HERB FORMULAS

HUO XIANG ZHENG QI TANG - 藿香正氣汤 - AGASTACHE POWDER TO RECTIFY QI

English: Agastache Powder to Rectify the Qi
Also Known As: Agastache Formula
Powder for Dispelling Turbidity with Agastache

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Hb. Agastache Huo Xiang 3-15g Aromatically transforms Dampness, harmonizes the Middle Jiao, stops vomiting and releases the exterior.
With Zi Su Ye and Hou Po, for fever and chills, a stifling sensation in the chest and epigastrium, cough and nausea due to Wind-Cold with Dampness Obstructing the Middle Jiao.
With Zhi Ban Xia, Fu Ling and Hou Po, for early stages of Damp-Warmth when Dampness predominates with fever, a stifling sensation in the chest, nausea, a sense of being encumbered a sticky sensation in the mouth and a lack of thirst.
With Zi Su Ye, transforms Dampness, regulates Qi, harmonizes the Stomach, stops nausea and vomiting and treats turbid Dampness Obstructing the Spleen with lethargy, a stifling sensation in the chest, nausea , loss of appetite, diarrhea or loose stools and a thick tongue coat and releases the Exterior to treat Externally contracted pathogens such as Externally- contracted Cold during Hot, Damp summer weather, with fever, lethargy, a stifling sensation in the chest and nausea.
With Zi Su Ye and Bai Zhi, for Summer-Dampness with Wind-Cold.
With Zhi Ban Xia, for nausea and vomiting.
Ginger-fried Cx. Magnoliae Jiang Chao Hou Po 2-12g Transforms Dampness, promotes the movement of Qi, warms and invigorates the Spleen, and descends Rebellious Qi.
With Zhi Ban Xia and Fu Ling, for Phlegm Obstructing the Qi, leading to coughing, vomiting or a sense of something stuck in the throat.
Per. Citri Reticulatae Chen Pi 3-12g Regulates Qi, tonifies Spleen, adjusts the Middle, relieves the diaphragm, dries Dampness, transforms Phlegm and descends Qi.
 With Sheng Jiang, for vomiting and hiccups due to Disharmony of the Stomach Qi and Cold-Dampness Obstructing the Middle with nausea and hiccup.
With Zhi Ban Xia, for a stifling sensation in the chest and cough with excessive white, viscous sputum due to Phlegm-Damp Obstruction.
Fol. Perillae Zi Su Ye 1-12g Releases the exterior, disperses Cold and moves Spleen and Stomach Qi.
 With Huo Xiang, releases the exterior, regulates Qi, warms the Middle, and transforms turbidity.
With Jie Geng, for Common colds with nasal congestion and productive cough.
with Huo Xiang, releases the exterior, regulates Qi, warms the Middle, and transforms turbidity for influenza and common cold due to Wind-Cold-Dampness and is especially effective for abdominal pain, vomiting, and diarrhea and for externally-contracted Cold during Hot, Damp summer weather, with fever, lethargy, a stifling sensation in the chest and nausea.
with Zhi Ban Xia and Hou Po, for Spleen and Stomach Qi Stagnation with accumulation of Phlegm.
With Chen Pi, Zhi Ban Xia and Huo Xiang, for Stomach flu or acute enteritis due to Spleen and Stomach Qi Stagnation.
Rx. Angelica Dahuricae Bai Zhi 1.5-9g Expels Wind and disperses Cold.
 With Gan Cao, for stomachache and ulcer pain.
With Jie Geng, for ulcerated boils when pus has not been discharged.

