Longstamen Onion Bulb — Classic Formulas

Xie Bai · Bulbus Allii Macrostemi

Primary Actions

  • Unblocks chest Yang and disperses bound cold-phlegm - the defining herb for xiong bi patterns with chest tightness, angina-like pain, shortness of breath, white sticky sputum, or inability to lie flat because cold and phlegm obstruct the Yang of the chest.
  • Moves Qi and relieves fullness - used when stagnation extends from the chest into the epigastrium or intestines, producing stifling oppression, abdominal distention, or bearing-down discomfort.
  • Warms the Lungs and transforms cold-phlegm - especially useful when cough, wheezing, or chest obstruction reflect cold-turbid phlegm rather than hot or dry phlegm.
  • Relieves distention and pain in the bowels - classical sources also extend it to cold stagnation with diarrhea, dysentery, and tenesmus because it enters the Stomach and Large Intestine as well as the chest.

Classic Formulas

  • Gua Lou Xie Bai Bai Jiu Tang (瓜蒌薤白白酒汤) - from Jin Gui Yao Lue, the foundational chest-impediment formula in which Xie Bai warms and opens chest Yang while Gua Lou loosens phlegm and wine drives the action upward through the chest.
  • Gua Lou Xie Bai Ban Xia Tang (瓜蒌薤白半夏汤) - the stronger phlegm-heavy version for chest pain radiating to the back, copious white phlegm, and inability to lie flat, showing Xie Bai's classic role in severe phlegm-cold obstruction.
  • Zhi Shi Xie Bai Gui Zhi Tang (枳实薤白桂枝汤) - for marked chest fullness, upward surging Qi, and coexistence of cold, Qi stagnation, and some Blood stasis, with Xie Bai still serving as the key Yang-unblocking herb.

Classical Text References

  • Me & Qi and Sacred Lotus both describe Xie Bai as warm, acrid, and bitter, entering the Heart, Lung, Stomach, and Large Intestine to treat chest impediment, cold-phlegm, and distention.
  • Jin Gui Yao Lue established Xie Bai as the key herb in the three landmark chest-impediment formulas that still anchor modern TCM use for chest pain and coronary-style obstruction patterns.
  • Later materia medica such as Ben Cao Gang Mu broadened the record to include diarrhea, lower stagnation, and pregnancy-related cold abdominal pain, but the herb's enduring identity remains its ability to open blocked Yang in the chest.