Sū Zi Jiàng Qì Tāng

Perilla Fruit Decoction for Directing Qi Downward

Disclaimer    For educational purposes only.  Do not use as medical advice

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Category: Move Qi ⌕ 
Subcategory: Descend Qi  Source: He Ji Ju Fang  
Actions: Descend qi, calm wheezing, eliminate phlegm, stop cough [Song]
Diagnosis
Tongue: white slippery or greasy coat      Pulse: slippery, wiry    Other: 
Patterns: Qi rebellion, Phlegm obstructing Qi, Kidney fail to grasp Qi, Lung fails to descend Qi 
Indications: UPPER EXCESS: Lu fail to descend: wheezing, short of breath, a lot of phlegm; Phlegm obstruct Qi: chest fullness, white slippery coating; LOWER DEFICIENCY: Kidney fail to grasp qi: breath out more than breathing in • Water damp accumulation: edema • Lack of warming: weak lumbar and legs • White slippery or greasy coating, wiry slippery pulse. [Song]
Contraindications: 
Description
Name Variations: Su Zi Jiang Qi Tang, 苏子降气汤, Perilla Fruit Decoction for Directing Qi Downward,
Herb List: Zi Su Zi(K) • Hou Po(M) • Ban Xia(M) • Qian Hu(M) • Rou Gui(A) • Dang Gui(A) • Sheng Jiang(A) • Zi Su Ye(A) • Da Zao(E) • Gan Cao(E)
Commentary: Patient feels like they can't get enough air. They exhale more than inhale. This is usually seen in the elderly. One may start with Xiao Qing Long Tang (exterior wind cold), which then becomes interior phlegm. Then use this formula.
Related Formulas:
Herbs Cat/Dosage Actions Attributes
Zi Su Zi
Perilla Seeds • 苏⼦ ♠		 Phlegm Cough + Wheezing Descend Lung Qi • Transform phlegm • Stop cough • Calm wheezing • Unblock bowels • Moisten intestines
Hou Po 
Magnolia Bark • 厚朴 ♥		 Aromatic Transform Damp Transform spleen dampness • Transform stomach dampness • Clear food stagnation • Transform Phlegm • Clear qi stagnation GABA-ergic • Sedative • Cannabimimetic • Antioxidant • Anticoagulant • Antidepressant • Anti-inflammatory • Antibiotic • Antispasmodic • Antitumor • Antimicrobial
Ban Xia •  
Pinellia Root • 半夏 ♥		 Phlegm Cold Transforms damp-phlegm • Direct stomach Qi downward• Stop cough/ wheezing • Relieve nausea & vomiting • Dissolve nodules and swellings reprotoxic, warming, drying, antitussive, antiemetic
Qian Hu •  
Peucedanum • 前胡 ♥		 Phlegm Heat Expel phlegm • Descend Lung Qi • Release exterior wind heat
Rou Gui • Cinnamon Bark • 肉桂 ♣ Warm Interior Expel Cold Warm interior • Disperse cold • Unblock channels • Relieve pain • Helps build qi and blood Antimicrobial • anticoagulant • teratogenic • emmenagogue • antiparasitic • antibiotic • hypoglycemic •analgesic • anti-inflammatory • antioxidant • free radical scavenging • sedative • memory enhancer
Dang Gui •
Chinese Angelica • 当归 ♣ 		 Tonify Blood Tonify blood • Move Blood and Qi • Regulate menses • Invigorate blood • Dispel cold • Unblock bowels • Reduce abscess swelling • Alleviate pain • Clear pus • Generate flesh • Moisten intestines Dang Gui Shen (body) - tonify blood • Quan Dang Gui - harmonize blood (tonify and invigorate) • Dang Gui Wei (tail) - invigorate blood • According to the Board Exams, this herb does not affect estrogen because it has not yet been determined in which way it does affect it. However, there are numerous research articles on Dang Gui and estrogen. phytoestrogen • antispasmodic • cholagogue • antibaterial • antiviral • antiobesity • anti-inflammatory • antifungal • mild laxative • immune system boost
Sheng Jiang • Ginger (Raw) • 生姜 ♣ Release Exterior Wind Cold Release exterior • Stops vomiting • Relieve Nausea • Stops cough • Reduce herb toxicity • Regulate central flow of Qi Expectorant • Cough Suppressant • Digestive • Hypotensive • Antiplatelet • Stimulant • Analgesic • Anti-inflammatory • Antipyretic • Cholagogic • Antiemetic • Antimutagenic
Zi Su Ye •
Perilla Leaf • 紫苏叶 ♣ 		Release Exterior Wind Cold Release the exterior • Expel cold • Calm restless fetus and morning sickness • Detox seafood poisoning • Harmonize the middle burner • Move qi • Harmonize spleen • Induce sweating • Revives spleen • 15g for parasitesPerilla stem and leaf are combined to bear down on qi and disperse phlegm • Use the purple leaves, not green. antiparasitic, anti-inflammation, antipyretic, bronchio dilator, hypoglycemic, antitussive, antibacterial, diaphoretic, GI tract stimulator
Da Zao •
Jujube • 大枣 ♦ 		 Tonify Qi

