Sacred Lotus Chinese & Integrative Medicine

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Chen Xiang (Aloeswood, Aquilaria)


Herbs that Regulate the Qi
Chen Xiang 沉香

Lignum Aquilariae Agallochae Aloeswood, Aquilaria

Channels KISPST
Nature Warm SpicyBitter
✓ CALE Exam ✓ National Exam ⚠ Endangered
Chen Xiang (Lignum Aquilariae Agallochae)
Specimen Lignum Aquilariae Agallochae

Materia Medica Data

Temperature
Warm
Nature & Flavour
Spicy, Bitter, Warm
Channels Entered
KI, SP, ST
Latin (pharmaceutical)
Lignum Aquilariae Agallochae
Chinese
沉香
Tone Marks
chén xiāng
Translation
Sinking Fragrance
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Chinese Herb Actions

What is Chen Xiang used for in Chinese medicine?

Chen Xiang (agarwood) moves qi and relieves pain, directs rebellious qi downward to warm the middle, and distinctively warms the Kidney to help it “grasp” qi — a combination not shared by most other qi-regulating herbs, which is why it is singled out for Kidney-type wheezing and asthma.

Its main traditional actions:

  • Moves qi, relieves pain — distension and pain in the chest, epigastrium, and abdomen, especially from cold-type qi stagnation and blood stasis.
  • Directs rebellious qi downward, warms the middle — chronic nausea, vomiting, and belching from Spleen/Stomach cold-deficiency, and wheezing with a cold-deficient component.
  • Warms the Kidney to aid grasping of qi — asthma and wheezing where inhalation is harder than exhalation, the classic sign of the Kidney failing to grasp qi; also cold, soreness, and weakness of the low back and knees, and spermatorrhea in men.

Source: Sacred Lotus sources & references (Bensky, Materia Medica, 3rd ed.; Chen & Chen).

Chinese Herb Dosage

  • What is the typical dosage of Chen Xiang, and how is it prepared?

    Roughly 1–1.5 g — and almost always taken as a fine powder or added only in the final minutes of decoction, never boiled with the rest of the formula for the full cooking time, because prolonged heat drives off the aromatic oils that carry its qi-moving and Kidney-warming action.

    • Standard range — 1–1.5 g, added post-decoction (after the other herbs have been strained), per both Bensky and Chen & Chen.
    • Preparation — because it is aromatic, volatile, and expensive, it is commonly ground to powder and either stirred into the strained decoction or swallowed directly, rather than boiled as part of the main pot.

    Source: Sacred Lotus sources & references (Bensky; Chen & Chen). Reference only — not a prescription.

Chinese Herb Contraindications & Cautions

  • Are there cautions for Chen Xiang?

    Yes — traditional sources caution against its use in yin deficiency with heat/fire signs and in qi collapse or organ prolapse, since its warming, downward-directing action can aggravate both patterns.

    • Yin deficiency with fire (e.g., night sweats, malar flushing, five-palm heat) — avoid or use only with caution.
    • Qi collapse / organ prolapse — its qi-descending action runs contrary to what these patterns require.

    Source: Sacred Lotus sources & references (Bensky; Chen & Chen).

Chinese Herb Toxicity & Overdose

  • Low at traditional doses. Agarwood also has a long history as an incense and flavoring material with no significant toxicity reported at the small (1–1.5 g) medicinal dose. The main real-world safety concern is not the genuine herb but adulterated or synthetic “agarwood” products — oil diluted with patchouli or other chemical additives, or immature/plantation wood artificially inoculated to fake resin content — where the contaminant, not agarwood itself, is the risk.

    Source: cross-referenced against multiple online sources (agarwood trade/adulteration reporting); materia medica consensus. Reference note, not a safety guarantee.

Herb-Drug Interactions

  • No well-established clinical herb–drug interactions are documented for Chen Xiang in the literature reviewed. (Flagged for practitioner confirmation given its Kidney/urinary and gastrointestinal actions.)