Rz. Pinelliae Preparatum

Zhi Ban Xia 3-12g Dries Dampness, transforms Phlegm, descends Rebellious Qi, harmonizes the Stomach and stops vomiting.
With Chen Pi, for epigastric and abdominal distention or pain due to disharmony of the Stomach Qi.
With Fu Ling, treats Phlegm, thin mucus and turbid Dampness.
With Sheng Jiang, for vomiting due to Cold, Thin Mucus.
With Huo Xiang, for nausea with lethargy, anorexia, poor concentration and a swollen, pale tongue with a greasy, white coat due to turbid Dampness in the Spleen and Stomach, vomiting during the summer and fever, vomiting, lethargy and diarrhea associated with Summerheat.
With Hou Po, for Phlegm-induced cough, vomiting, and epigastric and abdominal distention, Phlegm-Dampness with Qi Stagnation, Phlegm and Qi Obstruction with a sensation of fullness in the chest with coughing and wheezing, nausea, vomiting and a sensation of distention in the hypochondrium and Plum-pit Qi Stagnation.
with Hou Po, Zi Su Ye and Fu Ling, for Plum-pit Qi Stagnation.
Per. Arecae Da Fu Pi 1-12g Promotes movement of Qi, descends Qi, expels Dampness, promotes urination and reduces edema.
With Hou Po and Chen Pi, for epigastric and abdominal distention and discomfort with difficult bowel movements associated with stagnant Qi and Dampness.
Rz. Atractylodes Macrocephalae Bai Zhu 3-12g Tonifies the Spleen, tonifies Qi, dries Dampness and stabilizes the exterior.
With Da Fu Pi, strengthens the Spleen, assists transportation, dredges clogged Stagnation, facilitates the removal of pathogenic water and Dampness, and reduces edema for treatment of Spleen Qi Deficiency with Dampness Obstruction (loss of appetite, epigastric and abdominal fullness and distention, and edema) and Spleen Qi Deficiency with Dampness accumulating in the skin with floating edema.
With Fu Ling and Zhi Gan Cao, for Spleen and Stomach Qi Deficiency.
With Fu Ling and Sheng Jiang, for edema with Kidney Yang Deficiency.
Poria Fu Ling 3-12g Promotes urination, resolves Dampness, strengthens the Spleen, harmonizes the Middle Jiao and transforms Phlegm.
With Zhi Ban Xia, expels Phlegm and stops nausea and vomiting.
With Zhi Ban Xia and Chen Pi, for nausea, vomiting, chest fullness and distention, and anorexia due to congested fluids.
With Zhi Ban Xia, Chen Pi and Sheng Jiang, for congested fluids in the Stomach causing nausea and vomiting.
With Bai Zhu, strengthens the Spleen and resolves Dampness.
Rx. Platycodi Jie Geng 1.5-10g Opens Lungs, spreads Lung Qi and expels Phlegm.
With Zhi Gan Cao, for hoarseness, pain and swelling of the throat due to Wind-Heat, disseminates Lung Qi, expels Phlegm, resolves toxicity, and expels pus for productive cough with hoarseness, pain and swelling of the throat due to Wind-Heat, Lung abscess with expectoration of pus and pain in the chest and flanks and Excess disorders in the Upper Jiao with no disorder in the Lower Jiao.
With Zhi Ban Xia, for cough due to Wind-Cold Invasion or long-standing Phlegm-Dampness.
Rz. Zingiberis Recens Sheng Jiang 1-3g Releases the exterior, warms the Middle and adjusts the Ying and Wei.
 With Da Zao, adjusts the Ying and Wei for treatment of Tai Yang Zhong Feng, alleviates epigastric pain, nausea, and vomiting by strengthening the Spleen, protects Stomach Qi and reduces irritation of the gastrointestinal tract by other herbs.
With Zhi Ban Xia, for productive cough due to Phlegm-Dampness.
With Zi Su Ye, for vomiting and diarrhea from seafood poisoning.
Fr. Jujube Da Zao 1-5g Strengthens the Spleen, tonifies Qi and moderates and harmonizes the harsh properties of other herbs.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 1.5-12g Tonifies the Spleen, tonifies Qi and moderates and harmonizes the properties of other herbs.

