HERB FORMULAS

SU ZI JIANG QI TANG - 蘇子降氣湯 - PERILLA FRUIT DECOCTION FOR DIRECTING QI DOWNWARD

English: Perilla Fruit Decoction for Directing Qi Downward
Also Known As: Perilla Fruit Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Fr. Perillae Zi Su Zi 3-15g Descends Qi, resolves Phlegm, dries Dampness and stops cough.
With Zhi Ban Xia, Hou Po and Qian Hu, for Coughing and wheezing due to Rebellious Qi and Phlegm.
Rz. Pinelliae Preparatum Zhi Ban Xia 4-10g Dries Dampness, transforms Phlegm, descends Rebellious Qi and stops vomiting.
With Hou Po, for Phlegm-Dampness with Qi Stagnation.
With Hou Po and Qian Hu, stops wheezing.
With Sheng Jiang, for vomiting due to Cold, thin mucus.
Rx. Angelicae Sinensis Dang Gui 2.5-12g Tonifies, invigorates and harmonizes Blood, stops cough, descends Qi and treats dyspnea.
With Zi Su Zi, Qian Hu, Zhi Ban Xia and Hou Po, for cough, dyspnea, shortness of breath and profuse sputum.
Rx. Glycyrrhizae Gan Cao 1-6g Tonifies the Spleen, augments Qi, moistens the Lungs, resolves Phlegm, stops cough and moderates and harmonizes the harsh properties of other herbs.
Cx. Magnoliae Hou Po 2.5-9g Promotes the movement of Qi in the Middle Jiao, resolves Stagnation, Expels Phlegm, stops cough, transforms Dampness and descends rebellious Qi.
With Zi Su Zi and Rou Gui, for cough and wheezing due to Excess above and Deficiency below with clogging of Phlegm.
With Zi Su Zi, Dang Gui and Rou Gui, for cough and wheezing due to Excess in the Upper Jiao (Phlegm Obstructs Lung Qi) with Deficiency in the Lower Jiao (Kidney Deficiency).
Rx. Peucedani Qian Hu 2.5-9g Expels Phlegm, descends Qi and stops cough.
Cx. Cinnamomi Rou Gui 1.5-6g Warms the Kidneys, strengthens Yang and helps the Kidneys to grasp Qi.
Rz. Zingiberis Recens Sheng Jiang 1-3g
 Releases the Exterior, induces perspiration,disperses Cold, warms the Middle, stops vomiting, warms the Lungs, stops cough adjusts the Ying and Wei to normalize the flow of Qi at the center.
With Da Zao, prevents Phlegm accumulation.
Fr. Zizyphi Jujube Da Zao 1.5-5g Tonifies the Spleen, Stomach, augments Qi and moderates and harmonizes the harsh properties of other herbs.

FORMULA ACTIONS

  • Disperses and Descends Lung Qi
  • Stops wheezing
  • Stops coughing
  • Warms and transforms Phlegm-Cold
  • Strengthens the Stomach

SYNDROMES

  • Phlegm-Damp Obstructs the Lungs
  • Cold Phlegm-Damp Retention (Excess above), Kidney Yang Deficiency (Deficiency below)
  • Asthma with Kidney Deficiency and Cold Phlegm

CLINICAL MANIFESTATIONS

  • Coughing and wheezing with copious, dilute, white, frothy or lumpy sputum
  • Chest and epigastric congestion
  • Cold legs
  • Pain and full feeling in the chest
  • Dizziness
  • Vertigo
  • Palpitations
  • Dyspnea - worse lying down
  • Sometimes asthma
  • Throat rattle
  • Nausea
  • Vomiting
  • Shortness of breath with labored inhalation and smooth exhalation
  • Acute attack of panting with a high pitched wheezing sound and rapid exhalation
  • Leg Qi
  • Acute cramping
  • Muscle wasting
  • Diarrhea in response to cold or hot weather
  • Maybe anorexia
  • Insensitivity in the lower abdomen
  • Headache
  • Facial edema
  • Lumbar pain
  • Weakness in the body and feet
  • Numbness, weakness and aching of the feet and legs
  • Edema of the extremities
  • Fever
  • Dysuria
  • Weakness below the umbilicus
  • Fatigue with a desire to curl up
  • Epigastric distention
  • Disorientation
  • Disordered speech
  • Tinnitus
  • T: Pale
  • C: Thick, white and greasy or sticky
  • P: Slippery or Soft

