This is frequent bouts of non-productive coughing, other accompanied symptoms include cough-induced chest pain, a flushed face, throat and mouth dryness. The symptoms usually fluctuate along with emotional changes. The tongue is red and covered by dry and yellow fur; the pulse is taut and rapid.
The remedy should clear the lungs, soothe the liver, smooth qi flow and check fire.
Sample prescription: Modified Purging Lung Powder plus Indigo and Clam Shell Powder plus baical skullcap root
In the prescription, the indigo and clam shell clear liver-heat and resolve phlegm; the baical skullcap root, mulberry root-bark and wolfberry root-bark clear the lung-heat; the rice and liquorice root nourish the stomach so as to replenish body fluids. Additional herbs are necessary when certain symptoms are obvious, for example:
When there are symptoms like a flushed face and irritability, extra herbs are necessary to clear the liver-fire.
| zhi zi | gardenia fruit | Fructus Gardeniae |
| mu dan pi | peony root bark | Crotex Moutan |
Severe chest tightness and breath shortness can be relieved by smoothing lung qi with herbs like:
| ting li zi | pepperweed seed | Semen Lepidi |
| gua lou | snakegourd peel | Fructus Trichosanthis |
| zhi ke | bitter orange peel | Fructus Aurantii |
TCM believes that chest or rib pain is a sign of stagnation in the liver meridian, and if this is the case other herbs should be added:
| yu jin | turmeric root-tuber | Radix Curcumae |
| si gua luo | loofah | Retinervus Luffae Fructus |
Excessive heat usually leads to sticky mucus which is difficult to expectorate; some herbs can help clear heat and promote expectoration.
| hai fu shi | pumice stone | |
| zhe bei | thunberg fritillary bulb | Bulbus Fritillariae Thunbergii |
| dong gua ren | winter gourd kernel | Semen Benincasae |
Persistent coughing accompanied with excessive dryness in the throat and mouth, indicate that the lungs are damaged, and need proper nourishment. Suitable herbs include:
| bei sha shen | coastal glehnia root | Radix Glehniae |
| bai he | lily bulb | Bulbus Lilii |
| mai dong | dwarf lily-turf tuber | Radix Ophiopogonis |
| tian hua fen | snakegourd root | Radix Trichosanthis |
| he zi | myrobalan fruit | Fructus Chebulae |



