HERB FORMULAS

QI GE SAN - 启膈散 - OPEN UP THE DIAPHRAGM POWDER

English: Open up the Diaphragm Powder
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Glehniae/Adenophorae Sha Shen 9-15g Nourishes Lung and Stomach Yin, clears Heat, generates fluids, tonifies Liver and Kidney Yin and dispels Phlegm.
Rx. Salviae Miltiorrhizae Dan Shen 9-10g Invigorates the Blood, dispels Blood Stasis, clears Heat, cools the Blood and reduces abscesses.
Poria Fu Ling 3-12g Strengthens the Spleen, harmonizes the Middle Jiao, promotes urination and leaches out Dampness.
Bul. Fritillariae Cirrhosae Chuan Be Mu 4.5-12g Clears Heat, transforms Phlegm and dissipates nodules.
Rx. Curcumae Yu Jin 1.5-12g Invigorates the Blood, dispels Blood Stasis, regulates Qi flow, clears Heat, cools the Blood, speeds healing of chronic sores and alleviates pain.
With Dan Shen, for Heat with Blood Stasis causing chest Bi.
Per. Amomi Sha Ren Ke 1.2-10g Promotes the movement of Qi, aromatically transforms Dampness, strengthens the Spleen and stops vomiting.
Calyx Nelumbinis He Ye Di 3g Raises Yang Qi, strengthens the Spleen's transportive and transformative functions, dispels Dampness and harmonizes the Stomach.
(Fol. Nelumbinis) (He Ye) (3g) (Substitutes for He Ye Di.)
Testa Oryzae Chu Tou Kang 1.5g Opens the Stomach, descends Qi and treats occlusion.

FORMULA ACTIONS

  • Regulates Qi flow
  • Transforms Phlegm
  • Opens Qi Stagnation
  • Moistens Dryness

SYNDROMES

  • Dysphagia due to Qi Stagnation

CLINICAL MANIFESTATIONS

  • Difficult to swallow food
  • Swallowing with a choking sensation
  • Swallowing eventually becomes impossible
  • Dull or burning pain
  • Distention with indistinct pain that is relieved by belching, dry retching or spitting up of Phlegm or mucus
  • A feeling of esophageal constriction
  • Dry mouth and throat
  • Focal distention of the chest and diaphragm
  • Difficult bowel movements
  • Severe weight loss
  • Gradual emaciation
  • Sometimes acute pain
  • Maybe severe coughing
  • Maybe aspiration of fluids
  • Maybe fever
  • Maybe aortic erosion
  • T: Red
  • C: White
  • P: Thready and wiry

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Blood Stasis.
  • Contraindicated for those with Yin Deficiency and desiccated fluids.
  • Contraindicated for those with Qi and Yang Deficiency.
  • Contraindicated for those with the common cold, influenza or fever.
  • Use caution during pregnancy.
  • Use caution with children
HERB/DRUG INTERACTIONS

NOTES

  • Take 5-10g a day orally. Dissolve the powder into 400ml of boiled hot water, drink 200ml in the morning and 200ml in the evening.

