Chen Xiang Jiang Qi Tang — Aquilaria Descend the Qi Decoction
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Overview
Chen Xiang Jiang Qi Tang — the “Aquilaria Descend the Qi Decoction” — is from Yang Shiying’s Song-dynasty Ren Zhai Zhi Zhi Fang Lun. Chen Xiang (aquilaria) is the strongest descending Qi herb in the Chinese pharmacopoeia, particularly for rebellious Lung-Stomach Qi rising from severe Liver Qi stagnation: stress-induced wheezing, plum-pit Qi sensation in the throat, chest oppression, sighing, belching, all worsened by emotional upset.
I prescribe Chen Xiang Jiang Qi Tang as part of bespoke herbal formulas from pharmaceutical-grade granules sourced from Sun Ten in Taiwan.
TCM pattern
Chen Xiang Jiang Qi Tang is prescribed for severe rebellious Qi from Liver-Qi stagnation:
- Stress-induced wheezing or breathlessness
- Chest oppression, sense of fullness
- Frequent sighing
- Plum-pit Qi sensation in the throat
- Belching, hiccups
- Symptoms worse with emotional upset
- Tongue — thin white coat
- Pulse — wiry, possibly forceful in guan position
Key herbs
- Chen Xiang (Lignum Aquilariae, cultivated, 1.5–3g) — chief; powerfully descends Lung-Stomach Qi; calms breathlessness
- Xiang Fu (Rz. Cyperi, 6–9g) — spreads Liver Qi; relieves emotional stagnation
- Wu Yao (Rx. Linderae, 6–9g) — moves Qi; descends rebellious Qi
- Sha Ren (Fr. Amomi, 3–6g) — aromatically warms; moves Qi
- Gan Cao (Rx. Glycyrrhizae, 3–6g) — harmonises; soothes
Formula actions
- Strongly descends rebellious Lung-Stomach Qi
- Spreads Liver Qi
- Relieves chest oppression and breathlessness
Conditions treated
- Stress-induced asthma exacerbation with chest tightness
- Plum-pit Qi (globus sensation) with marked stress trigger
- Functional dyspnoea in anxiety
- Hyperventilation syndrome
- Stress-related reflux and belching
- Hiccups from stress-induced Qi rebellion
Cautions
Use Chen Xiang from sustainable cultivated agarwood sources only; wild aquilaria is endangered. Pharmaceutical-grade Sun Ten uses cultivated source.
Not appropriate for true Lung deficiency dyspnoea, Heat-pattern wheeze or pure Yin-deficient cough.
Severe acute asthma attack or new chest pain requires urgent medical assessment.
Always consult a qualified Chinese herbalist registered with the RCHM.
Prefer to be treated from home? Chinese herbal medicine online consultations are available throughout the UK and worldwide.