 

 Tonify spleen • Tonify qi • Calm the spirit • Harmonize other herb's properties • Nourish blood  antibaterial • antidepressant • anti-inflammatory • anodyne • antifungal • hepatoprotective • hypotensive • sedative
Gan Cao •
Licorice Root • 甘草 ♦ 		 Tonify Qi

 

 Tonify Spleen Qi • Tonify Heart qi • Clear heat • Resolve toxicity • Stop cough • Dispel phlegm • Lubricate lungs • Stop wheezing • Reduce spasm • Relieve pain • Harmonize other herb effectsEnters all 12 channels, often serve as envoy in a formula. Hypoglycemic • Antiarrhythmic • Expectorant • Antidiarrheal • Antiulcer • Hepatoprotective • Immunostimulant • Antitussive • Antiviral • Detox • Demulcent • Anti-inflammatory • Laxative • Emmenagogue • Antimicrobial • Spasmolytic • Corticosteroidal
♠ King/Chief    ♥ Minister/Deputy     ♣ Assistant     ♦ Envoy
Directions: 
Modifications For
+ Ting Li Zi + Sang Bai Pi Severe wheezing, copious phlegm 31
+ Walnut + Chen Xiang + He Zi Wheezing and unable to lie down 31
+ Fu Zi + Bu Gu Zhi Kidney Yang Deficiency 31
+ Zhu Ling + Ze Xie Urinary difficulties with edema 31

Caution

ALERT: Contraindications of each herb - use with caution under these conditions:
Zi Su Zi: Spleen deficiency diarrhea • Yin deficiency cough
Hou Po: Anticoagulant drugs • Antidepressant drugs
Ban Xia: Yin deficiency cough • Bleeding • Dehydration • Heat • Pregnancy • Incompatible with Wu Tou and Fu Zi • Antidepressant drugs • Blood pressure medication • Terfenadine (antihistamine) • Foods: lamb, goat
Qian Hu: Yin deficient cough
Rou Gui: Pregnancy • Severe heat from yin deficiency • Interior heat
Dang Gui: Autoimmune disorder • Pregnancy • Blood thinner drugs (Wafarin) • Diarrhea • Yin deficiency with heat • Dampness abdominal distention
Sheng Jiang: Lung heat • Dry cough • Phlegm heat • Full heat • Yin deficiency with heat • Vomiting from stomach heat • Gallstones • Exterior deficiency with unexplained sweating • Horse meat
Zi Su Ye: Warm Pathogen Diseases • Qi-Deficiency • Exterior Deficiencies • Damp Heat • Spontaneous Sweating
Da Zao: Epigastric discomfort and bloating • Food stagnation • Damp excess • Damp Phlegm • Intestinal worms
Gan Cao: High blood pressure • Low potassium • Seaweed • Medications: Gan Cao can interact with various medication. See Pharma Interaction section.
Notes

 

Bibliography: [3], [8], [9], [14]

Information in this post came from many sources, including class notes, practitioners, websites, webinars, books, magazines, and editor's personal experience.  While the original source often came from historical Chinese texts,  variations may result from the numerous English translations.   Always consult a doctor prior to using these drugs.  The information here is strictly for educational purposes. 

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