Chaihu Guizhi Tang: The Formula That Has Worked Wonders for Me in Treating COVID-19

Doctor zhou
Chaihu Guizhi Tang comes from Zhang Zhongjing Shanghan Lun and is a classic famous formula. It is composed of "Guizhi one and a half liang, Shaoyao one and a half liang, Huangqin one and a half liang, Renshen one and a half liang, Zhi Gancao one liang, Banxia two and a half ge, Dazao six pieces, Shengjiang one and a half liang, Chaihu four liang." The preparation: "decoct the nine herbs in seven sheng of water down to three sheng, strain, and take one sheng warm."
My modern dosing: Guizhi 9 g, Huangqin 9 g, Renshen 9 g, Zhi Gancao 6 g, Fabanxia 12 g, Baishao 9 g, Chaihu 24 g, Dazao 12 pieces, Shengjiang 7 slices, decoct in water. Add two and a half bowls of water, boil over high heat then simmer 10–15 minutes, pour out the liquid, then boil the liquid down to one bowl. In emergencies, use high heat from the start, boiling two and a half bowls down to one, and take immediately. One dose daily, decocted twice, split into three portions after morning, noon and evening meals.
Adult dose above; infants 0–3 take one third; children 4–10 take half; over 10 take adult dose. Or convert by body weight: under 20 kg take one third, 20–40 kg take half, over 40 kg adult dose. All later formulas below are adult doses; children scale down by these ratios.
For severe cases relieved after one dose, take two doses in a day plus one at night, a portion every two hours, until fever and body pain ease. Few need this. In critical cases relieved after dosing, continue one dose by day, one at night. Viral pneumonia progressing to critical cannot wait a moment; delay means death. But if there is no clear effect or side effects, stop at once.
Article 146 of Shanghan Lun describes the indication: "After six or seven days of cold damage, fever, slight aversion to cold, vexing pain in the limbs and joints, mild vomiting, a binding sensation below the heart, with the exterior pattern not yet resolved—Chaihu Guizhi Tang governs." In modern terms: six to seven days into cold damage, the patient still feverish with slight aversion to cold, aching joints, irritability, mild nausea, chest stuffiness and epigastric fullness, with the exterior pattern not gone—use Chaihu Guizhi Tang.
The "exterior pattern" is the biaozheng of TCM, describing aversion to cold and fever. TCM says "for each degree of aversion to cold, there is one degree of exterior pattern"; until the exterior is resolved, resolve it first.
Chaihu Guizhi Tang is actually the combination of Guizhi Tang and Xiao Chaihu Tang.
Guizhi Tang has very broad indications; many Shanghan Lun clauses discuss it.
For example, Article 12: "Taiyang wind-stroke, yang floating and yin weak; floating yang gives spontaneous fever, weak yin gives spontaneous sweating; shivering aversion to cold, windy dislike, gentle fever, nasal snoring and mild vomiting—Guizhi Tang governs." Article 13: "Taiyang disease, headache fever, sweating and aversion to wind—Guizhi Tang governs." Article 15: "After purging in Taiyang disease, if the qi surges upward, Guizhi Tang may be given." Article 24: "After first taking Guizhi Tang, if vexation arises and does not resolve, first needle Fengchi and Fengfu, then give Guizhi Tang and recovery follows." Article 25: "After Guizhi Tang, great sweating with a surging pulse—give Guizhi Tang." Article 53: "Spontaneous sweating when the ying-qi is harmonious; the exterior is unharmonized because wei-qi does not harmonize with ying-qi. Since ying moves within vessels and wei without, induce sweat again; when ying and wei harmonize, recovery—Guizhi Tang is appropriate." Article 54: "When the organs have no other disease but fever and spontaneous sweating recur and do not resolve, this is disharmony of wei-qi; induce sweat before the episode and recovery—Guizhi Tang appropriate." Article 57: "After cold-damage sweating has resolved, half a day later the patient again becomes vexed with a floating rapid pulse; induce sweat again—Guizhi Tang appropriate." Article 95: "Taiyang disease with fever and sweating is weak ying and strong wei, hence sweating; to rescue the evil wind, Guizhi Tang is appropriate." Article 234: "Yangming disease, slow pulse, profuse sweating, slight aversion to cold—the exterior unresolved; induce sweat, Guizhi Tang appropriate." Article 276: "Taiyin disease with floating pulse; induce sweat, Guizhi Tang appropriate." Article 386: "When vomiting and diarrhea cease but body pain lingers, carefully harmonize the exterior; Guizhi Tang to mildly harmonize."
