Bai He Gu Jin Tang

Classical TCM Formula Profile

Part of the HJMEDICAL TCM Discovery Center

百合固金汤 · Bǎi Hé Gù Jīn Tāng

Classic formula for Lung and Kidney Yin deficiency with dryness and possible blood-streaked sputum. Used for chronic dry cough, night sweats and residual dryness after heat diseases.

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Quick Facts

Formula Category
Yin-Tonifying Formulas
Primary Pattern
Yin Deficiency
Primary Function
Nourish Lung-Kidney Yin, moisten Lungs, stop cough
Primary Therapeutic Principle
Nourish Lung and Kidney Yin, moisten the Lungs and stop cough
Classical Source
Shen Zhai Yi Shu (Ming dynasty) / traditional
Available as Granules
Yes

Formula Overview

Classic formula for Lung and Kidney Yin deficiency with dryness and possible blood-streaked sputum. Used for chronic dry cough, night sweats and residual dryness after heat diseases.

Therapeutic Principle

Traditionally selected for chronic Lung-Kidney Yin deficiency with a persistent dry cough, scanty or blood-streaked sputum and night sweats — a deeper, more sustained tonification than Sha Shen Mai Dong Tang, and nourishing where Qing Zao Jiu Fei Tang still clears active warm-dryness.

Composition: Sovereign, Minister, Assistant, Envoy

Every herb in the formula, grouped by the job it does in the classical hierarchy.

Classical Composition

  • Rehmanniae Radix Praeparata (Shu Di Huang) 3 qian (9g)
  • Rehmanniae Radix (Sheng Di) 3 qian (9g)
  • Angelicae Sinensis Radix (Dang Gui) 3 qian (9g)
  • Paeoniae Radix Alba (Bai Shao) 1 qian (6g)
  • Glycyrrhizae Radix et Rhizoma (Gan Cao) 1 qian (3g)
  • Platycodonis Radix (Jie Geng) 8 fen (6g)
  • Scrophulariae Radix (Xuan Shen) 1.5 qian (3g)
  • Fritillariae Bulbus (Bei Mu) 1.5 qian (6g)
  • Ophiopogonis Radix (Mai Dong) 1.5 qian (9g)
  • Lilii Bulbus (Bai He) 1.5 qian (12g)

Dosages follow the classical source and are shown for study, not as a prescription.

Related Conditions

Related Health Topics

Actions

  • Enriches and nourishes the lung and kidney
  • relieves cough and dissolves phlegm.

Indications

  • Bai He Gu Jin Tang is indicated for a pattern of lung-kidney yin deficiency with deficiency fire flaming upward.
  • The symptoms are coughing, labored breathing, blood in the sputum, dry and sore throat, dizziness and blurred vision, afternoon tidal fever.

Tongue & pulseThe tongue is red with scanty coating, and the pulse is thready and rapid.

Traditional Pathogenesis

Cause & mechanism

  • This pattern results from yin deficiency of the lung and kidney.
  • The lung is the mother of the kidney so lung deficiency often affects the kidney to cause yin deficiency of both the lung and kidney due to protracted disease.
  • Yin deficiency leads to internal heat and deficiency fire flaming upward, causing the failure of the lung to purify and descend, and produce coughing and labored breathing.
  • Deficiency fire scorches body fluids and causes a dry, sore throat and an afternoon tidal fever.
  • Vessels are scorched which causes blood in the sputum.
  • The purpose is to treat the root and branch simultaneously.

Treatment strategy

  • Suitable therapeutic methods include nourishing the yin-blood of the lung and kidney combined with clearing heat, dissolving phlegm and relieving cough.

How does this formula compare?

Compare Bai He Gu Jin TangSha Shen Mai Dong TangQing Zao Jiu Fei TangSang Xing Tang
Primary Function Nourish Lung-Kidney Yin, moisten Lungs, stop coughNourish Lung-Stomach Yin, generate fluidsClear Dryness, moisten Lungs, rescue Lung Yin and QiDisperse warm-dryness, moisten Lungs, stop cough
Formula Category Yin-Tonifying FormulasYin-Tonifying FormulasHeat-Clearing FormulasExterior-Releasing Formulas
Typical TCM Pattern Yin DeficiencyYin DeficiencyLung HeatWind-Heat
Main Conditions Dry Cough·Yin Deficiency Constitution·Night SweatsDry Cough·Yin Deficiency Constitution·Dry Mouth & ThroatDry Cough·Sore Throat·Dry Mouth & ThroatDry Cough·Dry Mouth & Throat·Sore Throat
Main Herbs Lily Bulb·Raw Rehmannia Root·Prepared Rehmannia Root·Ophiopogon Tuber·Scrophularia RootGlehnia Root·Ophiopogon Tuber·Fragrant Solomonseal Rhizome·Mulberry Leaf·Trichosanthes RootMulberry Leaf·Gypsum·Ophiopogon Tuber·Donkey-hide Gelatin·Black Sesame SeedMulberry Leaf·Bitter Apricot Kernel·Glehnia / Adenophora Root·Thunberg Fritillaria Bulb·Prepared Soybean
Classical Source Shen Zhai Yi Shu (Ming dynasty) / traditionalWen Bing Tiao Bian (Wu Jutong, Qing dynasty)Yi Men Fa Lu (Qing dynasty, Yu Chang)Wen Bing Tiao Bian (Wu Jutong, Qing dynasty)

Clinical Perspective

Bai He Gu Jin Tang strongly nourishes Lung-Kidney Yin. Sha Shen Mai Dong Tang is milder for Lung-Stomach Yin. Qing Zao Jiu Fei Tang clears warm-dryness with some nourishing. Sang Xing Tang is for early exterior warm-dryness.

Clinical Differentiation

  • This formula is commonly used to treat lung-kidney yin deficiency with deficiency fire flaming upward to cause coughing with blood in the sputum.
  • This clinical pattern is marked by cough, labored breathing, dry and sore throat, red tongue with scanty coating, thready and rapid pulse.

Safety notes: This formula is enriching and somewhat cloying. It is not appropriate for phlegm-damp cough or for spleen-stomach deficiency-cold.

For educational reference only, based on traditional pattern differentiation — not a substitute for professional advice.

Frequently Asked Questions

What are the actions of Bai He Gu Jin Tang?
Bai He Gu Jin Tang has the actions of nourishing the Yin of the Lung and Kidney, moistening the Lung, transforming phlegm, and stopping cough. It also clears deficiency Heat and helps cool the Blood to address blood-streaked sputum.
Which modern diseases is Bai He Gu Jin Tang suited to?
Modern TCM clinical practice commonly applies it to individuals whose pattern differentiation falls within Lung and Kidney Yin deficiency with deficiency Fire, including chronic bronchitis, bronchiectasis with blood-streaked sputum, chronic pharyngitis or laryngitis, pulmonary tuberculosis (as an adjunct), and post-viral or chronic dry cough.
Is Bai He Gu Jin Tang suitable for improving dry cough with blood-streaked sputum?
For presentations of dry cough (possibly with sticky or blood-streaked sputum), dry or sore throat, afternoon tidal fever, night sweats, hot palms and soles, a red tongue with little coating, and a thin rapid pulse — in those whose pattern differentiation confirms Lung and Kidney Yin deficiency with rising deficiency Fire — TCM commonly applies Bai He Gu Jin Tang as an adjunct. It cannot replace standard medical treatment.
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Medical Disclaimer

For general TCM education only — not medical advice. Consult a qualified TCM practitioner or licensed healthcare provider before use, especially if pregnant, nursing, on medication, or managing a chronic condition.

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