Therapeutic focus

In practical terms, Qing Fei Yin is primarily used to support these areas of health:

TCM Actions

In TCM terminology, these are the specific therapeutic actions that Qing Fei Yin performs to restore balance in the body:

How It Addresses the Root Cause

TCM doesn't just suppress symptoms — it aims to resolve the underlying imbalance. Here's how Qing Fei Yin works at the root level.

This formula addresses a pattern where Heat accumulates in the Lung, impairing its ability to descend and disperse Qi. The Heat damages Body Fluids, leading to thirst and dry cough. Because the Lung governs the body's water passages, obstruction of Lung Qi by Heat disrupts normal urination, resulting in scanty or difficult urination. The underlying mechanism is Lung Heat with fluid damage and water passage obstruction.

Formula Properties

Every formula has an inherent temperature, taste, and affinity for specific organs — these properties determine how it interacts with the body

Overall Temperature

Cold

Taste Profile

Predominantly bitter and sweet, with a bland character — bitter to clear heat and dry dampness, sweet to harmonize and nourish, bland to leach out dampness and promote urination.

Channels Entered

Lung Bladder

Ingredients

7 herbs

The herbs that make up Qing Fei Yin, organized by their role in the prescription

King — Main ingredient driving the formula
Deputy — Assists and enhances the King
Assistant — Supports or moderates other herbs
King — Main ingredient driving the formula
Sang Bai Pi

Sang Bai Pi

Mulberry root bark

Dosage 9 - 12g
Temperature Cold
Taste Sweet (甘 gān)
Organ Affinity Lungs, Spleen

Role in Qing Fei Yin

Clears Lung Heat and stops coughing; addresses the primary pathomechanism of Heat accumulation in the Lung.
Deputies — Assists and enhances the King
Huang Qin

Huang Qin

Baical skullcap root

Dosage 9 - 12g
Temperature Cold
Taste Bitter (苦 kǔ)
Organ Affinity Lungs, Gallbladder, Spleen, Large Intestine, Small Intestine, Heart, Stomach

Role in Qing Fei Yin

Reinforces the clearing of Lung Heat and dries Dampness, assisting the King herb in resolving phlegm and stopping cough.
Mai Dong

Mai Dong

Ophiopogon root

Dosage 9 - 12g
Temperature Slightly Cool
Taste Sweet (甘 gān), Bitter (苦 kǔ)
Organ Affinity Heart, Lungs, Stomach

Role in Qing Fei Yin

Nourishes Lung Yin and generates fluids, relieving the thirst caused by Heat damaging fluids.
Assistants — Supports or moderates other herbs
Fu Ling

Fu Ling

Poria

Dosage 9 - 12g
Temperature Neutral
Taste Sweet (甘 gān), Bland (淡 dàn)
Organ Affinity Heart, Lungs, Spleen, Kidneys

Role in Qing Fei Yin

Drains Dampness and promotes urination, helping to open the water passages and guide Heat downward.
Che Qian Zi

Che Qian Zi

Plantain Seed

Dosage 9 - 12g
Temperature Cold
Taste Sweet (甘 gān)
Organ Affinity Liver, Kidneys, Lungs, Small Intestine
Preparation Wrap in cloth during decoction (包煎).

Role in Qing Fei Yin

Clears Lung Heat and promotes urination, addressing both cough and urinary difficulty.
山栀

山栀子

Dosage 9 - 12g

Role in Qing Fei Yin

Clears Heat and resolves Fire, eliminates irritability, and promotes urination.
Mu Tong

Mu Tong

Akebia stem

Dosage 3 - 6g
Temperature Cold
Taste Bitter (苦 kǔ)
Organ Affinity Heart, Small Intestine, Urinary Bladder

Role in Qing Fei Yin

Clears Heat and promotes urination, guiding Heat out through the urine.

Why This Combination Works

How the herbs in Qing Fei Yin complement each other

Overall strategy

The formula combines herbs that clear Lung Heat, generate fluids, and promote urination. It targets the dual problem of Heat in the upper burner (cough, thirst) and impaired water metabolism (urinary difficulty).

King herbs

Sang Bai Pi (Mulberry Root Bark) is the King. It directly clears Heat from the Lung and stops coughing, addressing the root cause.

Deputy herbs

Huang Qin reinforces the clearing of Lung Heat and dries Dampness to resolve phlegm. Mai Dong nourishes Lung Yin and generates fluids, relieving thirst and protecting the Lung from further Heat damage.

Assistant herbs

Fu Ling, Che Qian Zi, Shan Zhi Zi, and Mu Tong all promote urination and help drain Heat downward through the urine. Shan Zhi Zi also clears irritability. Che Qian Zi additionally clears Lung Heat. Together they open the water passages and guide the pathogenic Heat out of the body.

