INDIVIDUAL HERBS

Pharmaceutical Latin: Fructus Trichosanthis
Common English: Trichosanthes Fruit
Snakegourd Fruit
Herbs that Transform Phlegm and Stop Coughing: Herbs that Cool and Transform Phlegm-Heat
Taste Temperature Entering Meridians Dosage
Sweet
Cold
Large Intestine
Lung
Stomach
9-30g
Tincture: 2-5ml
Actions Indications/Syndromes

Clears Lung Heat and transforms Hot Phlegm

Phlegm-Heat cough with thick, difficult-to-expectorate Phlegm

It can be used as a stand alone herb, especially for children

Regulates Qi (unbinds the chest)

Qi accumulation in the chest with a stifling or distended sensation in the chest, constriction and pain or pressure in the diaphragm

Reduces abscesses, dissipates nodules and eliminates pus

Lung, intestinal or breast abscesses

CONTRAINDICATIONS
  • Contraindicated for those with diarrhea due to Spleen and Stomach Deficiency Cold.
  • Contraindicated for those with Phlegm-Cold.
  • Contraindicated for those with Phlegm-Dampness.
INCOMPATIBILITIES
  • Incompatible with Rx. Aconiti Wu Tou.
  • Antagonizes Rz. Zingiberis Officinalis Gan Jiang.
  • Counteracts Rx. Achyranthis Bidentatae Niu Xi.
HERB/DRUG INTERACTIONS

Concha Meretricis/Cyclinae
Ge Qiao

Bul. Fritillariae Thunbergii
Zhe Bei Mu
Rx. Platycodi
Jie Geng
Per. Citri Reticulatae
Chen Pi

Rz. Coptidis
Huang Lian
Rz. Pinelliae Preparatum
Zhi Ban Xia

Cough with thick, yellow sputum and a stifling sensation in the chest due to Phlegm-Heat with constrained, clumping of Qi.

As a complete formula for chest pain due to Phlegm and thin mucus.

Dry cough, and a dry throat with thick, difficult to expectorate sputum due to Wind-Heat.

Phlegm-Heat accumulating in the chest and epigastrium that is painful when pressed with coughing of thick, yellow sputum. (Xiong Bi due to Phlegm and Heat Accumulation beneath the Heart)

Bul. Allii Macrostemi
Xie Bai
Rz. Pinelliae Preparatum
Zhi Ban Xia

Pul. Arisaema cum Felle Bovis
Dan Nan Xing
Rx. Scutellariae
Huang Qin

Myrrh
Mo
Yao
Olibanum
Ru Xiang

(Rx. Glycyrrhizae)
(Gan Cao)

Painful obstruction of the chest (Chest Bi) due to Cold turbidity stagnating in the Upper Jiao.

Phlegm-Heat cough.

Lung abscess marked by irritability, stifling sensation in the chest and coughing up of pus and Blood.

Flos Lonicerae
Jin Yin Hua
Fr. Forsythiae
Lian Qiao
Rx. Astragali
Huang Qi
(Rx. Angelicae Sinensis)
(Dang Gui)

Hb. Taraxaci
Pu Gong Ying
Olibanum
Ru Xiang

Hb. Taraxaci
Pu Gong Ying
Flos Lonicerae
Jin Yin Hua

Intestinal abscess where the pus has already formed or patients with Qi and Blood Deficiency.

Early stages of breast abscess.

Breast carbuncles.

Pulmonary abscess.

Hb. Taraxaci
Pu Gong Ying
Olibanum
Ru Xiang
Myrrh
Mo
Yao

Hb. Houttuyniae
Yu Xing Cao

Sm. Cannabis
Huo Ma Ren
Sm. Pruni
Yu Li Ren

Mastitis.

Pulmonary abscess with purulent hemoptysis.

Constipation.

Olibanum
Ru Xiang

Rz. Pinelliae Preparatum
Zhi Ban Xia

Rz. Pinelliae Preparatum
Zhi Ban Xia
Fr. Aurantii Immaturus
Zhi Shi
Pul. Arisaema cum Felle Bovis
Dan Nan Xing
Rx. Scutellariae
Huang Qin

Activates Qi and Blood to disperse swellings and clumps and treat puerperal breast disorders with accumulation, Stagnation, distention and pain such as insufficient lactation from obstruction or early-stage breast abscess.

Focal distention in the chest and diaphragm due to clumping of Phlegm and Heat leading to Qi Stagnation.

Chest Bi due to clumping of sticky, thick and turbid Phlegm.

Productive cough with yellow, sticky Phlegm, chest congestion and hard stools due to Heat in the Lung and Large Intestine.

Rx. Anemarrhenae
Zhi Mu
Bul. Fritillariae Thunbergii
Zhe Bei Mu

 

 

Productive cough with Phlegm due to Lung Heat.

 

 

  1. The earlier texts do not differentiate between this herb (the fruit), the seed Gua Lou Ren, or the husk Gua Lou Pi.
  2. Fr. Trichosanthis Gua Lou may substitute for Sm. Trichosanthis Gua Lou Ren or Per. Trichosanthis Gua Lou Pi.
  3. For chest obstruction and subcutaneous swelling or abscess, it is better to use the entire fruit.
  4. For clearing Heat, resolving Phlegm and moving Qi in the chest, it is best to use the husk Gua Lou Pi.
  5. For loosening the bowels and relieving constipation, use the seed Gua Lou Ren.
  6. Its ability to moisten Dryness and move the bowels is most suited for wheezing and constipation associated with Phlegm-Heat accumulating in the Lungs and then obstruction the Large Intestine.
  7. Its most useful quality is that it descends Phlegm and turbidity.
  8. It can be used alone for for wheezing due to Phlegm Obstruction in infants.
  9. Both Gua Lou and Sm. Sinapis Bai Jie Zi move Qi in the chest, scour Phlegm and treat turbid Phlegm Obstructing the Qi causing pain and a stifling sensation in the chest. Gua Lou is moist , cold and more appropriate for conditions in which Heat and Phlegm have clumped together in the chest. Bai Jie Zi is warm, drying and powerful and is more appropriate for Cold-Phlegm accumulating in the chest.