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Qing Hao Bie Jia Tang

Traditionally used for: Short-term use with a trained practitioner; A lingering low fever that a doctor has already checked.

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What is Qing Hao Bie Jia Tang? Qing Hao Bie Jia Tang is a Chinese herbal formula. Five herbs are boiled together into a tea. It is also called Sweet Wormwood and Soft-Shelled Turtle Shell Decoction. In Chinese medicine it is used for a low fever that comes back in the evening or at night. The old texts tie it to heat left over at the end of a long illness. Night sweats and a dry mouth are part of the same picture. Our library lists this as a single drug entry (TCM formula). It is not one plant but one named mix, used and sold as a unit. Human trial proof is thin. Long use in one tradition is not the same as proof that a remedy works, and we say so here once rather than in every section. We grade the evidence as insufficient. How does Qing Hao Bie Jia Tang work? No one has shown clearly how this formula acts in the body. The old texts give their own picture in their own words. In that picture, Bie Jia (turtle shell) reaches deep to draw hidden heat up. Qing Hao (sweet wormwood) then carries that heat out through the skin. The other three herbs are said to cool the blood and moisten dryness. Lab and animal work shows that some of these plants can lower fever and slow germs in a dish. That work does not tell us what the whole tea does in a person. Treat the old language as a map of use, not as biology. What forms does Qing Hao Bie Jia Tang come in? The classic form is a decoction. You simmer the raw herbs in water and drink the strained liquid. Many people now use granules. These are dried water extracts that you stir into hot water. Pills, capsules and ready-made liquids are also sold. Strength varies a lot between brands, so read the label each time. Some makers now leave the turtle shell out or swap it for a plant substitute. Check the label if you avoid animal products. Buy only from sellers who name the source of any turtle shell. Where it comes from: The formula comes from the Wen Bing Tiao Bian, a Chinese text of 1798 by Wu Ju-tong. That book belongs to the warm disease school, which dealt with fevers. It has stayed in use for more than two hundred years. It is taught in Chinese medicine schools today and appears in standard formula books. That gives it a solid place in one tradition. It does not give it trial proof.

Helps

What does Qing Hao Bie Jia Tang help with? Low fever that returns in the evening or at night: This is the main classic use, and it is where the formula sits in Chinese medicine texts. A practitioner would pick it when the fever rises at night and falls by morning. We found no published human trial that tests this use, so the support is tradition, not proof. Night sweats: Old texts list night sweats with a dry mouth as part of the same pattern. Herbalists use the formula for this, often after an illness. There is no trial evidence. Night sweats plus weight loss need a doctor first, as they can point to a serious illness. Fever with no clear cause, after tests: Some Chinese hospital reports describe this use alongside normal care. We could not find a well-run, clearly published trial. Never treat an unexplained fever on your own; get it checked first. Feeling hot and dry late in a long illness: Tradition sees this as heat sitting deep with fluids used up. The formula was built for that picture. Evidence here is traditional only. Hot flushes with a dry mouth: Some practitioners use it this way by pattern, not by diagnosis. No trial has tested it for hot flushes. Do not expect it to act like a menopause treatment.

Qing Hao Bie Jia Tang

Quick Facts

  • What it is: A five-herb Chinese tea, listed as a single drug entry (TCM formula), used for a low fever that returns at night.
  • Main uses: Evening or night fever, Night sweats, Feeling hot and dry after a long illness
  • Best for: Short-term use with a trained practitioner, A lingering low fever that a doctor has already checked
  • Active ingredients: Artemisinin from sweet wormwood, Paeonol from tree peony bark, Catalpol from rehmannia root, Mangiferin and saponins from anemarrhena, Collagen and minerals from turtle shell
  • Forms: Raw herb decoction, Granules, Pills, Capsules, Ready-made liquid
  • Time to effect: Tradition expects a few days; no trial has measured this.
  • Side effects: Mostly loose stools and stomach upset; bleeding and liver strain are rare but serious.
  • Pregnancy & breastfeeding: Not studied in pregnancy; avoid unless your clinician advises otherwise.

