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Cura x Cura

Qing Wei San清胃散

Clear the Stomach Powder

Clearing Heat 清热剂Clear Organ Heat 清脏腑热

Ingredients5 herbs

Indications

Drains Stomach fireCools the blood, disperses the swellingVents heat upward and outward rather than trapping it

Stomach fire flaring upward, often after rich, hot or greasy food or after excessive warming tonics. The Stomach channel runs through the gums and face, so its fire shows there first; when the fire persists it scorches the blood and the gums bleed.

Clinical Manifestations

  • Toothache that radiates into the head, better with cold
  • Red, swollen, bleeding or ulcerated gums
  • Bad breath with a dry mouth and thirst
  • Mouth ulcers and a swollen, painful cheek or lip
  • Facial acne along the Stomach channel with heat signs
TongueRed with a dry yellow coating
PulseSlippery and rapid, or large and rapid

Health Categories

Digestive Health

Modern Applications

ToothacheGingivitisMouth ulcersHalitosisPeriodontal inflammation

Common adjustments

  • Constipation with the fire — add Da Huang 大黄 to give the heat a way out below
  • Heavy gum bleeding — add cooling stanching herbs such as Bai Mao Gen 白茅根
  • Marked thirst and fluid damage — add Shi Gao 石膏 and Mai Men Dong 麦门冬
  • Yin deficiency underlying the fire (dry mouth at night, thin rapid pulse) — shift toward Yu Nü Jian Yu Nu Jian instead

Contraindications

Not for toothache of wind-cold, and not for the dull toothache with loose teeth of Kidney deficiency, where the pain is mild and worse with fatigue rather than with heat. Not for Spleen and Stomach deficiency cold. Dental infection needs dental care — this addresses the pattern, not the tooth.

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

Pregnancy

Use in pregnancy only under practitioner supervision — Mu Dan Pi moves blood and is used cautiously in pregnancy, and the formula is cold enough to trouble the middle burner. Dental pain in pregnancy should be assessed by a dentist.

Related Formulas

References

Source Pi Wei Lun 《脾胃论》 · Jin

  1. Classical source (public domain) — composition per the standard textbook record.
    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.