He Geng (荷梗; Hé Gěng; English: lotus petiole) is the dried leaf stalk of Nelumbo nucifera Gaertn. The current pharmacopoeia lists He Ye, the leaf, and Lian Zi, the seed. The petiole is usually not a separate monograph. It is a traditional part specification. It is bitter and neutral. Tradition enters it in the Spleen and Stomach, and its core actions are to clear summerheat, ease the chest, and disinhibit qi. It is not He Ye. Lotus leaf is bitter and neutral; it clears summerheat, drains dampness, raises clear yang, and cools blood to stop bleeding. It is not Lian Zi. Lotus seed is sweet, astringent, and neutral; it tonifies the spleen, stops diarrhea, and secures Kidney essence. It is not Lian Zi Xin. The embryo is bitter-cold and clears the Heart to eliminate vexation. He Geng is hollow. It leans toward venting qi, easing the chest, and relieving summer-damp fullness. A cold weak spleen and sinking middle qi should not meet long single-herb tea use.
Traditionally it is used most often for three patterns:
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Summer-damp chest tightness — focal distention, no hunger
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Mild summer-damp diarrhea — the choice with He Ye or Bai Bian Dou belongs with a practitioner
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Qi not moving freely — discomfort in the chest and diaphragm
Traditional decoction amounts are often 10–30 g. Bitter, neutral, and clearing, it is not an all-summer “lotus-stalk tea.” Clearing when there is no summer-damp injures the middle.
When summer-damp encumbers qi, chest tightness and focal distention are common. He Geng is hollow, bitter, and neutral. It clears, eases, and disinhibits qi, which is why it appears in summerheat pairings. It clears and drains more than it holds. A cold abdomen, loose stools, and shortness of breath with sinking get worse if more clearing is added.
He Geng is not a catch-all summerheat stalk, and it does not replace official He Ye in a home rewrite of a formula. In middle-cold diarrhea or when there is no summer-damp, using it alone can injure the middle. Petiole or leaf should be decided by a licensed Chinese medicine practitioner after pattern diagnosis.