Guizhi Tang indications are extremely broad; in short, if the patient has the main signs—sweating, aversion to wind, fever, body pain—then no matter how complex the accompanying signs, use Guizhi Tang.
Guizhi Tang formula: Guizhi 15 g, Baishao 15 g, Zhi Gancao 10 g, Dazao 7 pieces, Shengjiang 7 slices.
Guizhi Tang has had many uses in this COVID wave; many patients, given it early, did not progress.
Xiao Chaihu Tang also has broad indications; many clauses mention it. Article 96: "After five or six days of cold damage or wind-stroke, alternating fever and chills, fullness in the chest and sides, taciturnity with no appetite, irritability and frequent vomiting, or vexation in the chest without vomiting, or thirst, or abdominal pain, or hard fullness below the ribs, or palpitations below the heart with difficult urination, or no thirst with mild fever, or cough—Xiao Chaihu Tang governs." Article 97: "When blood is weak and qi exhausted, the interstices open and evil enters, contending with righteous qi and binding below the ribs; pain below while evil above causes vomiting—Xiao Chaihu Tang governs." Article 99: "After four or five days, fever and aversion to wind, stiff neck, fullness below the ribs, warm hands and feet with thirst—Xiao Chaihu Tang governs." Article 100: "In cold damage, the yang pulse is rough and the yin pulse wiry; there should be urgent abdominal pain; first give Xiao Jianzhong Tang, and if not cured, Xiao Chaihu Tang governs." Article 101: "In cold damage or wind-stroke, if even one Chaihu sign is present, no need for all; after purging a Chaihu pattern, if the Chaihu pattern remains, give Chaihu Tang again; there will be steaming and shivering, then fever, sweating and resolution." Article 144: "In a woman seven or eight days into wind-stroke, alternating fever and chills with regular onset, menses just ended—this is heat entering the blood chamber; the blood must bind, causing malaria-like regular episodes—Xiao Chaihu Tang governs." Article 148: "After five or six days, head sweating, slight aversion to cold, cold hands and feet, pain below the heart, no desire to eat, hard stool, fine pulse—this is yang mild bind; there must be exterior and interior. A deep pulse indicates interior; head sweating indicates yang mild. Were it pure yin bind, there would be no exterior signs; here it is half interior, half exterior. Though the pulse is deep and tight, it is not Shaoyin disease, because yin patterns do not sweat; head sweating shows it is not Shaoyin. Give Xiao Chaihu Tang; if not fully resolved, it resolves upon bowel movement." Article 229: "Yangming disease, tidal fever, loose stool, normal urination, chest-side fullness not gone—give Xiao Chaihu Tang." Article 230: "Yangming disease, hard fullness below the ribs, no bowel movement but vomiting, with a white tongue coating—give Xiao Chaihu Tang." Article 231: "Yangming wind-stroke, wiry floating large pulse, shortness of breath, abdominal fullness, pain below the ribs and heart that does not ease with pressure, dry nose, no sweat, somnolence, whole body and eyes yellow, difficult urination, tidal fever, frequent retching, swelling before and behind the ear; needling helps a little. After ten days, if the pulse remains floating, give Xiao Chaihu Tang." Article 266: "When a Taiyang disease unresolved transfers to Shaoyang, with hard fullness below the ribs, retching and no appetite, alternating fever and chills, no purging/vomiting yet, deep tight pulse—give Xiao Chaihu Tang." Article 378: "Vomiting with fever—Xiao Chaihu Tang governs." Article 393: "After cold damage has resolved, fever again arises—Xiao Chaihu Tang governs."
Xiao Chaihu Tang indications are very broad: alternating chills and fever, cough, nausea, retching, vomiting, abdominal pain, no appetite, loss of taste, profuse head sweating, constipation, loose stool, somnolence, nasal congestion, dry nose; women whose COVID during menses causes irregular periods, abdominal or body pain—all can use Xiao Chaihu Tang. It too has had many uses in this wave.
Xiao Chaihu Tang formula: Chaihu 24 g, Renshen 9 g, Huangqin 9 g, Fabanxia 9 g, Zhi Gancao 9 g, Shengjiang 7 slices, Dazao 7 pieces, decoct in water.
