QING RE AN CHUANG WAN BP079

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QING RE AN CHUANG WAN BP079
Salvia & Scute Formula
TCM ACTIONS
Clears Heat from the Lung and Stomach, clears Heat Toxin,
clears Heat and cools the Blood, activates the Blood and dispels
stasis (to prevent scarring).
TCM SYNDROMES
Heat excess (or Damp-Heat) in the Lung and / or Stomach
Heat Toxin (localised in the skin)
Blood Heat
Blood stasis
INDICATIONS
Acne vulgaris (including nodulocystic and papulopustular acne).
SIGNS & SYMPTOMS
(key clinical features in bold)
Comedones (open and/or closed)
Inflammatory papules and pustules
Localised itching, burning, and possibly also pain
Nodules and cysts may also be present
Tongue is red, tongue coat yellow and may also be greasy
(normal in mild cases)
Pulse is rapid and wiry or rapid and slippery (normal in mild
cases)
INGREDIENTS
Each pill contains extract equiv. to dry:
Eriobotrya japonica, leaf (pi pa ye) 39.8 mg
Scutellaria baicalensis, root (huang qin) 39.8 mg
Salvia miltiorrhiza, root (dan shen) 39.8 mg
Paeonia veitchii, root (chi shao) 39.8 mg
Gardenia jasminoides, fruit (shan zhi zi) 39.8 mg
Lonicera japonica, flower (jin yin hua) 39.8 mg
Forsythia suspensa, fruit (lian qiao) 39.8 mg
Rehmannia glutinosa, root (sheng di huang) 39.8 mg
Crataegus pinnatifida, fruit (shan zha) 39.8 mg
Glycyrrhiza uralensis, root (gan cao) 16.6 mg
BP079 QING RE AN CHUANG WAN
CLINICAL GUIDE – Black Pearl ® Pill Range www.sunherbal.com 4th Edition
ACTIONS OF THE MAIN HERBS
Salvia root is used orally in formulas to treat angina, organ
enlargement, various types of pain (hypochondrium, abdominal,
epigastric, menstrual, traumatic), stroke, hepatic cirrhosis,
febrile illness, insomnia and carbuncles. It has been shown
to increase coronary blood flow, inhibit platelet aggregation,
improve the rheological state of the blood and reduce clotting.
In addition it has a broad spectrum antibacterial action.
Scutellaria root is used orally in formulas to treat acute infections of
the GIT, lung, liver, skin, etc. as well as to stop bleeding and prevent
miscarriage. It has been shown to have the following actions:
antibacterial, antiviral, anti-inflammatory, anti-allergic, antipyretic,
hypotensive, antispasmodic, cholagogue.
DOSAGE & COURSE OF TREATMENT
8 pills, 3 - 4 times daily, half to one hour away from food.
In severe cases and in the early stages of treatment (first 1 – 3
weeks) the dosage may be increased by up to 100%, depending
on the severity.
Course of treatment: 3 to 6 months.
CAUTIONS & CONTRAINDICATIONS
Avoid coffee, deep fried foods, high glycemic foods and
hydrogenated fats. Minimise consumption of saturated fats and
red meat. The affected areas should be kept clean.
Caution for those on anti-coagulant medications (i.e. Heparin,
warfarin or aspirin).
Do not take at the same time as iron supplements as the tannins
in Crataegus fruit interfere with the absorption of iron.
COMBINATIONS
• Mild to moderate acne:
+ Long Dan Xie Gan Tang (Gentiana Formula BP016)
• Moderate to severe acne:
+ Long Dan Xie Gan Tang (Gentiana Formula BP016)
+ Wu Wei Xiao Du Yin (Lonicera & Wild Chrysanthemum
Formula BP027)
• Acne that is aggravated or brought on by stress, or
premenstrual acne:
+ Jia Wei Xiao Yao San (Bupleurum & Peony Formula BP013)
• Acne with infection:
+ Si Miao Yong An Wan (Lonicera & Scrophularia Formula
BP059)

• Stubborn acne:
+ Long Dan Xie Gan Tang (Gentiana Formula BP016)
+ Yin Chen Hao Wan – Jia Wei (Artemisia & Rhubarb
Combination BP065)
• Nodulo-cystic type, due to Phlegm-Heat (select one or
more):
+ Nei Xiao Luo Li Wan (Prunella & Scrophularia Formula
BP043)
+ Yin Chen Hao Wan – Jia Wei (Artemisia & Rhubarb
Combination BP065)
+ Si Miao Yong An Wan (Lonicera & Scrophularia Formula
BP059)
COMMENTS
QING RE AN CHUANG WAN
BP079
Formulas that treat acne are generally based on Pi Pa Qing Fei Yin (Eriobotrya Formula to Clear
Heat from the Lung) from the ‘Golden Mirror of Medicine’, 1742, mainly due to the versatile
nature of the major ingredient: Eriobotrya leaf (pi pa ye). This herb (the leaf of the loquat tree)
clears Heat and Phlegm from the Lung and Stomach. In addition it sends the Qi downwards
and thus stops pathogenic Heat from rising up to the face.
In order to cover the additional pathologies of Heat Toxin and Blood stasis, which appear in the
more severe forms of this disorder, several modifications have been made to the base formula.
The combination of Lonicera flower (jin yin hua) and Forsythia fruit (lian qiao) clear Heat Toxin
from the skin and are supported by Scutellaria root (huang qin), Rehmannia root (sheng di
huang) and Gardenia fruit (shan zhi zi). Scutellaria not only clears Heat Toxin in the upper
body, it also has demonstrated anti-inflammatory and anti-allergic actions. Rehmannia cools
the Blood and has a moistening action on the skin. Gardenia promotes the discharge of Heat
through the urine. Salvia root (dan shen) and red Paeonia root (chi shao) are included to help
prevent scarring due to their Blood activating and stasis dispelling actions. In addition, they are
also cooling and assist the other herbs to reach their target by promoting microcirculation.
Finally, there are several herbs that have a demonstrated anti-lipemic action, some of which
have been found useful in treating skin disorders that are characterised by an excess of oily
secretions, such as acne. The ones used in this formula are: Crataegus fruit (shan zha), Salvia
root (dan shen), Lonicera flower (jin yin hua) and Glycyrrhiza root (gan cao).
The synergistic actions of the ingredients are as follows:
• Eriobotrya leaf (pi pa ye), Scutellaria root (huang qin), Gardenia fruit (shan zhi zi): clear
Damp-Heat in the Lung and Stomach
• Rehmannia root (sheng di huang), Gardenia fruit (shan zhi zi), Paeonia root (chi shao): clear
Heat and cool the Blood
• Scutellaria root (huang qin), Lonicera flower (jin yin hua), Forsythia fruit (lian qiao),
Glycyrrhiza root (gan cao): clear Heat Toxin
• Salvia root (dan shen), Paeonia root (chi shao), Crataegus fruit (shan zha): activate the Blood
and dispel stasis (to prevent scarring)
• Glycyrrhiza root (gan cao): harmonises the formula and protects the Stomach Qi from the
cooling and dispersing actions of the other herbs
BP079 QING RE AN CHUANG WAN
CLINICAL GUIDE – Black Pearl ® Pill Range www.sunherbal.com 4th Edition
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