Fa Ban Xia (法半夏; Fǎ Bàn Xià; Latin: Pinelliae Rhizoma Praeparatum; English: processed pinellia) is the processed product of Pinellia ternata (Thunb.) Breit., prepared with licorice and lime solution. In Chinese medicine it is a phlegm-transforming herb. It is acrid and warm, enters the Spleen, Stomach, and Lung channels, and its core action is to dry dampness and transform phlegm. The teaching point is much-phlegm cough and wheeze, and phlegm-fluid dizziness with palpitations. Raw Ban Xia is toxic. Do not take it raw.
It is not Qing Ban Xia. Clear-processed pinellia is stronger at drying dampness and transforming phlegm, and leans toward damp-phlegm. It is not Jiang Ban Xia. Ginger-processed pinellia is stronger at descending counterflow and stopping vomiting. Fa Ban Xia is specific for drying dampness and transforming phlegm. Warm dryness is slightly milder. Do not combine it with Chuan Wu, Zhi Chuan Wu, Cao Wu, Zhi Cao Wu, or Fu Zi. Use caution in pregnancy. Yin-deficiency dry cough, with no phlegm, is a poor match. Severe cough and wheeze, and dizziness, need a clinic.
It is used most often for three patterns:
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Much-phlegm cough and wheeze — severe cases need a clinic
- Phlegm-fluid dizziness and palpitations
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Wind-phlegm dizziness, phlegm-reversal headache — seek care
The usual decoction dose is 3–9 g. Acrid, warm, and dry, it is not a daily “phlegm pinellia” tea. Drying when there is no damp-phlegm injures fluids.
When damp-phlegm fills the Lung, or phlegm-fluid disturbs upward, cough, wheeze, and dizzy palpitations are common. Fa Ban Xia is acrid-warm. It dries and transforms phlegm, which is why it appears in Er Chen Tang–type formulas. It warms and dries more than it moistens. A dry red tongue and a dry cough with no phlegm get drier if more is added.
Fa Ban Xia is not a catch-all dampness or phlegm tuber. In yin-deficiency dry cough, with no damp-phlegm, combined with aconite-type drugs, or in pregnancy, using it alone is a poor match. Which processing should be decided by a licensed Chinese medicine practitioner after pattern diagnosis.