What is Xuan Fu Hua? Are Dai Zhe Shi, Ban Xia and Kuan Dong Hua the same?
Official Xuan Fu Hua (旋覆花) is the dried capitulum of Inula japonica or Inula britannica. The pharmacopoeial name is Inulae Flos. Dai Zhe Shi is bitter-cold: calms the Liver, subdues yang, heavily settles counterflow and cools Blood to stop bleeding. Ban Xia is acrid-warm and toxic: dries damp, transforms phlegm, downbears counterflow, stops vomiting, disperses focal distention and dissipates binds. Kuan Dong Hua is acrid, slightly bitter and warm: moistens the Lung, directs qi downward and stops cough. Write Xuan Fu Hua; in decoction it must be wrapped. Use caution in yin-vacuity consumptive cough.
What are the TCM properties and traditional uses of Xuan Fu Hua?
According to the Chinese Pharmacopoeia, Xuan Fu Hua is bitter, acrid, salty and slightly warm, enters the Lung, Spleen, Stomach and Large Intestine channels, and acts to direct qi downward, disperse phlegm, move water and stop vomiting. It is used for wind-cold cough, phlegm-fluid accumulation, chest and diaphragm focal distention, wheezing with copious phlegm, vomiting and belching, and hardness below the heart. Bitter-downbearing and acrid-opening, it suits phlegm-fluid with counterflow qi—not yin-vacuity consumptive cough or wind-heat dry cough.
Why must Xuan Fu Hua be wrapped? Can honey-fried flower or coltsfoot replace it?
The capitulum has fine hairs; unwrapped decoction easily irritates the throat, causing itch, choking cough and vomiting, so it must be cloth-wrapped. Honey-frying eases the nature and reduces hair irritation. Coltsfoot moistens the Lung and stops cough; it cannot replace directing qi downward and stopping vomiting by equal weight. Jin Fei Cao is the aerial part, similar in action, and should not casually replace the flower by equal weight.
What is the usual dosage? Can it be drunk daily as an antiemetic phlegm tea?
The pharmacopoeial decoction dose is 3–9 g, wrapped. It is not a four-season “Inula antiemetic tea.” Without phlegm-fluid, downbearing only injures qi and yin. Vomiting and belching need a practitioner to name a short course; it does not replace endoscopy and cardiopulmonary assessment.
What are the contraindications? Can it be used in pregnancy?
Avoid in yin-vacuity consumptive cough and wind-heat dry cough. Pregnancy needs a practitioner’s assessment; a downbearing herb is not a calm-fetus herb. Stop if throat itch and choking cough appear, and check whether it was wrapped. Vomiting of blood and dyspnea are emergencies.
Can Xuan Fu Hua direct qi downward, disperse phlegm, move water and stop vomiting?
It can help phlegm-fluid with counterflow qi. Belching, vomiting and hardness below the heart join hematite, Pinellia, fresh ginger and ginseng in Xuan Fu Dai Zhe Tang. Wind-cold phlegm cough appears in Jin Fei Cao San. It directs qi downward, disperses phlegm, moves water and stops vomiting—not a specific for every reflux or every cough.
Can Xuan Fu Hua be drunk daily as a cough, antiemetic or anti-focal-distention tea?
Phlegm-fluid wheezing and belching may enter a short formula; yin vacuity only grows drier as it downbears. “Inula must stop reflux” does not replace digestive and respiratory assessment. Directing qi downward, dispersing phlegm, moving water and stopping vomiting should name 3–9 g wrapped.
How do you choose among Xuan Fu Hua, Dai Zhe Shi, Ban Xia, Kuan Dong Hua and Pi Pa Ye?
Inula flower is bitter-acrid-salty and slightly warm: directs qi downward, disperses phlegm, moves water and stops vomiting—phlegm-fluid counterflow and belching. Hematite is bitter-cold and heavy: calms the Liver, subdues yang, heavily settles counterflow and cools Blood. Pinellia is acrid-warm and toxic: dries damp, transforms phlegm, downbears counterflow and stops vomiting. Coltsfoot is acrid, slightly bitter and warm: moistens the Lung, directs qi downward and stops cough—cold cough. Loquat leaf is bitter and slightly cold: clears the Lung, stops cough and downbears counterflow—Lung heat. Belching with focal distention favors Xuan Fu Hua with Dai Zhe Shi (Xuan Fu Dai Zhe Tang); damp-phlegm vomiting favors Ban Xia; cold cough favors Kuan Dong Hua; Lung-heat cough favors Pi Pa Ye. They may be paired; yin-vacuity dry cough forbids large Xuan Fu Hua and Ban Xia.
Which herbs is Xuan Fu Hua combined with? What are the representative formulas?
Belching and vomiting join hematite, Pinellia, fresh ginger, ginseng, Licorice and jujube in Xuan Fu Dai Zhe Tang. Wind-cold phlegm cough appears in Jin Fei Cao San. Write Xuan Fu Hua 3–9 g, wrapped.
How do you choose and store Xuan Fu Hua?
Choose intact golden or pale-yellow capitula that are light and easily broken, with a slightly bitter taste. Moldy, dusty or scentless lots are discarded. Store dry against moisture. Buy pharmacopoeial Xuan Fu Hua and cloth-wrap it in decoction; do not replace directing qi downward, dispersing phlegm, moving water and stopping vomiting with coltsfoot by equal weight.