Chaihu Guizhi Tang combines Guizhi Tang and Xiao Chaihu Tang; use it when a patient has both, or when signs look like either and are hard to distinguish. Three days into this COVID wave, the great majority of patients showed the Chaihu Guizhi Tang pattern, not a pure Guizhi or Xiao Chaihu pattern.
I enumerate these indications in such detail to show that the varied symptoms we see in COVID patients (including the gynecological symptoms many women report) are not new. The Han physician Zhang Zhongjing already documented them thoroughly, with very effective formulas.
If you are a clinician seeing many COVID patients, you will be amazed how many of the symptoms we see were already described in detail by Zhang Zhongjing. If patients miss the best early window, most will develop the Chaihu Guizhi Tang pattern.
My own experience: the prodrome of COVID is mild aversion to cold; acting then with the hairdryer sweating method I described can intercept the disease. But if not intercepted at this mild stage, most patients develop fever, aversion to cold, aching joints, irritable insomnia, night sweats, and some nausea, dizziness, cough, epigastric fullness, no appetite, or a tight feeling in the precordium.
Searching the classics, the best-matching formula is Chaihu Guizhi Tang. So in this wave I used it on over 80% of mild, moderate and severe COVID patients, basically relieving them with one dose; a few needed 2–3 doses. Severe patients get additions based on their condition and need individualized integrated care, because most have underlying disease.
Of course, some patients have COVID plus other pathogens, so their symptoms differ. TCM differentiation means treating the pattern; without the key signs, Chaihu Guizhi Tang is not appropriate.
Many TCM experts call COVID a wind-heat cold, others a cold-damp plague; I agree with neither. By the six-meridian pattern of Shanghan Lun, it is a classic cold-damage syndrome with its various transformations. Early on, use natural sweating methods (see my article "If You Have Caught COVID-19, Try This Method"), or the four classic Taiyang exterior formulas: Mahuang Tang, Guizhi Tang, Gegen Tang, Guizhi Jia Gegen Tang. Intercepted early, most patients do not progress to severity.
Without early interception, patients do not wait six or seven days but reach the Chaihu Guizhi pattern in just two or three. COVID progresses fast; some, untreated promptly, soon die of stroke or cardiac events. Others progress to pneumonia, and severe cases develop large pleural effusions (white lung).
Uncomplicated moderate/severe COVID patients who take Chaihu Guizhi Tang promptly have rapid, clear relief of main symptoms—fever breaks and strength returns quickly. Most I treated broke fever and recovered strength within 24 hours; slightly frailer patients took 2–3 days; some immunodeficient cancer patients took a little longer.
A few patients are left with milder symptoms—sore throat, slight diarrhea—but these are tolerable, need no further medicine, and resolve over the next three or four days. Complex patients—with underlying disease or other pathogens—need integrated care and multiple approaches.
In this wave I remotely guided over ten thousand patients nationwide with the same regimen. Any uncomplicated COVID case with the above signs, treated with this set of cold-damage formulas for Taiyang-Shaoyang combination, gives immediate results. By immediate I mean what lay people call "one cup of the right-tasting broth," with obvious relief in a single dose—the patient transformed before and after—no three to five days of pills.
Frankly, if you need three to five or even seven to eight days of pills, was it the drug or the patient own immunity? Many recover without drugs anyway. Over 90% of patients ease markedly in seven to eight days; if you need seven to eight days of pills, how is that different from self-recovery? As the saying goes, "a slow physician meets a frantic emergency"; COVID progresses fast, and slow drugs can harm patients with underlying disease. Frail patients delayed at the mild stage may progress to severe.
I very much hope a hospital runs a controlled trial of Chaihu Guizhi Tang; based on my own use, I firmly believe its effect is reliable and its cost low.
Of course individualized care is always best. As I wrote last time, we are not fighting COVID alone but a combined fleet of coronavirus, influenza, RSV and possibly strep and other resistant bacteria. So some cases are complex and need individualized diagnosis.
But that is an ideal; at peak it is unrealistic fantasy. In a medical crunch, finding an effective formula used promptly can prevent many patients worsening to severe and save many lives.
Below are some cases treated with Chaihu Guizhi Tang in this wave.
