Classical formula

Yu Ping Feng San

玉屏风散 yù píng fēng sǎn also known as Yu Ping Feng Powder, Jade Windscreen Powder

In skin practice, Yu Ping Feng San is used where the picture is chronic urticaria, urticaria, drug rash, cool or clammy skin sensation.

The surface is weak and leaky rather than under attack, so reactions recur, colds come easily and the skin is pale with a weak floating pulse. Huang Qi consolidates the exterior and stops the leaking sweat, Bai Zhu strengthens the Spleen that makes the Qi, and Fang Feng dispels Wind lightly so the tonics hold the surface. It is preventive, taken for weeks between flares, paused during an active infection and avoided in Damp-Heat.

3Herbs
4Actions
1Patterns
4Conditions
2Related
Powder (San)Qi-tonifying formulasExterior-consolidating formulas

What Yu Ping Feng San is for

The name means jade windscreen: a screen across the surface rather than an attack on anything. The skin picture is a surface that does not hold. It reacts to wind and draughts, flares in the same way again and again, and looks pale and thin rather than red.

The skin looks under-defended rather than inflamed. It is pale, thin and slightly cool, and it reacts to wind, draughts and changes of temperature with weals, blotches or a flush that fades as quickly as it appeared. Between reactions it can look almost normal, which is the point: nothing is fixed in the tissue, only the readiness to react is out of proportion. That is why the pattern is read as a surface that is weak and leaky rather than one under attack, and why a reaction can arrive after a draught when there is no other trigger in sight.

The same weakness shows in the tissue as a loss of tone: the skin does not hold its own moisture and can feel clammy at rest. Huang Qi consolidates the exterior and stops that leak, Bai Zhu strengthens the Spleen that produces the Qi which holds the surface, and Fang Feng dispels Wind lightly without prising the surface open. A Wind herb inside a consolidating formula is the design's cleverness: a small amount of dispersion keeps the tonics from stagnating and lets them hold the surface more firmly.

Because it builds rather than suppresses, the change in the skin is slow. It is taken between flares, over weeks, so that reactions become less frequent and less ready; it is not a treatment for an eruption that is already under way. It is paused during an active infection, when tonics could hold the pathogen in, and it is not for skin that is red, hot and weeping, which is a different direction entirely.

Actions

  • Tonifies Qi
  • Consolidates the exterior
  • Stops spontaneous sweating
  • Dispels Wind gently

Properties

  • Taste and temperature: Predominantly sweet and slightly pungent. Sweet tonifies and consolidates, pungent dispels Wind lightly without opening the surface.
  • Organs: Lungs, Spleen
  • Channels: Lung, Spleen

The pattern behind it

The root is Qi deficiency of the Lungs and Spleen, which leaves the surface weak and the pores poorly controlled. The result is a body that leaks sweat and admits pathogens easily. The formula tonifies the Qi and consolidates the surface, which is why it reduces recurrence rather than treating an established eruption.


Composition

The herbs in Yu Ping Feng San, with their role and dose.

Composition of Yu Ping Feng San
RoleHerbDosePropertiesWhy it is there
Deputy Huang Qi 15 to 30 g Slightly warm, Sweet Consolidates the exterior and stops spontaneous sweating, the main action of the formula.
King Bai Zhu 15 to 30 g Warm, Bitter, sweet Strengthens the Spleen, the source of the Qi that builds the surface defence.
Fang Feng 6 to 10 g Slightly warm, Pungent, sweet Dispels Wind lightly without weakening the surface, which is why it is included in a consolidating formula.

Patterns it treats

Protective Qi Deficiency

Pale, thin skin that reacts to wind and draughts, breaking into weals or blotches that recur in the same way and then fade. The surface is weak and leaky rather than inflamed, so no fixed lesion forms and the reaction comes and goes with the weather.

How the formula is built

Two tonics and one dispersing herb. The tonics build and hold the surface; Fang Feng prevents the tonics from becoming too cloying and helps them work by dispersing whatever Wind is already there. That is why a formula for a weak surface contains a Wind herb, and why it reduces recurrence rather than suppressing an eruption.


Skin conditions it is used for

Where this formula appears in the skin conditions of the library.


Preparation and use

Taken as a powder in warm water, or decocted, in two or three divided doses.

Modifications

  • If sweating is marked, the astringing action is increased.
  • If allergies dominate, herbs that dispel Wind are added.
  • If the Spleen is weak, digestive support is increased.
  • During an acute infection, the formula is paused until it clears.

Timing

Taken in two or three divided doses.

Duration

Two to four weeks per course, often repeated over one to three months, with periodic reassessment.

Diet while taking it

Warm cooked nourishing food; avoid cold and raw food that weakens the Spleen.


Safety

Contraindications

Avoid during an active exterior pattern: with fever, chills or an acute infection, the tonics can hold the pathogen in, so the formula is paused and resumed afterwards. Avoid in Damp-Heat or Yin deficiency with Heat.

Interactions

Huang Qi can affect blood sugar and immune function, so medical advice is needed in diabetes or on immunosuppressants.

Pregnancy

Generally considered safe in pregnancy, as none of the three herbs has abortifacient or uterine-stimulating properties, though professional guidance is appropriate.

Breastfeeding

Considered acceptable under professional guidance.

Children

Frequently used in children for recurrent colds, in reduced dose.

Before you use it

Recorded from the classical record and rewritten in this project's own words. Educational only: not a prescription, and recurrent infections or unexplained sweating need medical assessment.

General safety references

General references for herbal hepatotoxicity and herb-drug interactions; they are not specific to this formula.


Selected PubMed records

Traditional use

Real PubMed records for the modern, non-TCM discussion of this formula. They are references, not a claim that the formula is proven for any skin condition.


Origin and history

Yi Fang Kao (医方考, Investigations of Medical Formulas) by Wu Kun, Ming dynasty, 1584.

Wu Kun named the formula in 1584, and its image of a jade screen has made it one of the best-known preventive formulas in the tradition. It is used between illnesses rather than during them, with the aim of reducing how often the surface is breached, which is why it fits recurrent urticaria and repeated colds.


Classical record

Wu Kun recorded the three herbs as a formula for a weak surface that sweats spontaneously and admits Wind easily, describing it as a screen that protects rather than attacks.

Yi Fang Kao (医方考, Investigations of Medical Formulas), Wu Kun, Ming dynasty, 1584.


Evidence note

No controlled trial of this treatment in skin conditions was identified for this entry. What is described here rests on the classical and later materia medica record and on traditional clinical use, not on controlled trial evidence, and it is not a prediction of benefit. Where skin-specific research does exist it is linked above.

Common questions

Can it be taken during a flare?

It is a preventive formula and is paused during an acute infection or flare, then resumed afterwards once the surface has settled.

Why does a tonifying formula contain Fang Feng?

A small amount of Wind dispersion prevents the tonics from stagnating and helps them consolidate the surface more effectively.

How long does it take to work?

Weeks, because it builds the defence rather than suppressing symptoms. Courses of two to four weeks are typical, repeated over months.

Can it help chronic hives?

For the recurrent pattern on a weak surface, yes, used between episodes. Hives with an identified trigger need that trigger addressed.