Educational information, not medical advice — ask your doctor or midwife.

What is Qing Hao Bie Jia Tang?

Qing Hao Bie Jia Tang is a Chinese herbal formula. Five herbs are boiled together into a tea. It is also called Sweet Wormwood and Soft-Shelled Turtle Shell Decoction.

In Chinese medicine it is used for a low fever that comes back in the evening or at night. The old texts tie it to heat left over at the end of a long illness. Night sweats and a dry mouth are part of the same picture.

Our library lists this as a single drug entry (TCM formula). It is not one plant but one named mix, used and sold as a unit.

Human trial proof is thin. Long use in one tradition is not the same as proof that a remedy works, and we say so here once rather than in every section. We grade the evidence as insufficient.

How does Qing Hao Bie Jia Tang work?

No one has shown clearly how this formula acts in the body. The old texts give their own picture in their own words.

In that picture, Bie Jia (turtle shell) reaches deep to draw hidden heat up. Qing Hao (sweet wormwood) then carries that heat out through the skin. The other three herbs are said to cool the blood and moisten dryness.

Lab and animal work shows that some of these plants can lower fever and slow germs in a dish. That work does not tell us what the whole tea does in a person. Treat the old language as a map of use, not as biology.

What forms does Qing Hao Bie Jia Tang come in?

The classic form is a decoction. You simmer the raw herbs in water and drink the strained liquid.

Many people now use granules. These are dried water extracts that you stir into hot water.

Pills, capsules and ready-made liquids are also sold. Strength varies a lot between brands, so read the label each time.

Some makers now leave the turtle shell out or swap it for a plant substitute. Check the label if you avoid animal products. Buy only from sellers who name the source of any turtle shell.

Where it comes from:

The formula comes from the Wen Bing Tiao Bian, a Chinese text of 1798 by Wu Ju-tong. That book belongs to the warm disease school, which dealt with fevers.

It has stayed in use for more than two hundred years. It is taught in Chinese medicine schools today and appears in standard formula books.

That gives it a solid place in one tradition. It does not give it trial proof.

Who should avoid Qing Hao Bie Jia Tang?

  • Do not use this formula if you are pregnant or trying to get pregnant. This is an absolute rule, because two of the herbs are said to move blood and may risk the pregnancy.
  • Do not use it if you are breastfeeding, as it has not been tested in breast milk.
  • Do not use it if you take warfarin or any other blood thinner, unless your doctor agrees and checks you.
  • Do not use it if you have a bleeding disorder (a condition where blood does not clot well), such as haemophilia.
  • Do not use it in the two weeks before or after any surgery or dental surgery.
  • Do not use it if you have liver disease, hepatitis (swelling of the liver) or raised liver blood tests.
  • Do not use it if you are allergic to plants in the daisy family, such as ragweed, chamomile or mugwort.
  • Do not give it to a child with a fever without a doctor's advice.
  • Do not use it to treat a fever on your own before a doctor has found the cause.
  • Never buy a product whose turtle shell comes from a wild or unnamed source, as some turtle species are protected by law.

When should you see a doctor?

See a doctor now if your fever goes above 39C (102F), or if any fever lasts more than three days.

Get urgent help for a fever with a stiff neck, a rash that does not fade when pressed, confusion, or trouble breathing.

Book an appointment if you have night sweats with weight loss, a cough that will not clear, or lumps you can feel. These need tests, not herbs.

Stop the formula and call your doctor if you notice yellow skin or eyes, dark urine, deep tiredness, unusual bruising, or bleeding that will not stop.

Evidence grades and traditional-use labels are explained in our methodology. Nothing here is medical advice.

Reviewed by the HealisticMD editorial team How we grade evidence →

The published evidence for Qing Hao Bie Jia Tang is weak or absent. That usually means no controlled trial has tested it, not that a trial found it ineffective — the two are different, and we grade only what has been published.

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