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	Descends Rebellious Qi and stops vomiting, Dries Dampness, Transforms Phlegm. 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	Augments Qi, Harmonizes the harsh properties of other herbs, Moistens the Lungs, Resolves Phlegm, Stops cough and moderates, Tonifies the Spleen.
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
• Lung Cold-Phlegm (excess above) with Kidney Yang deficiency (deficiency below) (Secondary source)

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

Bronchial asthma Emphysema Cardiac asthma Chronic bronchitis Morning sickness Edema Cough Common cold Dizziness Polyuria Constipation Nausea/Vomiting Tinnitus Anorexia Weakness Upper respiratory tract infection Dyspnea Tracheal collapse

Mastitis Headache Pyorrhea Beriberi Globus hystericus Chalazion Influenza Vertigo Hiccups Chronic obstructive pulmonary disease Cor pulmonare Emphysema Lumbar pain Palpitations Fatigue Indigestion Bronchiectasis

Contraindications And Herb/Drug Interactions

Notes

• Composition: Zi Su Zi 9-12g, Ban Xia 6-9g, Hou Po 3-6g, Chen Pi 6-9g, Qian Hu 6-9g, Rou Gui 1.5-3g, Dang Gui 6-9g, Zi Su Ye 5 leaves, Sheng Jiang 2 pieces, Da Zao 3 pieces, Zhi Gan Cao 3-4.5g (Secondary source)
• Compared with Ding Chuan Tang: Su Zi Jiang Qi Tang treats excess above with deficiency below (Phlegm-Cold with Kidney Yang Deficiency; points ST-40, UB-13, UB-23); Ding Chuan Tang treats exterior Wind-Cold with interior Phlegm-Heat (points LU-5, UB-13, UB-12).

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