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Yupingfeng is a traditional Chinese medicine (TCM) herbal formula composed of three main ingredients: Astragali Radix (Huangqi), Atractylodis Macrocephalae Rhizoma (Baizhu), and Saposhnikoviae Radix (Fangfeng)[7]. It is widely used in TCM for its purported ability to "tonify Qi," strengthen the body's exterior defenses against pathogens, and regulate immune function[1][2][7]. Mechanistically, preclinical and clinical studies suggest that Yupingfeng exerts immunomodulatory effects by enhancing both innate and adaptive immunity. It has been shown to modulate cytokine production (such as reducing IL-5 and IL-13 in asthma models), restore epithelial barrier integrity via upregulation of desmoglein 1 in bronchial tissue[2], reduce serum IgE levels[3][7], decrease oxidative stress markers such as MDA[3], and improve microecological balance in chronic respiratory diseases[5]. Clinically it is most commonly used for recurrent respiratory tract infections (RRTIs) in children[1][8], allergic rhinitis[4][6][7], chronic obstructive pulmonary disease (COPD)[5], asthma recurrence prevention during remission phases[2], secondary immune deficiency states including those seen with chronic diseases like Henoch-Schonlein purpura [3] or COPD exacerbations. Multiple randomized controlled trials have demonstrated its efficacy for symptom relief and reduction of recurrence rates across these indications with a favorable safety profile.
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