Xiang Su San - 杏苏散 - Cyperus And Perilla Leaf Powder

English:	Cyperus and Perilla Leaf Powder
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Fol. Perillae	Zi Su Ye	2-9g	Releases the Exterior , disperses Cold, promotes the movement of Spleen and Stomach Qi, harmonizes the Middle Jiao, relieves intestinal gas, alleviates seafood poisoning, improves Lung function, expands the chest and relieves Cold induced wheezing. With Xiang Fu, releases the Exterior in a patient with pre-existing Qi Stagnation with chills, fever, headache, anhidrosis, a stuffy chest, belching and flatulence. With Chen Pi, for Wind-Cold with Qi Stagnation and chest congestion.
Dry-fried Rz. Cyperi	Chao Xiang Fu	2-9g	Regulates pain due to Qi Stagnation. With Zi Su Ye, for nasal congestion, epigastric and abdominal distention and discomfort associated with externally contracted disorders.
Per. Citri Reticulatae	Chen Pi	1-6g	Adjusts the Middle, Dries Dampness, Regulates Qi, Relieves the diaphragm, Transforms Phlegm and descends Qi.
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	1-6g	Moderates and harmonizes the harsh properties of other herbs.

Formula Actions

• Regulates Qi
• Releases the Exterior

Syndromes

• Wind-Cold with Qi Stagnation in the Interior
• Exterior Wind-Cold with interior Qi stagnation (Secondary source)

Clinical Manifestations

Aversion to Cold Fever Headache Anhidrosis Anorexia Belching Aching shoulders Tinnitus Amenorrhea

A gasping cough Focal distention in the chest and epigastrium A stifling sensation in the chest and epigastrium Vertigo Nausea T: Normal C: Thin and white P: Floating or Floating and sinking

Treats

Common cold Stomach influenza Urticaria due to seafood poisoning Vertigo Neurasthenia Nasal congestion Vomiting Cough Nasal congestion Anorexia Headache

Acute gastroenteritis Globus pharyngeus Amenorrhea Tinnitus Anosmia Eructation Fever Abdominal pain Nausea/Vomiting Gasping Indigestion

Contraindications And Herb/Drug Interactions

Notes

• Can also be used for Wind-Cold disorders during pregnancy.

Modifications

For continuous coughing:		For coughing and dyspnea:
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	+ Rx. Platycodi	Jie Geng
+ Rx. Peucedani	Qian Hu
+ Sm. Armeniacae	Xing Ren	For a severe headache, body aches and neck stiffness:
+ Cx. Mori	Sang Bai Pi
For a severe headache:		+ Hb Schizonepetae	Jing Jie
+ Rz. et Rx. Notopterygii	Qiang Huo	+ Rx. Gentianae Macrophyllae	Qin Jiao
+ Bul. Allii Fistulosi	Cong Bai
For a stuffy nose with clear nasal discharge:		+ Rx. Saposhnikoviae	Fang Feng
+ Rz. Zingiberis Recens	Sheng Jiang	+ Fr. Viticis	Man Jing Zi
+ Sm. Sojae Preparata	Dan Dou Chi	+ Rx. Chuanxiong	Chuan Xiong
+ Bul. Allii Fistulosi	Cong Bai	+ Rz. Zingiberis Recens	Sheng Jiang
For a stuffy nose with dizziness:		For anorexia:
+ Rz. et Rx. Notopterygii	Qiang Huo	+ Fr. Crataegi	Shan Zha
+ Hb Schizonepetae	Jing Jie	+ Fr. Hordei Germinatus	Mai Ya
For stronger diaphoresis:		For Food Stagnation:
+ Sm. Sojae Preparata	Dan Dou Chi	+ Massa Medicata Fermentata	Shen Qu
+ Bul. Allii Fistulosi	Cong Bai
For abdominal pain:		+ Endothelium Corneum Gigeriae Galli	Ji Nei Jin
+ Rx. Aucklandiae	Mu Xiang
For severe Qi Stagnation with fullness and distention of the chest and epigastrium:		+ Fr. Oryzae Germinatus	Gu Ya
+ Fr. Hordei Germinatus	Mai Ya
+ Cx. Magnoliae Officinalis	Hou Po	For diarrhea and dysentery:
+ Rz. Atractylodis Macrocephalae	Bai Zhu
+ Fr. Aurantii Immaturus	Zhi Shi
For chronic gastritis:		+ Poria	Fu Ling
+ Rx. Paeoniae Alba	Bai Shao	For indigestion:
+ Endothelium Corneum Gigeriae Galli	Ji Nei Jin	+ Fr. Amomi	Sha Ren
+ Per. Citri Viride	Qing Pi
For hiccup and cough with white sputum:		Or
+ Fr. Perillae	Zi Su Zi	+ Massa Medicata Fermentata	Shen Qu
+ Rz. Pinelliae Preparatum	Zhi Ban Xia
+ Fr. Hordei Germinatus	Mai Ya
For coughing:		For Phlegm:
+ Sm. Persicae	Tao Ren	+ Rz. Pinelliae Preparatum	Zhi Ban Xia
+ Sm. Armeniacae	Xing Ren
+ Rx. Platycodi	Jie Geng	For sweating:
For abdominal fullness:		+ Ram Cinnamomi	Gui Zhi
+ Cx. Magnoliae Officinalis	Hou Po
+ Fr. Aurantii	Zhi Ke