Western / Biomedical Research

Chinese Herb Clinical Studies & Research

Provided as research context — a summary of published biomedical study, not a therapeutic or medical claim.

  • Is there modern research on Chen Xiang (Aquilaria)?

    Yes, but mostly preclinical chemistry and pharmacology — while the trees themselves are a live conservation and trade-regulation priority.

    • Conservation/trade statusAquilaria malaccensis was placed on CITES Appendix II in 1995; the listing was extended to all Aquilaria species in 2004 (with some countries holding reservations), reflecting overharvesting and habitat loss in wild populations, and driving very high prices for top-grade wild resin-wood.
    • Pharmacology (preclinical) — a scoping review found agarwood extracts and isolated chromones inhibit NF-κB activation, LPS-induced nitric oxide production, and the growth of bacteria (Staphylococcus aureus, Bacillus subtilis) and fungi (Candida albicans, Fusarium oxysporum) in laboratory studies; the authors note the absence of human clinical trials to date. PMID 39596767.
    • Chemistry — a systematic review catalogued 367 sesquiterpene and chromone compounds identified across the four major Aquilaria species used to produce agarwood. PMID 35520206.
    • Adulteration — top-grade agarwood can sell for roughly $100,000–$290,000 US per kilogram, versus roughly $100/kg for plantation or artificially inoculated material; this price gap makes adulteration of both wood and oil (e.g., dilution with patchouli or other substances) common in commercial trade.

    Human clinical evidence is essentially absent; current support is preclinical (in vitro/chemistry) plus trade/conservation documentation.

    Sources: PMID 39596767; PMID 35520206; cross-referenced against multiple online sources for CITES listing and trade/pricing data. Research and trade context, not a therapeutic claim.

Chinese Herb Notes

  • How is Chen Xiang combined, and what makes it distinctive?

    Chen Xiang's signature is pairing qi-moving pain relief with a genuine ability to help the Kidney grasp qi — most qi-regulating herbs (Mu Xiang, Chen Pi) do not reach the Kidney, and most Kidney-qi-grasping herbs (Hu Tao Ren, Wu Wei Zi) do not move qi or relieve pain the way Chen Xiang does.

    • Si Mo Tang — with Mu Xiang, Bing Lang, and Wu Yao, for qi stagnation with rebellious qi.
    • Hei Xi Dan and Hui Chun Dan — Kidney-grasping-qi / severe wheezing rescue formulas.
    • Zi Xue Dan and Su He Xiang Wan — aromatic, orifice-opening formulas.
    • Nuan Gan Jian — Liver-Kidney warming; Gun Tan Wan — phlegm-purging.

    Because genuine resin-dense agarwood is scarce and extremely costly, commercial substitutes and synthetic-oil-soaked wood circulate widely (see Research) — sourcing verified material matters for both cost and reliability of action.

    Source: Sacred Lotus sources & references (Bensky; Chen & Chen; Sacred Lotus formula cross-references).

This herb is from an endangered/protected species and is illegal in the United States

Sources & References

Compiled and edited by Thomas Dehli, Founder & Editor, Sacred Lotus Updated

The information here is referenced from numerous sources — teachers, practitioners, class notes from Five Branches University, the books below, and the published research literature, with citations given as resolvable PubMed identifiers. Where sources disagree, I have flagged the discrepancies directly. If facts couldn't be verified, I have left them out. How we source our content.

Reference information for students and practitioners — not medical advice. Consult a qualified practitioner. Terms of use.

Chinese Herbs Books & References

  • https://amzn.to/3WfB3DK

    Dan Bensky

  • https://amzn.to/3DR1VUh

    John K. Chen, Tina T. Chen

  • https://amzn.to/42aMz73

    Max Wichtl

  • https://amzn.to/3PuD4bt

    Him Che. Yeung

Browse all Chinese Medicine reference texts