Skip to content

Bei Mu Gua Lou San贝母瓜蒌散

Fritillaria & Trichosanthes Powder (Fritillaria & Trichosanthes Fruit Formula)

Treating Dryness 治燥剂润燥化痰

Indications

Moistens the Lung and clears heatTransforms dry phlegm, stops coughRegulates qi so the phlegm can be expelled

Dry phlegm in the Lung: dryness and heat have consumed Lung fluids, and the little phlegm that forms becomes thick and adherent. The strategy inverts the usual phlegm approach — moisten and clear, never dry.

Clinical Manifestations

  • Dry cough with scanty sticky sputum that is hard to bring up
  • Dry scratchy throat, hoarseness
  • Cough lingering after a febrile illness
  • Autumn-dryness cough, or cough in heated dry rooms
  • Dry mouth and nose with chest discomfort from coughing
TongueRed with a dry white or scanty coating
PulseThin and rapid

Health Categories

Respiratory Health

Modern Applications

Common adjustments

  • Marked fluid damage, thirst — add Mai Men Dong, Sha Shen
  • Sore, swollen or hoarse throat — add Xuan Shen 玄参, Niu Bang Zi 牛蒡子
  • Persistent Lung heat — add Sang Bai Pi 桑白皮, Huang Qin 黄芩
  • Blood-streaked sputum — add cooling stanching herbs such as Bai Mao Gen 白茅根, Ou Jie 藕节, and reassess the diagnosis

Contraindications

Not for damp-phlegm or cold-phlegm cough with copious watery white sputum — moistening herbs make that picture heavier. Its sweet, moistening character can dull the appetite in Spleen-deficient patients with loose stools, and a cough with fever or blood needs assessment before any formula is chosen.

For licensed practitioners’ reference only — not a self-treatment guide.

Pregnancy

Avoid during pregnancy unless a practitioner decides otherwise — Tian Hua Fen and Gua Lou are both traditionally restricted in pregnancy.

References

Source Yi Xue Xin Wu 《医学心悟》 · Qing dynasty

「燥痰涩而难出,多生于肺,肺燥则润之。」
— 《医学心悟》(classical source, public domain)
  1. Classical source (public domain), cited in the source-quote section.
    2. Scheid, Bensky, Ellis & Barolet. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. — composition & dosage cross-checked.
    3. 《方剂学》(全国中医药行业高等教育规划教材)— pattern analysis cross-checked.

Professional reference notice. Entries are scholarly references for licensed TCM practitioners and students — not medical advice, and not a recommendation to self-prescribe. Chinese herbal formulas should be used under the guidance of a qualified practitioner. Content is an original editorial compilation by Cura x Cura, cross-checked against the cited references.