What is Xiang Fu? Are Cu Xiang Fu, Si Zhi Xiang Fu and Wu Yao the same?
Official Xiang Fu (香附) is the dried rhizome of Cyperus rotundus. The pharmacopoeial name is Cyperi Rhizoma. Cu Xiang Fu is vinegar-fried to strengthen soothing the Liver and stopping pain—the form most prescriptions expect. Si Zhi Xiang Fu is processed with wine, vinegar, boy’s urine and salt, leaning toward moving qi and regulating menses. Wu Yao is Lindera tuber: acrid-warm, moves qi and warms the Kidney—not Cyperus. Classics call it the commander of qi diseases and a leading gynecologic herb. Write Xiang Fu or Cu Xiang Fu.
What are the TCM properties and traditional uses of Xiang Fu?
According to the Chinese Pharmacopoeia, Xiang Fu is acrid, slightly bitter, slightly sweet and neutral, enters the Liver, Spleen and Triple Burner channels, and acts to soothe the Liver and resolve depression, regulate qi and ease the middle, and regulate menses and stop pain. It is used for Liver depression qi stagnation, chest-flank distending pain, shan pain, breast distending pain, Spleen-Stomach qi stagnation, epigastric-abdominal fullness and pain, irregular menses, amenorrhea and dysmenorrhea. Acrid-dispersing, bitter-draining, sweet-moderating and neutral, it suits excess qi stagnation—not qi vacuity without stagnation or Yin vacuity with Blood heat.
How do you choose raw, vinegar-fried and charred Xiang Fu?
Regulating qi and easing the middle more often uses raw Xiang Fu; soothing the Liver, stopping pain and dysmenorrhea more often use Cu Xiang Fu; flooding occasionally uses the charred form. Do not decoct long, lest the volatile oil be lost. Fine root hairs should be cleaned off.
What is the usual dosage? Can it be drunk daily as a Liver-soothing menstrual tea?
The pharmacopoeial decoction dose is 6–10 g. It is not a four-season “Xiang Fu depression tea.” Qi vacuity without stagnation and early menses from Blood heat only grow more depleted. Liver-depression flank pain and dysmenorrhea need a practitioner to name vinegar processing and a short course; classics warn that used alone, large or long it consumes qi and damages Blood.
What are the contraindications? Can it be used in pregnancy?
Use caution or forbid in qi vacuity without stagnation and in Yin vacuity with Blood heat. Pregnancy needs a practitioner; do not self-dose large moving-qi amounts. Early menses from Blood heat should not use it alone. Stop if dizziness or a sudden increase in menstrual volume appears.
Can Xiang Fu soothe the Liver, regulate qi and regulate menses?
It can help Liver depression qi stagnation. The six depressions with chest-diaphragm fullness join chuanxiong, Atractylodes, medicated leaven and Gardenia in Yue Ju Wan. Flank pain joins Bupleurum, bitter orange, peony and chuanxiong in Chai Hu Shu Gan San. Stomach-cold pain joins galangal in Liang Fu Wan. Exterior attack with qi stagnation joins perilla leaf and tangerine peel in Xiang Su San. It soothes the Liver, regulates qi and regulates menses—not a specific for every low mood, every dysmenorrhea or every bloating. Acute abdomen and amenorrhea need organic causes ruled out.
Can Xiang Fu be drunk daily as a mood, breast-enhancing or menstrual tea?
Liver depression qi stagnation and premenstrual distending pain may enter a short formula; qi vacuity and Blood heat only empty further. “Xiang Fu enlarges the breast and regulates menses” does not replace gynecologic and mood assessment. Soothing the Liver and regulating menses should name Cu Xiang Fu 6–10 g.
How do you choose among Xiang Fu, Chai Hu, Wu Yao, Mu Xiang and Chuan Xiong?
Cyperus is acrid, slightly bitter, slightly sweet and neutral: soothes the Liver, resolves depression, regulates qi, eases the middle, regulates menses and stops pain—Liver-Spleen-Triple Burner, commander of qi diseases and a gynecologic staple. Bupleurum is bitter-acrid and slightly cold: soothes the Liver, raises Yang and harmonizes to abate fever—Shaoyang and upbearing. Lindera is acrid-warm: moves qi, stops pain and warms the Kidney to disperse cold—lower-burner cold congealing. Aucklandia is acrid-bitter-warm: moves qi, stops pain and fortifies the Spleen to disperse food—middle burner. Chuanxiong is acrid-warm: invigorates Blood, moves qi and dispels wind to stop pain—the qi herb within Blood. Liver depression and menses favor Xiang Fu and Chai Hu; cold shan in the lower burner favors Wu Yao; epigastric food stagnation favors Mu Xiang; headache with stasis favors Chuan Xiong. They may be paired; all are wrong as pure dispersing agents in qi vacuity without stagnation or Yin vacuity with Blood heat.
Which herbs is Xiang Fu combined with? What are the representative formulas?
The six depressions join chuanxiong, Atractylodes, medicated leaven and Gardenia in Yue Ju Wan. Liver-depression flank pain joins Bupleurum, bitter orange, peony and chuanxiong in Chai Hu Shu Gan San. Stomach-cold pain joins galangal in Liang Fu Wan. Write Cu Xiang Fu or raw Xiang Fu; do not pass an equal weight of Wu Yao as a menstrual regulator.
How do you choose and store Xiang Fu?
Choose spindle-shaped beaded rhizomes, hair cleaned off, a white or brown-yellow fracture and a dense aroma. Hairy, hollow, moldy, moth-eaten and scentless lots are inferior. Store cool and dry against moths. Buy pharmacopoeial Xiang Fu or Cu Xiang Fu; do not replace soothing the Liver, resolving depression and regulating menses to stop pain with an unidentified sedge root by equal weight.