Yupingfeng San
An individualized Yupingfeng San plan may be used as an adjunct for allergic rhinitis with lung-Qi deficiency and external wind-cold: clear nasal discharge, sneezing, and itching readily triggered by cold wind, pale swollen nasal mucosa, aversion to wind, spontaneous sweating, fatigue, and shortness of breath. Core herbs are Huangqi, Baizhu, and Fangfeng; the physician determines modifications. A 2024 international guideline gives this pattern formula a strong GRADE-TCM 1B recommendation. This is the guideline's own framework and must not be converted into high-quality modern pharmacologic evidence or a claim to “cure allergy.”
This plan applies to clear nasal discharge, sneezing, and itching readily triggered by cold wind, pale swollen nasal mucosa, aversion to wind, spontaneous sweating, fatigue, and shortness of breath consistent with lung-Qi deficiency and external wind-cold. The formula framework is Huangqi, Baizhu, and Fangfeng, with physician-determined modifications and no fixed gram amounts. A qualified clinician must differentiate the pattern, and the hospital pharmacy must review actual herbs, processing, dosage form, and modifications. It cannot replace an intranasal corticosteroid, second-generation antihistamine, allergen management, indicated immunotherapy, or asthma care. A 2024 international guideline gives this pattern formula a strong GRADE-TCM 1B recommendation; this grade belongs to the guideline's own system and must not be converted into high-quality modern drug evidence or a claim to “cure allergy.” Do not take it indefinitely as a general cold-prevention medicine. Immunosuppression, pregnancy or breastfeeding, hepatic or renal abnormality, and polypharmacy require review.
Quick Reference
Treatment
20 mins – 45 mins
Observation
0.2 months – 0.5 months
Department
Traditional Chinese Medicine Otolaryngology
Who Is This For
Is Yupingfeng San Right for You?
Good Candidates
- Allergic rhinitis confirmed from symptoms, exposure, nasal examination, and clinical relevance of specific sensitization
- Clear nasal discharge, sneezing, and itching triggered by cold wind, pale swollen nasal mucosa, aversion to wind, spontaneous sweating, fatigue, and shortness of breath indicating lung-Qi deficiency and external wind-cold
- Willingness to reassess predefined symptom and functional measures at 7 to 14 days rather than continuing indefinitely without supervision
- Understanding that this plan cannot replace an intranasal corticosteroid, second-generation antihistamine, allergen management, indicated immunotherapy, or asthma care
May Not Be Suitable
- Marked wheeze or breathlessness, progressive unilateral nasal obstruction, recurrent epistaxis, bloody discharge, periorbital swelling, or visual change
- Pregnancy or breastfeeding, childhood, hepatic or renal dysfunction, or polypharmacy without specific assessment
- Allergy to formula ingredients, a previous severe adverse drug reaction, or inability to obtain dispensing from a compliant pharmacy
Step-by-Step Process
How Yupingfeng San Works
Confirm the disease and exit conditions
Review allergic-rhinitis type and severity, allergen testing, and asthma comorbidity and exclude marked wheeze or breathlessness, progressive unilateral obstruction, recurrent epistaxis, bloody discharge, periorbital swelling, and visual change.
Differentiate the pattern and review the evidence boundary
Confirm clear discharge, sneezing, and itching triggered by cold wind, pale swollen nasal mucosa, aversion to wind, spontaneous sweating, fatigue, and shortness of breath indicating lung-Qi deficiency and external wind-cold. Explain that the strong GRADE-TCM 1B recommendation in the 2024 guideline belongs to its own system and does not mean high-quality modern drug evidence or an allergy cure.
Physician prescribing and pharmacist review
The physician prescribes from a base of Huangqi, Baizhu, and Fangfeng and determines actual modifications. Fixed gram amounts are not provided; the hospital pharmacy checks identity, processing, contraindications, and interactions.
Short-cycle reassessment
Reassess predefined symptoms, function, and adverse effects at 7 to 14 days. If there is no clear benefit or the condition changes, stop renewal and return to causal and standard-care pathways.
Start with a short prescription and reassess at 7 to 14 days. Longer use requires renewed confirmation of the diagnosis, pattern, hepatic and renal function, interactions, and uninterrupted standard treatment.
Cost Information
Cost Estimate for Yupingfeng San
What's Included
Actual costs should be understood as uninsured full self-pay for a person not resident in China in a standard outpatient clinic. The physician must determine the specific herbs, doses, composition, dosage form, dispensing method, and course from the diagnosis and TCM pattern. Final prices may therefore differ considerably between patients; rely on the actual prescription and the treating hospital's charges.
Before Your Visit
What to Prepare
Required Tests & Examinations
If you already have recent valid test results, bring the reports. If not, these assessments can usually be completed in China before the procedure.
Allergic-rhinitis type and severity, allergen testing, and asthma-comorbidity information
Review of every current prescription and nonprescription medicine, herbal medicine, and supplement
CBC and hepatic and renal function selected according to disease, age, and medicine risk
Documents & Materials to Bring
Required to Bring
Disease diagnosis, stage, and recent test information
A complete list of medicines, allergies, and adverse reactions
A 1- to 2-week symptom or function record
Traceable herbs or compliant preparations from a hospital pharmacy
Companion & Support
Most adults do not need a companion. Family help to review medicines is advisable for first use, older age, multiple conditions, or international care.
After Treatment
Recovery & Follow-Up
Record changes in symptoms and function and avoid starting several new treatments whose effects cannot be distinguished.
Short-term improvement must not interrupt intranasal corticosteroids, second-generation antihistamines, allergen management, indicated immunotherapy, or asthma care.
Promptly report a new rash, difficulty breathing, jaundice, marked weakness, palpitations, or urine-volume change.
Do not buy loose herbs, copy the prescription, increase the amount, or extend the course on your own.
Follow-Up Schedule
Formally review at 7 to 14 days. Stop and seek immediate care for disease warning signs, allergy, persistent gastrointestinal reactions, jaundice, urine-volume change, palpitations, or neurologic symptoms.
Related Conditions
Conditions This Procedure Treats
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