FORMULA ACTIONS

  • Releases the Exterior
  • Transforms Dampness
  • Regulates Qi
  • Harmonizes the Middle Jiao

SYNDROMES

  • Exogenous Wind Cold with Spleen and Stomach Deficiency (External/Internal Damp)
  • Summer Heat with Cold complications
  • San Jiao - Cold-Damp in the Upper Jiao

CLINICAL MANIFESTATIONS

  • Fever and chills
  • Headache
  • Chest and gastric fullness and oppression
  • Pain in the epigastrium and abdomen
  • Nausea and vomiting
  • Borborygmus
  • Diarrhea
  • Loss of taste
  • Aversion to Cold
  • Cough
  • Indigestion
  • No perspiration
  • Chest discomfort
  • Sore throat
  • Disorientation
  • Madness
  • General lassitude
  • Anorexia
  • Delirious speech
  • Maybe loss of voice
  • Intermittent chills and fever
  • Afternoon fever and tight
  • Sudden turmoil disorder
  • Malarial disorders
  • Loose stools
  • T: Normal
  • C: Greasy and white
  • P: Moderate and soggy or floating and forceful

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Damp-Heat with thirst, dry throat, greasy yellow tongue coat.
  • Modify for Wind-Heat or Fire due to Deficiency.
  • Contraindicated for those with Yin or Blood Deficiencies.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For severe Wind-Cold: For Food Stagnation:
+ More Fol. Perillae Zi Su Ye - Rx. Glycyrrhizae Preparata Zhi Gan Cao
For severe Dampness with a very thick greasy tongue coat:
 - Fr. Jujube Da Zao
- Rz. Atractylodes Macrocephalae Bai Zhu + Massa Medicata Fermentata Shen Qu
+ Rz. Atractylodes Cang Zhu + End. Corneum Gigeriae Galli Ji Nei Jin
For severe acute diarrhea:
For brief, scanty urination:
+ Semen Lablab Album Bai Bian Dou + Caulis Akebiae Mu Tong
+ Baked Sm. Coicis Yi Yi Ren + Rz. Alismatis Ze Xie
For marked Qi Stagnation:
For more Heat:
+ Rx. Aucklandiae Mu Xiang + Rz. Coptidis Huang Lian
+ Corydalis Yan Hu Suo +Rx. Scutellariae Huang Qin
For more Cold:
For more Dampness:
+ Rx. Aconiti Lateralis Preparata Zhi Fu Zi + Sm. Coicis Yi Yi Ren
+Rz. Zingiberis Gan Jiang + Rz. Atractylodis Cang Zhu
For abdominal pain and diarrhea:
For thirst, diarrhea and oliguria:
+ Rz. Atractylodis Cang Zhu
+ Five-Ingredient Powder with Poria
Wu Ling San
+ Rz. Coptidis Huang Lian
For scanty, difficult urination:
For tenesmus:
+ Medulla Tetrapanacis Tong Cao
+ Fr. Aurantii Immaturus Zhi Shi + Talcum Hua Shi
For indigestion:
+ Rz. Alismatis Ze Xie
+ Massa Medicata Fermentata Shen Qu
For acute diarrhea that is very severe:
+ Fr. Crataegi Shan Zha + Stir-Fried Sm. Lablab Album Chao Bian Dou
or
 + Stir-fried Sm. Coicis Chao Yi Yi Ren
+ Massa Medicata Fermentata Shen Qu
For lack of chills, fever or headache:
+ Sm. Raphani Lai Fu Zi - Rx. Angelicae Dahuricae Bai Zhi
For abdominal Cold with severe pain:
- Fol. Perillae Zi Su Ye
+ 9g Ram. Cinnamomi Gui Zhi
For abdominal Cold with severe distention:
For coronary artery disease due to Cold-Damp Stagnation:
+ Rx. Aucklandiae Mu Xiang
- Fol. Perillae Zi Su Ye
For toxicity secondary to chemotherapy:
