Guang Huo Xiang (广藿香; Guǎng Huò Xiāng; Latin: Pogostemonis Herba; English: patchouli) is the dried aerial part of Pogostemon cablin (Blanco) Benth. In Chinese medicine it is a dampness-transforming herb. It is acrid and slightly warm, enters the Spleen, Stomach, and Lung channels, and its core actions are to aromatically transform turbidity, harmonize the middle and stop vomiting, and release the exterior and resolve summerheat. In a decoction it should be added near the end. Long boiling scatters the aroma. The pharmacopoeia drug is this patchouli, not any garden plant called huo xiang.
It is not Pei Lan. Eupatorium is acrid and neutral. It aromatically transforms dampness, arouses the spleen, and opens the appetite. Stopping vomiting is less specific. It is not Bai Dou Kou. Round cardamom is acrid-warm. It transforms dampness, moves qi, and warms the middle to stop vomiting, and leans toward easing the chest. Essential oil is not a decoction-piece dose. Yin deficiency with blood dryness, and no dampness, are a poor match. Summerheat-damp vomiting and early damp-warmth need pattern diagnosis.
It is used most often for three patterns:
-
Turbid dampness blocking the middle — focal distention and vomiting
-
Summerheat-damp exterior, early damp-warmth — fever, fatigue, chest tightness
-
Cold-damp blocking summerheat — abdominal pain with vomiting and diarrhea
The usual decoction dose is 3–10 g, added near the end. Acrid, slightly warm, and aromatic-dry, it is not a daily “dampness patchouli tea.” Drying when there is no dampness injures fluids.
When turbid dampness encumbers the spleen, or summerheat-damp is in the exterior, focal distention, vomiting, and chest tightness are common. Guang Huo Xiang is acrid and slightly warm. It transforms, stops vomiting, and resolves summerheat, which is why it appears in Huo Xiang Zheng Qi San. It is more aromatic-dry than it is moistening. A dry red tongue and constipation get drier if more is added.
Guang Huo Xiang is not a catch-all dampness or vomiting herb. In yin deficiency with blood dryness, or when there is no dampness, using it alone can aromatic-dry and injure fluids. Whether it belongs in Huo Xiang Zheng Qi San should be decided by a licensed Chinese medicine practitioner after pattern diagnosis.