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Chen Xiang Jiang Qi Tang — Aquilaria Descend the Qi Decoction

On this page

  1. Overview
  2. TCM pattern
  3. Key herbs
  4. Formula actions
  5. Conditions treated
  6. Cautions

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

  1. Chen Xiang (Lignum Aquilariae, cultivated, 1.5–3g) — chief; powerfully descends Lung-Stomach Qi; calms breathlessness
  2. Xiang Fu (Rz. Cyperi, 6–9g) — spreads Liver Qi; relieves emotional stagnation
  3. Wu Yao (Rx. Linderae, 6–9g) — moves Qi; descends rebellious Qi
  4. Sha Ren (Fr. Amomi, 3–6g) — aromatically warms; moves Qi
  5. Gan Cao (Rx. Glycyrrhizae, 3–6g) — harmonises; soothes

Formula actions

  1. Strongly descends rebellious Lung-Stomach Qi
  2. Spreads Liver Qi
  3. Relieves chest oppression and breathlessness

Conditions treated

  1. Stress-induced asthma exacerbation with chest tightness
  2. Plum-pit Qi (globus sensation) with marked stress trigger
  3. Functional dyspnoea in anxiety
  4. Hyperventilation syndrome
  5. Stress-related reflux and belching
  6. 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.

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