Does Qingfei Decoction Have Bronchodilator Effects? - Traditional Chinese Medicine

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I would like to ask if Qingfei Decoction has bronchodilator effects, as I am taking Entalapril and cannot take medications that have bronchodilator properties.
Thank you.

Xiang, 30~39 year old female. Ask Date: 2022/12/04

Dr. Zhang Weidong reply Traditional Chinese Medicine


Hello, Xiang: The question you asked falls within the field of pharmacology of traditional Chinese medicine.
I recommend seeking out a professor specializing in this area to address your inquiry, so I apologize for not being able to answer your question! Zhang Wei-Dong, Department of Traditional Chinese Medicine, Changhua Hospital, Ministry of Health and Welfare.

Reply Date: 2022/12/04

More Info


Qingfei Decoction, a traditional Chinese herbal formula, is often used for respiratory issues, particularly in the context of treating conditions like cough, phlegm, and other symptoms associated with respiratory tract infections. The question regarding whether Qingfei Decoction has bronchodilator effects is quite relevant, especially for individuals who are on medications like Ental (Montelukast), which is used for asthma and allergies but contraindicates the use of certain bronchodilators.

To address the question, it is essential to understand the components of Qingfei Decoction and their pharmacological actions. The decoction typically includes herbs such as Huangqi (Astragalus membranaceus), Gancao (Glycyrrhiza uralensis), Jiegeng (Platycodon grandiflorum), and Fangfeng (Saposhnikovia divaricata), among others. These herbs are known for their various therapeutic properties, including anti-inflammatory, immune-boosting, and expectorant effects.

While Qingfei Decoction is primarily recognized for its ability to clear phlegm and alleviate cough, its direct bronchodilator effects are not as well-documented as those of conventional bronchodilators like beta-agonists (e.g., albuterol) or anticholinergics. However, some studies suggest that certain components of Qingfei Decoction may have mild bronchodilatory effects due to their anti-inflammatory properties, which can help reduce airway inflammation and improve airflow indirectly.

For individuals taking medications like Ental, which is a leukotriene receptor antagonist, it is crucial to avoid combining treatments that may have strong bronchodilator effects unless supervised by a healthcare provider. The concern is that combining multiple bronchodilators can lead to excessive dilation of the airways, which may cause side effects or complications.

In summary, while Qingfei Decoction may provide some supportive benefits for respiratory health, it should not be relied upon as a primary bronchodilator. If you are considering using Qingfei Decoction alongside your current medications, it is advisable to consult with your healthcare provider or a qualified herbalist who understands both Western and traditional Chinese medicine. They can provide personalized guidance based on your specific health needs and medication regimen.

In conclusion, while Qingfei Decoction may not have significant bronchodilator effects comparable to conventional medications, its supportive role in managing respiratory symptoms can be beneficial. Always prioritize safety and efficacy by discussing any new treatments with your healthcare provider, especially when dealing with chronic respiratory conditions.

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