Notable synergies

The pairing of Sang Bai Pi and Huang Qin provides strong Lung Heat-clearing action. Mai Dong and Sang Bai Pi together both clear Heat and nourish Yin, preventing excessive drying. The combination of multiple diuretic herbs ensures effective drainage without harming Body Fluids.

How to Prepare

Traditional preparation instructions for Qing Fei Yin

Combine all herbs with water to cover. Bring to a boil, then simmer for 20–30 minutes. Strain and divide into 2–3 doses per day. The original text specifies equal parts of each herb; a typical modern prescription uses 9g of each ingredient (with Mu Tong reduced to 3–6g for safety).

Common Modifications

How practitioners adapt Qing Fei Yin for specific situations

Added
Gua Lou

9g, to clear Heat and transform Phlegm

Zhe Bei Mu

9g, to stop cough and resolve Phlegm

Gua Lou and Zhe Bei Mu enhance the formula's ability to clear Lung Heat and resolve Phlegm, directly targeting the increased sputum and cough.

Educational content — always consult a qualified healthcare provider or TCM practitioner before using any herbal formula.

Contraindications

Situations where Qing Fei Yin should not be used or requires extra caution

Caution

Spleen and Stomach deficiency cold with diarrhea or poor appetite — the cold, draining nature of the formula aggravates these conditions.

Caution

Pregnancy — the formula contains herbs that promote downward movement and urination, which may disturb the fetus.

Caution

Yin deficiency with pronounced dryness but no damp-heat — draining urination may further consume fluids.

Special Populations

Important considerations for pregnancy, breastfeeding, and pediatric use

Pregnancy

No specific safety data exists. The formula contains herbs with downward-draining and diuretic properties that are traditionally avoided during pregnancy. Use only under close professional supervision and when the benefits clearly outweigh the risks.

Breastfeeding

No specific data on breast milk transfer exists for the herbs in this formula. The formula's cold and draining nature may potentially affect lactation or the infant. Caution is advised; use only under professional guidance.

Children

No established pediatric dosing for this formula. It contains strong cooling and diuretic herbs; use in children only under professional supervision with appropriate dose reduction. The formula is not a first-line pediatric remedy in its original concentration.

Drug Interactions

If you are taking pharmaceutical medications, be aware of these potential interactions with Qing Fei Yin

No well-documented drug interactions. Consult a healthcare provider before concurrent use with prescription medications.

Usage Guidance

Practical advice for getting the most out of Qing Fei Yin

Best time to take

Take between meals, ideally 1–2 hours after eating.

Typical duration

Typically taken for 3–7 days for acute heat and urinary difficulty; longer courses only under professional supervision.

Dietary advice

Avoid spicy, fried, and greasy foods, as well as alcohol, while taking this formula. These items generate internal heat and dampness, counteracting the formula's clearing and draining actions. Light, cooling foods such as pears, radish, and plenty of fluids are beneficial.

Qing Fei Yin originates from 《证治汇补》卷八引东垣方 Jin Dynasty (1115–1234), attributed to Li Dongyuan (Li Gao)

Classical Texts

Key passages from the classical Chinese medical texts that first described Qing Fei Yin and its clinical use

癃闭选方,清肺饮:东垣治肺热口渴,小便不通。茯苓、黄芩、桑皮、麦冬、车前、山栀、木通等分水煎。

(From the "Selections for Strangury and Blockage" section: Qing Fei Yin — [Li] Dongyuan treats lung heat with thirst and urinary blockage. Fu Ling, Huang Qin, Sang Bai Pi, Mai Dong, Che Qian Zi, Shan Zhi Zi, Mu Tong, equal parts, decocted in water.)

Historical Context

How Qing Fei Yin evolved over the centuries — its origins, lineage, and place in the broader tradition of Chinese medicine

This version of Qing Fei Yin is recorded in the Qing-dynasty compilation 《证治汇补》 (Compendium of Diagnoses and Treatments, 1687) by Li Yongcui, who attributes it to the Jin-Yuan dynasty master Li Dongyuan (Li Gao, 1180–1251). Li Dongyuan is famous for his Spleen-and-Stomach school, but this formula reflects his broader clinical approach: clearing Lung Heat to reopen the water passage above, thereby relieving urinary difficulty. The formula embodies the concept of “lifting the lid to pour the teapot” — by dispersing Lung Qi, the Bladder's function is restored. Multiple unrelated formulas share the name 清肺饮 across different texts, including those for acne (枇杷清肺饮, from 《医宗金鉴》) and for nasal polyps (辛夷清肺饮, from 《外科正宗》), so it is important to distinguish by composition.