MODIFICATIONS

As a substitute for Testa Oryzae Chu Tou Kang: For pronounced Stomach Qi Rebellion with belching and dry retching:
Flos Inulae Xuan Fu Hua
Fr. Setariae Germinatus Gu Ya + Flos Inulae Xuan Fu Hua
or + Haematitum Dai Zhe Shi
Fr. Evodiae Wu Zhu Yu + A few drops of Succus Zingiberis Rhizomatis Jiang Zhi
Fr. Citri Sarcodactylis Fo Shou
For spitting up Phlegm or mucus: For Qi Stagnation transforming into Fire:
+ Rz. Pinelliae Preparatum Zhi Ban Xia - Per. Amomi Sha Ren Ke
+ Rz. Coptidis Huang Lian
+ Per Citri Reticulatae Chen Pi + Fr. Gardeniae Zhi Zi
For constipation: + Rx. Sophorae Tonkinensis Shan Dou Gen
+ Rx. et Rz. Rhei Da Huang
+ Sm. Raphani Lai Fu Zi For esophageal cancer:
For esophageal cancer with Qi Stagnation leading to Fire: + 10g Lignum Santali Albi Tan Xiang
+ 10g Lignum Santali Albi Tan Xiang + 10g Sm. Impatientis Ji Xing Zi
+ 15g Fr. Trichosanthis Gua Lou
+ 10g Sm. Impatientis Ji Xing Zi For esophageal cancer:
+ 15g Fr. Trichosanthis Gua Lou + 10g Lignum Santali Albi Tan Xiang
- Fr. Amomi Sha Shen
+ Rz. Coptidis Huang Lian + 10g Sm. Impatientis Ji Xing Zi
+ Sm Oroxyli Mu Hu Die + 15g Fr. Trichosanthis Gua Lou
+ Rx. Paeoniae Rubra Chi Shao + Rx. Scrophulariae Xuan Shen
For esophageal cancer with marked Phlegm Obstruction: + Rx. et Rz. Rhei Da Huang
+ Sm. Raphani Lai Fu Zi
+ 10g Lignum Santali Albi Tan Xiang
For dysphagia:
+ 12-15g Sm. Impatientis Ji Xing Zi
+ 10g Sm. Impatientis Ji Xing Zi
+ 15g Fr. Trichosanthis Gua Lou + 12-15g Flos Inulae Xuan Fu Hua
+ Rz. Pinelliae Preparatum Zhi Ban Xia + 18-30g Haematitum Dai Zhe Shi
+ 9-12g Caulis Bambusae in Taeniam Zhu Ru
+ Per. Citri Reticulatae Chen Pi
+ Flos Inulae Xuan Fu Hua + 9-12g Fr. Akebiae Ba Yue Zha
For dysphagia with signs of Dryness:
+ 12-18g Rx. Clematidis Wei Ling Xian
- Poria Fu Ling
For dysphagia with fullness and discomfort in the chest:
+ 12-15g Sm. Impatientis Ji Xing Zi
+ 12-15g Sm. Impatientis Ji Xing Zi
+ 12-15g Flos Inulae Xuan Fu Hua
+ 18-30g Haematitum Dai Zhe Shi + 12-15g Flos Inulae Xuan Fu Hua
+ 9-12g Caulis Bambusae in Taeniam Zhu Ru + 18-30g Haematitum Dai Zhe Shi
+ 9-12g Caulis Bambusae in Taeniam Zhu Ru
+ 9-12g Fr. Akebiae Ba Yue Zha
+ 12-18g Rx. Clematidis Wei Ling Xian + 9-12g Fr. Akebiae Ba Yue Zha
+ 9-12g Rx. Ophiopogonis Mai Men Dong + 12-18g Rx. Clematidis Wei Ling Xian
+ 18-24g Rx. Scrophulariae Xuan Shen + 18-24 Fr. Trichosanthis Gua Lou
+ 9-12g Rx. Trichosanthis Tian Hua Fen + 9-12g Per. Citri Reticulatae Chen Pi
+ 1 spoonful Mel Feng Mi
For dysphagia with Phlegm nodule encroaching on the esophagus:
For dysphagia with Blood Stagnation:
+ 12-15g Sm. Impatientis Ji Xing Zi + 12-15g Sm. Impatientis Ji Xing Zi
+ 12-15g Flos Inulae Xuan Fu Hua + 12-15g Flos Inulae Xuan Fu Hua
+ 18-30g Haematitum Dai Zhe Shi + 18-30g Haematitum Dai Zhe Shi
+ 9-12g Caulis Bambusae in Taeniam Zhu Ru + 9-12g Caulis Bambusae in Taeniam Zhu Ru
+ 9-12g Fr. Akebiae Ba Yue Zha + 9-12g Fr. Akebiae Ba Yue Zha
+ 12-18g Rx. Clematidis Wei Ling Xian + 12-18g Rx. Clematidis Wei Ling Xian
+ 9-12g Sm. Persicae Tao Ren + 18-24g Rx. Scrophulariae Xuan Shen
+ 9-12g Flos Carthami Hong Hua
+ 6-9g Rz. Chuanxiong Chuan Xiong + 24-30g Concha Ostreae Mu Li
For dysphagia with frequent belching:
+ 12-15g Sm. Impatientis Ji Xing Zi + 9-12g Rz. Dioscoreae Bulbiferae Huang Yao Zi
+ 12-15g Flos Inulae Xuan Fu Hua + 9-12g Bul. Fritillariae Thunbergii Zhe Bei Mu
+ 18-30g Haematitum Dai Zhe Shi
+ 9-12g Caulis Bambusae in Taeniam Zhu Ru
For acid reflux and hiatus hernia:
- Bul. Fritillariae Cirrhosae Chuan Bei Mu
+ 9-12g Fr. Akebiae Ba Yue Zha
+ 12-18g Rx. Clematidis Wei Ling Xian - Calyx Nelumbinis He Ye Di
+ 9-12g Per. Citri Reticulatae Chen Pi - Testa Oryzae Chu Tou Kang
+ 15g Fr. Trichosanthis Gua Lou
+ 3-6g Lignum Aquilariae Tan Xiang + 15g Flos Inulae Xuan Fu Hua
+ 12g Rz. Pinelliae Preparatum Zhi Ban Xia
   
    + 9g Rz. Perillae Zi Su Geng
    + 6g Rx Glycyrrhizae Preparata Zhi Gan Cao