What is Huo Xiang? Are Guang Huo Xiang, Tu Huo Xiang and Pei Lan the same?
The official drug is Guang Huo Xiang, the dried aerial part of Pogostemon cablin. The pharmacopoeial name is Pogostemonis Herba. Prescriptions often write Huo Xiang. Tu Huo Xiang is Agastache rugosa: lighter aroma and weaker action, a regional substitute. Pei Lan is acrid-neutral: aromatically transforms damp, awakens the Spleen, opens the appetite, releases the exterior and resolves summerheat. It is not kitchen basil or essential oil as a decoction. Forbid in Yin vacuity.
What are the TCM properties and traditional uses of Huo Xiang?
According to the Chinese Pharmacopoeia, Guang Huo Xiang is acrid and slightly warm, enters the Spleen, Stomach and Lung channels, and acts to aromatically transform turbidity, harmonize the middle and stop vomiting, release the exterior and resolve summerheat. It is used for turbid damp obstructing the middle with focal fullness and vomiting, summerheat-damp exterior patterns, early damp-warmth, fever with fatigue, chest oppression, cold-damp shutting summerheat, abdominal pain with vomiting and diarrhea, and sinus headache. Acrid-aromatic and slightly warm, it suits turbid damp in the middle and summerheat-damp—not Yin-vacuity fire or Stomach-heat vomiting.
How do you choose fresh versus dry Huo Xiang? Should it be added late?
Summerheat-damp vomiting and diarrhea and transforming turbidity to resolve summerheat are stronger with the fresh herb; the dose may be doubled. Pharmacies usually stock the dry herb. Keep the volatile oil by adding near the end or decocting briefly; long boiling loses the aroma. Leaf leans toward transforming damp and resolving summerheat; stem leans toward harmonizing the middle and moving qi. Do not take patchouli essential oil as a decoction.
What is the usual dosage? Can it be drunk daily as a summerheat-and-vomiting tea?
The pharmacopoeial decoction dose is 3–10 g; do not decoct long. It is not a four-season “Huo Xiang Zheng Qi tea.” Yin vacuity only grows drier with aroma. Summerheat-damp vomiting and diarrhea need a practitioner to name a short course; patent Huo Xiang Zheng Qi may contain ethanol and other excipients—read the label; it does not replace assessment of dehydration.
What are the contraindications? Can it be used in pregnancy?
Forbid in Yin vacuity. Use caution as a single herb in Stomach-heat vomiting and wind-heat sore throat. Pregnancy with summerheat-damp vomiting may be assessed by a practitioner for a short course; it is not an unpatterned calm-fetus drug. Stop if dry mouth and throat or nosebleed appear. Severe vomiting and diarrhea with dehydration and high fever with convulsions are emergencies.
Can Huo Xiang transform damp, stop vomiting and resolve summerheat?
It can help turbid damp obstructing the middle and externally contracted summerheat-damp. External cold with internal damp, vomiting and diarrhea join Perilla, Magnolia bark, Pinellia and tangerine peel in Huo Xiang Zheng Qi San. Damp obstruction vomiting joins Pinellia and fresh ginger. Sinusitis may join Bai Zhi and Xanthium. It aromatically transforms turbidity, harmonizes the middle, stops vomiting, releases the exterior and resolves summerheat—not a specific for every cold, every morning sickness or every diarrhea.
Can Huo Xiang be drunk daily as a heatstroke, bad-breath or Stomach tea?
Summerheat-damp focal fullness and turbid-damp vomiting may enter a short formula; Yin-vacuity fire only grows drier as it warms. “Huo Xiang prevents heatstroke and clears bad breath” does not replace heatstroke and oral assessment. Aromatically transforming turbidity, harmonizing the middle and stopping vomiting should name Huo Xiang (Guang Huo Xiang) 3–10 g.
How do you choose among Huo Xiang, Pei Lan, Zi Su Ye, Cang Zhu and Hou Po?
Patchouli is acrid and slightly warm: aromatically transforms turbidity, harmonizes the middle, stops vomiting, releases the exterior and resolves summerheat—stronger at stopping vomiting. Eupatorium is acrid-neutral: aromatically transforms damp, awakens the Spleen and resolves summerheat—sweet-sticky mouth. Perilla leaf is acrid-warm: releases the exterior, disperses cold, moves qi, harmonizes the Stomach and resolves fish-crab toxin. Atractylodes is acrid-bitter-warm: dries damp, strengthens Spleen, expels wind and disperses cold. Magnolia bark is bitter-acrid-warm: dries damp, dissolves phlegm and downbears qi to eliminate fullness. Summerheat-damp vomiting and diarrhea favor Huo Xiang; damp-warmth with a sweet mouth favors Pei Lan; wind-cold with vomiting favors Su Ye; Spleen damp heaviness favors Cang Zhu; epigastric-abdominal fullness favors Hou Po. They may be paired (Huo Xiang Zheng Qi); Yin vacuity forbids large Huo Xiang, Cang Zhu and Hou Po.
Which herbs is Huo Xiang combined with? What are the representative formulas?
External cold with internal damp, vomiting and diarrhea joins Perilla, Magnolia bark, Pinellia, tangerine peel, Atractylodes and Poria in Huo Xiang Zheng Qi San. Damp-obstruction vomiting joins Pinellia and fresh ginger. Write Huo Xiang or Guang Huo Xiang 3–10 g, preferably added near the end.
How do you choose and store Huo Xiang?
Choose firm stems with a green break, thick soft leaves and a strong distinctive aroma; Shipai Guang Huo Xiang is often preferred. Lots that have lost aroma or have withered moldy leaves are discarded. Store cool and dry against damp. Buy pharmacopoeial Guang Huo Xiang; do not replace aromatically transforming turbidity, harmonizing the middle and stopping vomiting with mint, basil or an unidentified fragrant herb by equal weight.