+ 10g Caul. Perillae Zi Su Geng + 10g Caul. Perillae Zi Su Geng
+ 10g Fr. Perillae Zi Su Zi + 10g Rz. Atractylodes Cang Zhu
+ 10g Bul. Allii Cong Bai + 10g Rx. Codonopsis Dang Shen
+ 10g Per. Trichosanthis Gua Lou Pi + 6g Rx. Aucklandiae Mu Xiang
- Fr. Jujube Da Zao + 6g Fr. Amomi Sha Ren
- Rz. Zingiberis Recens Sheng Jiang - Fr. Jujube Da Zao
- Poria Fu Ling - Rz. Zingiberis Recens Sheng Jiang
- Cx. Magnoliae Officinalis Hou Po
For night sweats due to incomplete expulsion of Wind-Cold with Damp-Heat Stagnation:
- Rx. Angelicae Dahuricae Bai Zhi + 10g Rz. Anemarrhenae Zhi Mu
For dysentery:
+ 10g Cx. Phellodendri Huang Bai
+ 6-9g Rz. Coptidis Huang Lian - Rz. Zingiberis Recens Sheng Jiang
+ 9-12g Rx. Aucklandiae Mu Xiang - Cx. Magnoliae Officinalis Hou Po
For Stomach flu with abdominal pain:
- Rx. Platycodi Jie Geng - Rx. Angelicae Dahuricae Bai Zhi
For Stomach flu with severe abdominal pain:
- Rx. Platycodi Jie Geng
For Stomach flu with severe abdominal distention:
+ 9g Ram. Cinnamomi Gui Zhi
For nausea and vomiting with Food Stagnation, epigastric distention and a feeling of fullness in the chest:
- Rx. Platycodi Jie Geng
+ 6g Rx. Aucklandiae Mu Xiang
For nausea and vomiting with an unabated Wind-Cold Invasion:
+ 9g Massa Medicata Fermentata Shen Qu
For nausea and vomiting due to Summerheat and Dampness:
+ 9g Rx. Saposhnikoviae Fang Feng
+ 6g. Hb. Schizonepetae Jing Jie
+ 3g Rx. Coptidis Huang Lian
For more severe Exterior symptoms:
+ 9g Caulis Bambusae in Taeniam Zhu Ru + More 12-15g Fol. Perillae Zi Su Ye
For nausea/vomiting with Food Stagnation:
+ 12-15g Hb. Schizonepetae Jing Jie
- Rz. Atractylodis Macrocephalae Bai Zhu
+ 9-12g Rx. Saposhnikoviae Fang Feng
- Rx. Glycyrrhizae Preparata Zhi Gan Cao
For nausea/vomiting with severe Dampness:
- Rz. Atractylodis Macrocephalae Bai Zhu
- Fr. Jujube Da Zao
+ 15g Massa Medicata Fermentata Shen Qu + 12-15g Rz. Atractylodis Cang Zhu
+ 15g Fr. Hordei Germinatus Mai Ya + 9-12g Hb. Eupatorii Pei Lan
For nausea/vomiting with Qi Stagnation:
+ 15-30g Endothelium Corneum Gigeriae Galli Ji Nei Jin + 9g Rx. Aucklandiae Mu Xiang
+ 9-12g Fr. Aurantii Zhi Ke
For diarrhea or nausea/vomiting with scanty urine:
For severe abdominal cramping preceding diarrhea:
+ 6-9g Caulis Akebiae Mu Tong + 9-12g Rz. Zingiberis Gan Jiang
+ 9-12g Rz. Alismatis Ze Xie + 3-6g Per. Zanthoxyli Chuan Jiao
For tumors of the ears:
For nasal pain:
- Hb. Agastaches Huo Xiang + 10g Rx. Puerariae Ge Gen
+ 1.5g Rx. Angelicae Dahuricae Bai Zhi + 10g Fr. Xanthii Cang Er Zi
For diarrhea associated with AIDS/HIV:
For vomiting associated with AIDS/HIV:
- Fol. Perillae Zi Su Ye
- Cx. Magnoliae Officinalis Hou Po - Rx. Angelicae Dahuricae Bai Zhi
- Rx. Angelicae Dahuricae Bai Zhi - Rx. Platycodi Jie Geng
- Rz. Zingiberis Recens Sheng Jiang
- Rx. Platycodi Jie Geng + Rz. Alismatis Ze Xie
- Rz. Zingiberis Recens Sheng Jiang + Massa Medicata Fermentata Shen Qu
+ Hb. Eupatorii Pei Lan
    + Fr. Crataegi Shan Zha
    + Rx. Aucklandiae Mu Xiang
    + Fr. Amomi Sha Ren