Using supplementary formula of Qing-Hao-Bie-Jia decoction for defervescence of lung cancer-related fever - a literature review and case report

Sep 22, 2026

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Cancer-related fever is a frequent complication in lung cancer that worsens patients’ quality of life. This study integrates classical Traditional Chinese Medicine theory with contemporary clinical evidence by tracing the origins of Qing-Hao-Bie-Jia Decoction and synthesizing published case reports. It further presents a clinical case treated with a Qing-Hao-Bie-Jia-derived supplementary formula. Findings emphasize “latent heat in the Yin” as a key mechanism and highlight flexible TCM modifications to nourish vital-qi and eliminate pathogenic factors. A methodological framework is proposed to support evidence-based future studies.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages12

Reading Time30 min

AccessFree to download

Introduction

Methods

Results

Conclusion

Keywords

TYPE Case Report PUBLISHED 20 February 2026 DOI 10.3389/fmed.2026.1717877 OPEN ACCESS EDITED BY Lalit Mohan Nainwal, KIET Group of Institutions, India REVIEWED BY Radhwan Hussein, Ninevah University, Iraq Zhenglin He, China-Japan Union Hospital, Jilin University, China *CORRESPONDENCE Zi-Xin Han [zaxinehon@bucm.edu.cn](zaxinehon@bucm.edu.cn)[ ](zaxinehon@bucm.edu.cn)Bin Luo [luo2014bin@163.com](luo2014bin@163.com) †These authors have contributed equally to this work and share first authorship RECEIVED 02 October 2025 REVISED 21 December 2025 ACCEPTED 12 January 2026 PUBLISHED 20 February 2026 CITATION Chu X-G, Zhang W-H, Luo B, Yang F, Lv W-M, Zhou S-Y and Han Z-X (2026) Using supplementary formula of Qing-Hao-Bie-Jia decoction for defervescence of lung cancer-related fever: a literature review and case report. Front. Med. 13:1717877. doi: 10.3389/fmed.2026.1717877 COPYRIGHT © 2026 Chu, Zhang, Luo, Yang, Lv, Zhou and Han. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. Using supplementary formula of Qing-Hao-Bie-Jia decoction for defervescence of lung cancer-related fever: a literature review and case report Xiao-Ge Chu 1†, Wei-Heng Zhang 2†, Bin Luo3*, Feng Yang4, Wen-Man Lv 2, Sheng-Yu Zhou 5 and Zi-Xin Han 2* 1Hematology Department, Shanghai Beizhan Hospital, Shanghai, China, 2School of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China, 3Institute of Oncology, Department, Institute of Oncology Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai, China, 4Institute of Information on Traditional Chinese Medicine China Academy of Chinese Medical Sciences, Beijing, China, 5School of Clinical Medicine, Jiangxi University of Traditional Chinese Medicine, Nanchang, China Introduction: Cancer-related fever is a common complication of lung cancer that negatively affects patients’ quality of life. Recently, Qing-Hao-Bie-Jia Decoction (QHBJD), as a representative Traditional Chinese Medicine (TCM) formula historically used to treat endogenous heat caused by Yin deficiency, has been increasingly applied in the management of lung cancer-related fever (LCRF) . Our investigation endeavored to establish a chain of evidence bridging classical TCM theory and contemporary clinical practice toward the application of QHBJDin treating LCRF as a methodological reference in the real-world setting. Methods: Our study was made up of three parts: 1) Ancient origins of QHBJD from pre-modern Chinese medical texts; 2) systematic review of QHBJD for treating LCRF from published case reports; 3) a case report treated with QHBJD-derived supplementary formula from our clinical practice. Results: From our findings,“latent heat in the Yin” is the predominant pathogenesis of cancerous fever among lung cancer patients, who are mainly treated with the therapeutic principle of nourishing Yin and outthrusting heat. In addition, the pathogenesis of included LCRF case reports is complicated, but TCM practitioners can support vital-qi and eliminate pathogenic factors by flexibly adding or subtracting Chinese medicines based on QHBJD for treatment. Conclusion: In this study, we established a methodological framework merging ancient and modern evidence based on case reports, which prospectively aids future TCM studies in enhancing certainty of the same evidence from empirical medicine to evidence-based medicine. KEYWORDS cancer-related fever, case report, lung cancer, Qing-Hao-Bie-Jia decoction, traditional Chinese medicine Frontiers in Medicine 01 [front

FAQs

What is the focus of this study on lung cancer-related fever?

The study evaluates the use of Qing-Hao-Bie-Jia Decoction-derived supplementary formula for defervescence in lung cancer-related fever, combining literature evidence and a clinical case.

How is cancer-related fever explained in the study?

It is described as non-infectious fever linked to lung cancer and its treatment, and in TCM terms as an endogenous febrile condition associated with deficiency-related mechanisms such as “latent heat in the Yin”.

What treatment principle and clinical approach are reported?

The results emphasize nourishing Yin and outthrusting heat, with TCM practitioners supporting vital-qi and eliminating pathogenic factors by flexibly adding or subtracting Chinese medicines based on Qing-Hao-Bie-Jia Decoction.

Sep 22, 2026

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