Pi Pa Qing Fei Yin

Classical TCM Formula Profile

Part of the HJMEDICAL TCM Discovery Center

枇杷清肺飲 · Pí Pá Qīng Fèi Yǐn

A classical formula for Lung heat venting to the face as acne, pimples and red papules.

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Quick Facts

Formula Category
Heat-Clearing Formulas
Primary Pattern
Lung Heat
Primary Function
Clear Lung heat, resolve toxin, benefit skin
Primary Therapeutic Principle
Clear Lung heat that vents to the skin
Classical Source
Classical TCM formulary
Available as Granules
Yes

Formula Overview

A classical formula for Lung heat venting to the face as acne, pimples and red papules.

Therapeutic Principle

Traditionally selected for Lung heat venting to the face as acne, rather than boils, Lung-heat cough, or Stomach fire toothache.

Composition: Sovereign, Minister, Assistant, Envoy

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

Classical Composition

  • Cortex Mori (Sang Bai Pi) 12g
  • Folium Eriobotryae (Pi Pa Ye) 12g
  • Rhizoma Coptidis (Huang Lian) 6g
  • Cortex Phellodendri (Huang Bai) 6g
  • Radix et Rhizoma Ginseng (Ren Shen) 6g
  • Radix et Rhizoma Glycyrrhizae (Gan Cao) 3g

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

Related Health Topics

Actions

  • Clears lung heat and cools the blood to treat facial sores and acne.

Indications

  • This formula is indicated for lung heat steaming the face.
  • Signs and symptoms include acne or red papules, oily skin, and heat in the upper jiao.

Tongue & pulseThe tongue is red, and the pulse is rapid.

Traditional Pathogenesis

Cause & mechanism

  • This pattern arises when heat obstructs the lung and the lung fails to diffuse and descend.
  • Lung heat steaming the face produces acne, red papules and oily skin with heat in the upper jiao.

Clinical presentation

  • Heat scorches fluids and forces qi upward, producing cough, labored breathing, thirst and a rapid pulse.

Treatment strategy

  • The correct method is to clear lung heat, diffuse the lung, and descend counterflow qi.
  • In this formula the emphasis is to clear Lung heat that vents to the skin.

How does this formula compare?

Compare Pi Pa Qing Fei YinWu Wei Xiao Du YinXie Bai SanQing Wei San
Primary Function Clear Lung heat, resolve toxin, benefit skinClear heat, resolve toxin, disperse soresClear Lung heat, stop cough and wheezingClear Stomach heat, cool blood, relieve fire toxin
Formula Category Heat-Clearing FormulasHeat-Clearing FormulasHeat-Clearing FormulasHeat-Clearing Formulas
Typical TCM Pattern Lung HeatDamp-HeatLung HeatStomach Heat
Main Conditions Fever·Sore ThroatCough·Dry Cough·FeverHeadache
Main Herbs Ginseng Root·Coptis Rhizome·Phellodendron Bark·Licorice Root·Mulberry Root BarkHoneysuckle Flower·Wild Chrysanthemum·Viola·Semiaquilegia Root·DandelionMulberry Root Bark·Wolfberry Root Bark·Licorice Root·Non-glutinous RiceCoptis Rhizome·Raw Rehmannia Root·Moutan Bark / Tree Peony Bark·Chinese Angelica Root·Cimicifuga Rhizome
Classical Source Classical TCM formularyYi Zong Jin Jian (Qing dynasty)Li Dongyuan school / classicalLi Dongyuan school / classical

Clinical Perspective

Pi Pa Qing Fei Yin, Wu Wei Xiao Du Yin, Xie Bai San and Qing Wei San clear heat related to Lung or face. Wu Wei Xiao Du Yin clears heat toxin for boils; Xie Bai San clears constrained Lung heat cough; Qing Wei San clears Stomach fire toothache. Pi Pa Qing Fei Yin clears Lung heat venting to the face as acne and red papules.

Clinical Differentiation

  • Pi Pa Qing Fei Yin is used for lung heat steaming the face as acne or red papules.
  • It is distinguished from Qing Wei San (stomach fire in the gums) and from Wu Wei Xiao Du Yin (heat-toxin sores rather than lung-heat facial papules).

Safety notes: This formula clears lung heat. It is not appropriate for cold-type or blood-stasis facial lesions without heat.

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

Frequently Asked Questions

What are the actions of Pi Pa Qing Fei Yin?
Pi Pa Qing Fei Yin has the actions of clearing Lung Heat and draining Fire. It is a classical external-medicine formula for Lung-Heat sores on the face as well as Lung-Heat cough, using Pi Pa Ye to clear and descend Lung Heat.
Which modern conditions is Pi Pa Qing Fei Yin suited to?
Modern TCM clinical practice commonly applies it to individuals whose pattern differentiation falls within Lung Heat, including inflammatory facial acne of Lung-Heat type, some rosacea-like redness of this pattern, and cough with heat in the Lung after medical skin or respiratory causes have been assessed.
Is Pi Pa Qing Fei Yin suitable for improving red, inflamed facial acne from Lung Heat?
For presentations of red papules or pustules on the face (especially the forehead and cheeks), possible thirst, dry stool, a red tongue with yellow coating, and a rapid pulse — in those whose pattern differentiation confirms Lung Heat steaming the skin — TCM commonly applies Pi Pa Qing Fei Yin as an adjunct. Cystic or scarring acne still needs dermatologic care.
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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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