The first case: Dr. Luo at the Donghua Health Center in Liuzhou, Guangxi, after reading my article, used my Chaihu Guizhi Tang on a female patient with recurrent five-day fever unbroken by five days of IV drips. Dr. Luo suggested she try the formula; after one dose the fever broke immediately.
I list this case first because it is what I most want to see: medical staff reading my articles, shedding sectarian bias, and trying this formula to benefit more patients and save more lives.
The second patient: Ms. Deng, a cervical-cancer patient in Louxing District, Loudi, Hunan. On the evening of December 24, 2022 she began headache and fever; on the 25th, after ginger-scallion-tangerine peel water, the fever and headache resolved. On the nights of the 26th–27th she developed low fever, which she ignored. On the night of the 27th she spiked a high fever again; taking Xiao Chaihu granules, the fever broke but quickly returned.
After recurrent fever unbroken by every method, she turned to me. I prescribed Chaihu Guizhi Tang and told her to try one dose. The fever broke but recurred; I told her to take 1–2 more doses, after which fever resolved and she was settled. She then used a facial mask and triggered a headache, so I told her to take one more dose and stop when the headache eased.
The third patient is my older brother in Shenzhen. He fell ill December 20, 2022, with prior throat discomfort; I had urged him to use the hairdryer sweating method at once to intercept it. But he refused to believe he had COVID, thinking it was ordinary "shanghuo," and drank two cans of herbal tea to "clear heat." Afterward he worsened rapidly and antigen turned positive. On the 20th he ran a high fever; with Western fever reducers at hand, the fever temporarily broke but quickly returned.
Fearing to infect his wife and child, he isolated alone with no one to care for him. Fever lasted three days, unbroken by reducers. By day four I was alarmed—his constitution is frail and he had had his gallbladder removed, and I feared severe disease. I was about to fly from Beijing to Shenzhen to care for him; he too panicked and, following my original Chaihu Guizhi Tang prescription, bought three doses. He boiled and drank one in the afternoon and one in the evening; the fever broke completely and never rebounded.
The fourth and fifth patients are my junior fellow apprentice parents in Nanning, Guangxi. Both have underlying disease and, days after onset, still could not break the fever with generalized pain; hospital gave no relief. Someone in their family had just died of COVID, adding to their terror. I prescribed Chaihu Guizhi Tang; one dose relieved them.
The sixth is my own teacher (shifu), formerly vice president of our county TCM hospital, an orthopedist. After onset he had days of recurrent fever, fatigue and weakness. He thought his relapse came from washing hair/bathing; in fact he had never fully recovered. I prescribed the original Chaihu Guizhi Tang; after one dose he was markedly better the next day, and my teacher wife, taking it too, did equally well.
The seventh is an elderly relative in my Hubei hometown, ill for over ten days. Fever gone, but aversion to cold, weakness, generalized pain, vertigo so severe she could not stand and was bedridden; a young villager had just died suddenly of COVID, terrifying her.
On learning this, I prescribed the original Chaihu Guizhi Tang, 1–3 doses. One dose markedly relieved her but did not cure; two more doses basically cleared all symptoms, leaving only a tight precordium—a sign of cardiomyocyte injury. I then had her take Shengmai Yin three times daily and boil 3–5 raw hawthorns daily. After this, the precordial tightness also eased markedly.
The eighth and ninth patients are my high-school teacher and his wife, now in Danzhou, Hainan. My teacher wife has asthma, which had flared before this wave; though herbs eased it, she still coughed and wheezed. I especially feared she would not survive this. On December 24, 2022, by which time Chaihu Guizhi Tang had shown strong effect, I told her at once to lay in 10 doses to take upon infection.
On December 26, both teacher and wife were infected, with fever and body pain. After Chaihu Guizhi Tang, one dose each gave marked relief. Her asthma also improved on the formula—seeming better than prior formulas—so she continued it.
The tenth patient is my uncle by marriage, now in Shanghai with my cousin; he already had leg pain before onset. Recently the whole family caught COVID; after onset he was generally unwell with incessant leg pain. I treated him with Chaihu Guizhi Tang; after one dose he called to say the pain had eased markedly.
Many friends of mine in Beijing have taken my Chaihu Guizhi Tang, all relieved by one dose, rarely needing two.
