Cynanchum Root — Classic Formulas

Bai Qian · Rhizoma Cynanchi Stauntonii

Primary Actions

  • Directs Lung Qi downward and transforms phlegm - Bai Qian is a core herb for cough, dyspnea, chest fullness, and noisy phlegm when the Lung fails to descend.
  • Relieves cough in both cold-phlegm and mixed obstruction patterns - its action is broad enough to appear in formulas for new or chronic cough, especially when phlegm is prominent.
  • Opens the chest and eases labored breathing - by restoring the descending function of Lung Qi, it helps reduce a sense of blockage in the chest and difficulty exhaling.

Classic Formulas

  • Zhi Sou San - Bai Qian works with Jing Jie and Jie Geng to stop lingering cough after an exterior pathogen has not fully resolved.
  • Bai Qian Wan - a traditional pairing with Lung-draining herbs such as Sang Bai Pi and Ting Li Zi for cough and dyspnea with heat or retained phlegm.
  • Bai Qian with Su Zi, Ban Xia, and Bai Jie Zi - a common cold-phlegm strategy for chest fullness, cough, and difficult expectoration.

Classical Text References

  • Traditional sources describe Bai Qian as acrid, bitter, and slightly warm, entering the Lung to descend Qi, transform phlegm, stop cough, and relieve dyspnea.
  • The herb is repeatedly praised for handling cough with profuse phlegm regardless of whether the presentation leans somewhat cold or somewhat warm, as long as phlegm obstruction is central.
  • Older cautions note that Bai Qian can irritate the Stomach and should be used carefully in patients with weak digestion or a tendency to bleeding.