Question Details
Qing Fei Tang For Aspiration Pneumonia
by
bfellis
-
July 18, 2026
Replies
by
naturevet
July 19, 2026
Hi Brett,
No, I haven't used that formula. My take is it tries to be everything to everyone, with moistening herbs, anti-Phlegm herbs, heat-clearing herbs, Wind expellers and astringents. Bound to be some conflict somewhere among those ingredients, or at least some inappropriateness to a given patient. It's true that in humans, very chronic coughs can have elements of dryness, tenacious Phlegm, excess coughing that damages Qi, and lingering inflammation, so I guess it has its applications. For a dog to benefit from this formula, that's how they'd have to look: phlegmy, Yin deficient, protracted coughing, with a sore throat and or/Wind Heat invasion.
When we look at the points, the story your patient is telling is Shao Yang disharmony (GB25), leading to Wind (BL 13) Damp invasion (LV 13), possibly with Kidney deficiency (GV 3). Or the latter can just be helping with the nosebleeds by internalizing Yang. If you were to continue some form of Minor Bupleurum, I suppose the Qing Fei Tang might eventually help, but it doesn't seem as on point as Minor Bupleurum (or even Chai Hu Jia Long Gu Mu Li Tang) plus San Ren Tang. In theory, based on your points, the latter duo should address:
- megaesophagus
- epistaxis (CHJLGMLT is one of my favourites for this)
- pneumonia
Qing Fei Tang would not likely help a lot with megaesophagus anyway, and expends effort where you may not need it, diluting out the herbs that might help a lot.
So, that's my take, but I'm willing to be taken to school! If you use Qing Fei Tang, let us know how it goes!
Steve
No, I haven't used that formula. My take is it tries to be everything to everyone, with moistening herbs, anti-Phlegm herbs, heat-clearing herbs, Wind expellers and astringents. Bound to be some conflict somewhere among those ingredients, or at least some inappropriateness to a given patient. It's true that in humans, very chronic coughs can have elements of dryness, tenacious Phlegm, excess coughing that damages Qi, and lingering inflammation, so I guess it has its applications. For a dog to benefit from this formula, that's how they'd have to look: phlegmy, Yin deficient, protracted coughing, with a sore throat and or/Wind Heat invasion.
When we look at the points, the story your patient is telling is Shao Yang disharmony (GB25), leading to Wind (BL 13) Damp invasion (LV 13), possibly with Kidney deficiency (GV 3). Or the latter can just be helping with the nosebleeds by internalizing Yang. If you were to continue some form of Minor Bupleurum, I suppose the Qing Fei Tang might eventually help, but it doesn't seem as on point as Minor Bupleurum (or even Chai Hu Jia Long Gu Mu Li Tang) plus San Ren Tang. In theory, based on your points, the latter duo should address:
- megaesophagus
- epistaxis (CHJLGMLT is one of my favourites for this)
- pneumonia
Qing Fei Tang would not likely help a lot with megaesophagus anyway, and expends effort where you may not need it, diluting out the herbs that might help a lot.
So, that's my take, but I'm willing to be taken to school! If you use Qing Fei Tang, let us know how it goes!
Steve
by
bfellis
July 21, 2026
I will follow your lead! I will let you know how it goes. Thank you!!!
Brett
Brett
by
bfellis
July 21, 2026
I meant Bo He Wan, not Bu Fei Tang in my original post to address megaesophogus, but when I look at this thin patient with Damp Heat signs and a nose bleed, your combination makes much better sense of her complete story..I am not completely sure if I tried tonification of GB25 but at next recheck I will to see if that moderates pulse as well. Do you ever tonify some GB points while tonifying others like we do with the GV? Should an entire meridian be sedated or tonified accordingly or will some areas require one or the other to moderate the pulse? I guess you just need to moderate the damn pulse, but the interpretation of the pulse response keeps me up at night!! :)
Thanks again.
Brett
Brett
Thanks again.
Brett
Brett
by
naturevet
July 26, 2026
Hi again,
Tonifying GB 25 means internalizing Yang. Tonifying GV 3 (especially if sedating upper burner GV points) descends Yang. So the two points are somewhat synergistic.
If the above was happening, I would expect a superficial pulse to become deeper (and probably more compact) in response
S
Tonifying GB 25 means internalizing Yang. Tonifying GV 3 (especially if sedating upper burner GV points) descends Yang. So the two points are somewhat synergistic.
If the above was happening, I would expect a superficial pulse to become deeper (and probably more compact) in response
S
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