I have also tailored Chaihu Guizhi Tang: with芒硝 and dahuang for cancer patients with COVID plus bowel obstruction; combined with Erchen Tang for COPD patients with COVID phlegm nearly choking them; combined with Huangqi Fangji Tang for the nasopharyngeal-cancer patient who nearly suffocated; combined with Huangqi Fangji Tang or Fuling Fangji Tang for cancer patients with pleural effusion—all relieved markedly after one dose. There are many more such cases, too many to list.
If this formula worked slowly or inconsistently, I would never recommend it. The patients I have treated with it span the country, north and south, and over 80% relieved with one dose. That is why I have written repeatedly to recommend it.
I hope the relevant state authorities organize controlled clinical trials of Chaihu Guizhi Tang for mild, moderate and severe COVID. With so many patients now, we can run evidence-based controlled studies of TCM formulas and screen reliable ones.
If double-blind trials confirm a significant effect, it should be promoted in medical institutions and made into convenient granules, used as an adjunct to prevent mild-to-severe progression and to rescue severe patients, lowering case fatality.
Below are the combined formulas I used in this wave.
Chaihu Guizhi Tang plus Mangxiao and Dahuang: Guizhi 9 g, Huangqin 9 g, Renshen 9 g, Zhi Gancao 6 g, Fabanxia 12 g, Baishao 9 g, Chaihu 24 g, Mangxiao (Mirabilite) 20–30 g (taken in 2 divided doses), raw Dahuang (Rheum) 6–10 g (added late), Dazao 12 pieces, Shengjiang 7 slices, decoct. Two and a half bowls water, boil high then simmer 10–15 min, pour out, then boil liquid to one bowl. One dose daily, decocted twice, taken in 2 portions.
For COVID patients with Chaihu Guizhi indications plus bowel obstruction, severe constipation, and blocked urination, who fail Chaihu Guizhi or Xiao Chaihu. Split the decoction in two; the patient takes half, observe eight hours. If within eight hours both bowel and bladder move and body pain eases, do not continue this formula—switch to Chaihu Guizhi or Xiao Chaihu. If after eight hours no urine or stool, take the other half.
Chaihu Guizhi Tang combined with Erchen Tang: Guizhi 9 g, Huangqin 9 g, Renshen 9 g, Zhi Gancao 6 g, Fabanxia 12 g, Juhong 12–30 g, Fuling 30 g, Wumei (smoked plum) 10 g, Baishao 9 g, Chaihu 24 g, Dazao 12 pieces, Shengjiang 7 slices, decoct. Two and a half bowls, boil high then simmer 10–15 min, pour out, then boil liquid to one bowl. One dose daily, decocted twice, split into 3 after meals.
For COVID patients with Chaihu Guizhi indications plus sticky hard-to-cough phlegm, chest tightness and breathing difficulty.
Chaihu Guizhi Tang combined with modified Fangji Fuling Tang: Guizhi 15 g, Huangqin 9 g, Renshen 9 g, Zhi Gancao 6 g, Fabanxia 12 g, Baishao 9 g, Chaihu 24 g, Sheng Huangqi 30 g, Fuling 30 g, Zhuling 9 g, Han Fangji 15 g, Huainiuxi 15 g, Cheqianzi 15 g, Sangbaipi 9 g, Yiyiren 30 g, Dazao 12 pieces, Shengjiang 7 slices, decoct. One dose daily, decocted twice, split into 3 after meals.
For COVID patients with Chaihu Guizhi indications plus pleural effusion, chest tightness and breathlessness.
Chaihu Guizhi Tang combined with modified Huangqi Fangji Tang: Guizhi 9 g, Huangqin 9 g, Renshen 9 g, Zhi Gancao 6 g, Fabanxia 12 g, Baishao 9 g, Chaihu 24 g, Sangbaipi 9 g, Sheng Huangqi 30 g, Han Fangji 20–30 g, Chao Baizhu 20–30 g, Fuling 30 g, Zhuling 9 g, Huainiuxi 15 g, Cheqianzi 15 g, Yiyiren 30 g, Dazao 12 pieces, Shengjiang 7 slices, decoct. One dose daily, decocted twice, split into 3 after meals.
For COVID patients with Chaihu Guizhi indications plus pleural effusion, profuse sweating, shortness of breath, chest tightness and breathlessness.
