Bi Xie Fen Qing Yin

Classical TCM Formula Profile

Part of the HJMEDICAL TCM Discovery Center

萆薢分清飲 · Bì Xiè Fēn Qīng Yǐn

A classical formula for cloudy urine and frequent urination from lower-jiao cold-damp with Kidney deficiency.

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Quick Facts

Formula Category
Dampness-Draining Formulas
Primary Pattern
Dampness
Primary Function
Separate clear from turbid, warm Kidney, drain damp
Primary Therapeutic Principle
Warm the Kidney and separate clear and turbid fluids
Classical Source
Ji Sheng Fang (Yan Yonghe, Song)
Available as Granules
Yes

Formula Overview

A classical formula for cloudy urine and frequent urination from lower-jiao cold-damp with Kidney deficiency.

Therapeutic Principle

Traditionally selected for cloudy or white urine from lower-jiao cold-damp with Kidney deficiency, rather than heat-type lin syndromes or pure water-retention.

Composition: Sovereign, Minister, Assistant, Envoy

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

Classical Composition

  • Dioscoreae Hypoglaucae Rhizoma (Bi Xie) 12g
  • Fructus Alpiniae Oxyphyllae (Yi Zhi Ren) 9g
  • Radix Linderae (Wu Yao) 9g
  • Rhizoma Acori Tatarinowii (Shi Chang Pu) 6g

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

Related Conditions

Related Health Topics

Actions

  • Warms the kidney
  • separates the clear from the turbid
  • and treats cloudy urine.

Indications

  • This formula is indicated for kidney yang failing to separate the clear from the turbid.
  • Signs and symptoms include cloudy urine like rice-water without burning, lumbar cold, and a deep pulse.

Traditional Pathogenesis

Cause & mechanism

  • This pattern is due to dampness obstructing the middle jiao or channels.
  • Dampness is heavy and lingering; it impedes qi movement and produces fullness, heaviness, loose stools or edema.
  • Kidney yang failing to separate the clear from the turbid produces cloudy urine like rice-water without burning heat.

Treatment strategy

  • The correct method is to leach out dampness, awaken the spleen, and move qi.
  • In this formula the emphasis is to warm the Kidney and separate clear and turbid fluids.

How does this formula compare?

Compare Bi Xie Fen Qing YinWu Ling SanZhu Ling TangBa Zheng San
Primary Function Separate clear from turbid, warm Kidney, drain dampPromote urination, drain Dampness, warm YangPromote urination, clear Heat, nourish YinClear heat, drain damp, promote urination, unblock lin
Formula Category Dampness-Draining FormulasDampness-Draining FormulasDampness-Draining FormulasHeat-Clearing Formulas
Typical TCM Pattern DampnessDampnessDamp-HeatDamp-Heat
Main Conditions Frequent Urination·EdemaEdema·Frequent Urination·Damp ConstitutionEdema·Frequent Urination·Yin Deficiency ConstitutionFrequent Urination·Abdominal Pain·Dry Mouth & Throat·Constipation
Main Herbs Fish-Poison Yam Rhizome·Alpinia Oxyphylla Fruit·Lindera Root·Grassleaf Sweetflag RhizomeAlisma Rhizome·Poria / Hoelen·Polyporus·White Atractylodes Rhizome·Cinnamon TwigPolyporus·Poria / Hoelen·Alisma Rhizome·Talcum·Donkey-hide GelatinPlantago Seed·Dianthus·Knotweed·Talcum·Gardenia Fruit
Classical Source Ji Sheng Fang (Yan Yonghe, Song)Shang Han Lun (Zhang Zhongjing, Eastern Han)Shang Han Lun (Zhang Zhongjing, Eastern Han)Tai Ping Hui Min He Ji Ju Fang (Song dynasty)

Clinical Perspective

Bi Xie Fen Qing Yin, Wu Ling San, Zhu Ling Tang and Ba Zheng San all address urinary turbidity or difficulty, but target different patterns. Wu Ling San and Zhu Ling Tang focus on water metabolism; Ba Zheng San clears lower-jiao damp-heat. Bi Xie Fen Qing Yin warms the Kidney and separates clear from turbid for cold-damp cloudy urine with deficiency signs.

Clinical Differentiation

  • Bi Xie Fen Qing Yin is used when kidney yang fails to separate the clear from the turbid, producing cloudy urine like rice-water without burning.
  • It is distinguished from Ba Zheng San and Bi Xie Shen Shi Tang, which treat damp-heat lin rather than cold-turbid separation failure.

Safety notes: This formula is warm. It is not appropriate for damp-heat cloudy lin with burning and a yellow greasy coating.

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

Frequently Asked Questions

What are the actions of Bi Xie Fen Qing Yin?
Bi Xie Fen Qing Yin has the actions of warming the Kidneys, draining dampness, and separating the clear from the turbid. It is primarily used for patterns of lower-jiao deficiency-cold with damp turbidity descending, presenting as cloudy or milky urine and frequent urination.
Which modern conditions is Bi Xie Fen Qing Yin commonly applied to?
In modern TCM clinical practice it is frequently used for patients whose pattern differentiation matches lower-jiao deficiency-cold with damp turbidity, including chronic prostatitis, chyluria, chronic cystitis, and leukorrhea (white vaginal discharge) with the corresponding cold-damp presentation.
Is Bi Xie Fen Qing Yin suitable for treating cloudy or milky urine?
For presentations of frequent urination with cloudy, milky, or paste-like urine resembling rice water, accompanied by a pale tongue with white coating and a deep pulse — when pattern differentiation confirms lower-jiao deficiency-cold with damp turbidity — TCM commonly applies Bi Xie Fen Qing Yin as an adjunct. It cannot replace standard medical evaluation.
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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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