清鼻汤

4. Granule conversion and dose

Calculation of total raw herb weight in the original formula:

Shi Gao (gypsum) 15 g + Sang Ye (mulberry leaf) 9 g + Mai Dong (ophiopogon tuber) 4 g + E Jiao (donkey-hide gelatin) 3 g + Hu Ma Ren (sesame seed) 3 g + Xing Ren (apricot kernel) 2 g + Pi Pa Ye (loquat leaf) 3 g + Ren Shen (ginseng) 2 g + Gan Cao (licorice root) 3 g = 44 g.

Conversion to 5:1 granules:

44 g raw herbs ÷ 5 = 8.8 g granules.

Granule dose: Take in 2-3 doses daily, dissolved in warm water. About 3-4.5 g per dose.

5. Cautions and clinical notes

[Contraindications]:

1. Use with caution or avoid in cases of Spleen-Stomach vacuity cold with loose stool. Most herbs in this formula are sweet, cold, and moistening in nature, and may readily damage Spleen yang.
2. Not suitable for those with abundant internal phlegm-damp presenting with cough and copious phlegm.
3. Avoid in externally contracted cool-dryness (marked by pronounced chills, cough with thin phlegm, nasal congestion, and dry throat).

[Safety warnings]:

1. Xing Ren in this formula is slightly toxic; ProCare Herbs granules undergo standardized processing during preparation to ensure safety.
2. This formula is for severe patterns of warm-dryness; it should be discontinued once the condition resolves and is not suitable for prolonged use.

Modern applications: Mainly used for pneumonia, bronchitis, radiation pneumonitis, lung cancer, chronic pharyngitis, and Sjögren's syndrome, where the pattern is warm-dryness invading the Lung with combined damage to qi and yin.

Duration of use: For acute-phase treatment, usually taken for 1-2 weeks. May be discontinued once heat recedes, cough and panting subside, and fluids gradually recover. For regulation of chronic conditions, may be taken for 2-4 weeks as directed.