Qi Wu Jiang Xia Tang

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七物降下汤 (Seven-Substance Decoction for Directing Downward)

Source: Practice of Syndrome Treatment in Kampo (1963)

Last updated October 1, 2026

Not yet clinically reviewed

Description

Qi Wu Jiang Xia Tang (Seven-Substance Decoction for Directing Downward), from Practice of Syndrome Treatment in Kampo (1963).

Associated formula of Si Wu Tang.

Actions: Tonifies and invigorates the blood; Tonifies the qi; Extinguishes internal wind

Indications: Headache, flushing, neck and shoulder tension, sensitivity to cold (especially lower body), tinnitus, urinary frequency, dry skin, tendency to tire

Pattern: Qi and blood deficiency with Liver yang excess

Usage: Otsuka Keisetsu's Kampo formula for hypertension.

Category: Formulas that Tonify the Blood.

Source: Scheid V, Bensky D, Ellis A, Barolet R. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. Eastland Press, 2009, p. 338.

Composition

Herb Amount % Role Function
Gou Teng
as printed: Uncariae Ramulus cum Uncis (gou teng) 4g
4g 19.05% —
Dang Gui
as printed: Angelicae sinensis Radix (dang gui) 3g
3g 14.29% —
Chuan Xiong
as printed: Chuanxiong Rhizoma (chuan xiong) 3g
3g 14.29% —
Bai Shao
as printed: Paeoniae Radix alba (bai shao) 3g
3g 14.29% —
Shu Di Huang
as printed: Rehmanniae Radix preparata (shu di huang) 3g
3g 14.29% —
Huang Qi
as printed: Astragali Radix (huang qi) 3g
3g 14.29% —
Huang Bai
as printed: Phellodendri Cortex (huang bai) 2g
2g 9.52% —

Energetics dose-weighted

The formula's overall nature, taste balance and channel reach, weighted by each herb's dose. Classical formulas often pair warm and cool herbs on purpose, so a net figure summarises the mix — it doesn't describe every herb in it.

Nature

Cold Cool Neutral Warm Hot

Net neutral (+0.05)

From 100% of the weighed grams.

cold cool warm

Grams by band: cold 10%, cool 33%, warm 57%.

Pairs warm and cool. 57% of the weighed grams are warm or hot and 43% cool or cold — the net is their average, not the whole story.

Small but decisive: Huang Bai 2g (cold, 10% of the grams). Dose weighting nearly cancels a herb this small, but it may be what the formula is for.

Taste

pungent sweet sour bitter
  • pungent 21%
  • sweet 55%
  • sour 7%
  • bitter 17%

From 100% of the weighed grams.

Channels reached

  • Liver 76%
  • Spleen 43%
  • Pericardium 33%
  • Kidney 24%
  • Lung 14%
  • Heart 14%

Share of the grams entering each channel, from 100% of the weighed grams.

Dose-weighted from each herb's recorded nature, taste and channels (missing values are left out, never counted as neutral). It describes the composition — it is not a recommendation.

Compare side by side with Liu Shen San →

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Formula family

Each entry reads as the larger formula written out: “+” adds its other catalogue cores, then the herbs none of them hold. A catalogue formula counts as a core only when at least 80% of its herbs are present, no more than 1 is absent, and the absent herb is not its chief.

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Similar Formulas by composition

Match score combines dosage-weighted composition (cosine, 70%) with shared-herb overlap (Jaccard, 30%).

Traditional formula information is for educational purposes only. Herbal formulas should be prescribed by a qualified practitioner — dosages and combinations are individualized and can interact with medications.

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