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with asthma due to Lung or Kidney Deficiency without External Invasion.
  • Contraindicated for those with asthma due to Phlegm-Heat in Lungs.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For simultaneous exterior Cold:
 For Qi Deficiency:
+ Hb. Ephedrae
Ma Huang + Rx. Codonopsis Dang Shen
+ Sm. Armeniacae Xing Ren + Fr. Schisandrae Wu Wei Zi
For Plum-pit Qi Stagnation (globus hystericus) due to Deficiency below and Excess above:
For chest Bi due Turbid Dampness:
+ Ram. Cinnamomi Gui Zhi
+ Less Cx. Cinnamomi Rou Gui + Rz. Acori Tatarinowii Shi Chang Pu
+ Ram. Cinnamomi Gui Zhi + Bul. Allii Macrostemi Xie Bai
For patterns where Phlegm Stagnation is prominent:
For Heart and Lung Qi and Blood Stagnation:
+ Rx. Aucklandiae Mu Xiang
- Cx. Cinnamomi Rou Gui + Rx. Curcumae Yu Jin
+ Fr. Trichosanthis Gua Lou + Rz. Corydalis Yan Hu Suo
+ Bul. Fritillariae Thunbergii Zhe Bei Mu + Fr. Aurantii Immaturus Zhi Shi
For esophageal obstruction by Phlegm-Dampness
+ Fol. Eriobotryae Pi Pa Ye
For less severe Cold:
+ Flos Inulae Xuan Fu Hua
- Fr. Perillae Zi Su Zi + Haematitum Dai Zhe Shi
+ Hb. Menthae Bo He + Fr. Amomi Rotundus Bai Dou Kou
For more sputum and coughing:
+ Fol. Eriobotryae Pi Pa Ye
+ Per. Citri Reticulatae Chen Pi + Sm Persicae Tao Ren
For urinary difficulty:
+ Sm. Armeniacae Xing Ren
+ Sm. Plantaginis Che Qian Zi
For Qi Deficiency:
For great difficulty inhaling without lower back pain
+ Rx. Codonopsis Dang Shen
+ Fr. Schisandrae Wu Wei Zi
- Cx. Cinnamomi Rou Gui
or
+ Lignum Aquilariae Resinatum Chen Xiang + Rx. Ginseng Ren Shen
+ Fr. Schisandrae Wu Wei Zi
For Deficiency Cold:
For cough and dyspnea due to reversed Qi flow:
+ Lignum Aquilariae Resinatum Chen Xiang + Rx. Astragali Huang Qi
+ More Cx. Cinnamomi Rou Gui
For cough and dyspnea due to Wind-Cold:
For cough and dyspnea with Phlegm:
+ Arrest Wheezing Decoction
Ding Chuan Tang
+ Bul. Fritillariae Thunbergii Zhe Bei Mu
For nausea:
or
+ Haematitum Dai Zhe Shi
+ Decoction of Two Old (Cured) Drugs
Er Chen Tang
For chest and epigastric fullness and oppression:
+ Rx. Scutellariae Huang Qin
For nausea, vomiting and drooling of saliva:
+ Rx. Bupleuri Chai Hu + Poria Fu Ling
For morning sickness with Liver Heat:
+ Rx. Platycodi Jie Geng
- Cx. Magnoliae Officinalis Hou Po
For morning sickness:
- Cx. Magnoliae Officinalis Hou Po
- Cx. Cinnamomi Rou Gui
+ 10g Per. Citri Reticulatae Chen Pi - Cx. Cinnamomi Rou Gui
+ 10g Per. Citri Reticulatae Chen Pi
+ 10g Flos Inulae Xuan Fu Hua
+ 10g Rx. Scutellariae Huang Qin + 10g Flos Inulae Xuan Fu Hua
+ 10g Fr. Amomi Sha Ren + 10g Rx. Scutellariae Huang Qin
+ 10g Rz. Atractylodis Macrocephalae Bai Zhu + 10g Fr. Amomi Sha Ren
+ 10g Rz. Atractylodis Macrocephalae Bai Zhu
+ 12g Rx. Dipsaci Xu Duan
+ 12g Caulis Bambusae in Taeniam Zhu Ru + 12g Rx. Dipsaci Xu Duan
For strengthening the formula:
+ 15g Rx. Paeoniae Alba Bai Shao + Fol. Perillae Zi Su Ye
For rapid panting:
+ Per. Citri Reticulatae Chen Pi
+ 6g Poria Fu Ling
For severe rapid panting:
+ 6g Per. Citri Reticulatae Chen Pi + 6g Poria Fu Ling
+ 6g Per. Citri Reticulatae Chen Pi
+ 9g Fr. Psoraliae Bu Gu Zhi
For rapid panting with severe Kidney Yang Deficiency:
+ 9g Fr. Psoraliae Bu Gu Zhi
+ 9g Lignum Aquilariae Resinatum Chen Xiang
+ 6g Poria Fu Ling
+ 6g Per. Citri Reticulatae Chen Pi
For rapid panting with Lung Qi Deficiency:
+ 6g Poria Fu Ling
+ 9g Fr. Psoraliae Bu Gu Zhi + 6g Per. Citri Reticulatae Chen Pi
+ 9g Rx. Curculiginis Xian Mao
+ 9g Hb. Epimedii Yin Yang Huo + 9g Fr. Psoraliae Bu Gu Zhi
For rapid panting with profuse Phlegm:
+ 9g Rx. Codonopsis Dang Shen
+ 6g Poria Fu Ling + 12g Rx. Astragali Huang Qi
+ 6g Per. Citri Reticulatae Chen Pi
For cough due to Phlegm-Damp with Cold Excess and Kidney Deficiency:
+ 9g Fr. Psoraliae Bu Gu Zhi + 6g Per. Citri Reticulatae Chen Pi
+ 9g Rz. Arisaematis Preparatum Zhi Tian Nan Xing
For constipation:
+ 6g Per. Trichosanthis Gua Lou Pi + 6g Per. Citri Reticulatae Chen Pi
For asthma due to Kidney Yang Deficiency with Phlegm Accumulation:
+ 6-9g Rx. Clematidis Wei Ling Xian
+ 9g Fr. Psoraliae Bu Gu Zhi + 9-12g Sm. Cannabis Huo Ma Ren
+ 6g Poria Fu Ling
For chronic asthma in the elderly and children:
+ 6g Per. Citri Reticulatae Chen Pi + 6g Per. Citri Reticulatae Chen Pi
For bronchitis due to Phlegm-Damp as a result of severe Spleen-Dampness:
   
   
+ Calm the Stomach Powder
Ping Wei San

   
   
+ 2g Fol Perillae Zi Su Ye