Chaihu Guizhi Tang combined with modified Huangqi Shengmai San: Guizhi 9 g, Huangqin 9 g, Renshen 9 g, Zhi Gancao 6 g, Fabanxia 12 g, Baishao 9 g, Chaihu 24 g, Wuweizi 12 g, Maidong 15 g, Tiandong 15 g, Huangjing 30 g, Sheng Huangqi 30 g, raw Shanzha 30 g, Dazao 12 pieces, Shengjiang 7 slices, decoct. One dose daily, split into 3 after meals.
For COVID patients with Chaihu Guizhi indications plus palpitations, tight precordium, mild chest pain and other signs of myocardial injury.
Chaihu Guizhi Tang combined with modified Ercao Dan: Guizhi 9 g, Huangqin 9 g, Renshen 9 g, Zhi Gancao 6 g, Fabanxia 12 g, Baishao 9 g, Chaihu 24 g, Mohanlian (Eclipta) 30 g, Cheqiancao (Plantago herb) 30 g, Huainiuxi 15 g, Dazao 12 pieces, Shengjiang 7 slices, decoct. One dose daily, split into 3 after meals.
For COVID patients with Chaihu Guizhi indications plus hematuria and difficult urination.
Chaihu Guizhi Tang combined with Erzhi Wan and modified Baihe Dihuang Tang: Guizhi 9 g, Huangqin 9 g, Renshen 9 g, Zhi Gancao 6 g, Fabanxia 12 g, Baishao 9 g, Chaihu 24 g, Mohanlian 30 g, Nüzhenzi (Ligustrum) 15 g, Suanzaoren 9 g, Yuanzhi 9 g, Hehuanpi (Albizia bark) 9 g, Meiguihua (rose) 6 g, Huaixiaomai (oat) 30 g, Baihe 9 g, Sheng Dihuang (raw Rehmannia) 9 g, Dazao 12 pieces, Shengjiang 7 slices, decoct. One dose daily, split into 3 after meals.
For COVID patients with Chaihu Guizhi indications plus severe anxiety, insomnia, irritability or depression.
Chaihu Guizhi Tang plus Mugua Niuxi Tang: Guizhi 9 g, Huangqin 9 g, Renshen 9 g, Zhi Gancao 6 g, Fabanxia 12 g, Baishao 9 g, Chaihu 24 g, Dazao 12 pieces, Mugua 30 g, Huainiuxi 15 g, Duzhong 9 g, Xuduan 9 g, Luxiancao 9 g, Shengjiang 7 slices, decoct. One dose daily, split into 3 after meals.
For COVID patients with Chaihu Guizhi indications plus severe low-back and leg pain not relieved by Chaihu Guizhi Tang alone.
The main side effects reported for this series are post-dose irritable insomnia and diarrhea; if these appear and fever/body pain are not clearly relieved, stop the series at once and seek another formula.
Elderly frail patients or those with cancer and other underlying disease, after recovering from COVID, are usually weak; once Chaihu Guizhi Tang has broken fever and pain, promptly take tonifying formulas to root-support and boost immunity. Residual symptoms may be eased with patent medicines.
For heart-failure fatigue use Shengmai Yin oral liquid; for dull precordial pain add 3–5 raw hawthorns (eaten or stewed with fruit). For yang-deficiency aversion to cold use Guifu Dihuang Wan, Yougui Wan or Jinkui Shenqi Wan. For frequent urination use Jinkui Shenqi Wan or Suoquan Wan. For difficult urination use Jinkui Shenqi Wan or Sanjin Pian. For qi-blood deficiency and fatigue use Buzhong Yiqi Wan, Renshen Yangrong Wan, Shiquan Dabu Wan or Bazhen granules. For anxious insomnia use Guipi Wan, Erzhi Wan or Xiaoyao Wan. For loose stools use Shenling Baizhu granules or Xiangsha Liujun Wan. For diarrhea or dawn diarrhea use Sishen Wan. For difficult bowel movements use Renshen Maren Wan. For belching, bloating and poor appetite use Shugan Hewei Wan or Baohe Wan. For acid reflux use Zuojin Wan. For profuse phlegm use Erchen Wan, Juhua Huatan Wan or Mengshi Guntan Wan. For hot yellow thick phlegm use fresh Zhuli oral liquid or Yangyin Qingfei Wan. For yin deficiency with fire use Zuogui Wan or Liuwei Dihuang Wan; for yin-deficiency fire with hot palms/soles use Erzhi Wan or Zhibai Dihuang Wan.
Any brand of the above medicines is fine; do not consult me about such details—I truly lack the time and energy to reply.

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