Bi Xie Fen Qing Yin萆薢分清饮
Dioscorea Drink to Separate the Clear
Ingredients4 herbs
Indications
Turbid urination from cold in a deficient lower burner: without warmth the qi transformation of the Bladder fails, so clear and turbid are no longer separated and essence-like turbidity leaks away with the urine.
Clinical Manifestations
- Cloudy white urine like rice water
- Thick, paste-like turbid urine
- Frequent urination with a cold lower abdomen
- Chronic turbid discharge with no burning
- Cloudy urine in a patient who feels the cold
Health Categories
Modern Applications
Common adjustments
- Kidney yang is markedly weak — add Rou Gui 肉桂 and Bu Gu Zhi 补骨脂
- Leakage is persistent — add Sang Piao Xiao 桑螵蛸 and Fu Pen Zi 覆盆子
- Qi is depleted with a bearing-down feeling — add Huang Qi 黄芪 and Sheng Ma 升麻
- Damp-heat signs appear (burning, yellow urine) — switch strategy — the damp-heat version of this formula from 《医学心悟》 is the appropriate one
Contraindications
Not for turbid urination from damp-heat, where the urine burns, is dark or yellow, and the coating is yellow and greasy — warming herbs will feed that. Persistently cloudy urine needs a medical work-up: infection, chyluria, proteinuria and prostatic disease all present this way and none should be managed as a pattern alone.
For licensed practitioners’ reference only — not a self-treatment guide.
Pregnancy
Use with caution in pregnancy — the aromatic warming herbs are not routinely used in pregnancy, and cloudy urine during pregnancy should be investigated for infection before any herbal treatment.
Related Formulas
References
Source Yang Shi Jia Cang Fang 《杨氏家藏方》 · Southern Song
- Classical source of record (public domain).
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.