Chinese Herbal Medicine for Asthma and Respiratory Health
Asthma affects hundreds of millions of people worldwide and continues to rise in both children and adults. It can limit physical activity, disrupt sleep, and create a constant concern about the possibility of sudden flare ups. Inhalers, steroids, and biologic medications are effective tools, yet many people still search for additional ways to ease their breathing and support long term health.
Chinese herbal medicine and acupuncture offer traditions that span centuries and are increasingly backed by modern research. By addressing patterns of imbalance in the body, these therapies have been used to reduce coughing, calm wheezing, and strengthen the lungs. Today, clinical studies are beginning to confirm what practitioners of Traditional Chinese Medicine have long observed, showing how herbal formulas and acupuncture may support respiratory health when combined with conventional care.
Key Takeaways:
- Chinese herbal medicine views asthma as patterns of imbalance rather than one single disease.
- Classic formulas like Ma Xing Shi Gan Tang, Ding Chuan Tang, and Bu Fei Tang are widely used for asthma relief.
- Individual herbs such as apricot kernel, astragalus, ginseng, and fritillaria support lung health and immunity.
- Herbal medicine also helps with related conditions including COPD, allergies, and seasonal respiratory infections.
- Safe use requires professional guidance and can be combined with therapies like cupping, moxibustion, and Tuina.
Understanding Asthma and Respiratory Disorders
What happens in asthma
Asthma is a condition where the airways become inflamed and narrowed. Muscles tighten around the bronchial tubes and extra mucus is produced, making it difficult to breathe. Common symptoms include shortness of breath, a tight chest, wheezing, and a persistent cough. Triggers range from allergens and environmental irritants to exercise, cold air, and emotional stress.
Who Is Most at Risk for Asthma
Asthma can appear at any stage of life. It often begins in childhood, but many adults also live with persistent symptoms or develop the condition later on. Both genetic and environmental factors play a role in who is most affected. Family history of allergies, frequent respiratory infections, and exposure to irritants like smoke or pollution all increase the likelihood of developing asthma. Occupational hazards, such as dust or chemical fumes, can also trigger cases in adults.
Groups at higher risk include:
- Children with smaller, more sensitive airways that react strongly to allergens or infections
- People with a family history of asthma, allergies, or eczema who inherit a higher susceptibility
- Adults exposed to irritants at work such as smoke, dust, or chemical fumes
- Individuals living in high-pollution areas where air quality consistently strains the lungs
- Those with frequent respiratory infections in childhood which may leave lasting airway sensitivity
Why complementary care matters
Modern medicine provides inhalers, steroids, and advanced biologics that save lives. However, some patients experience side effects or find their symptoms are not completely controlled. Others want to address the deeper causes of imbalance that may contribute to frequent attacks. For these reasons, many turn to complementary therapies such as Chinese herbal medicine to fill the gaps in care and to support a healthier respiratory system overall.
The Traditional Chinese Medicine View of the Lungs
Lung Qi in theory
In Traditional Chinese Medicine, the lungs are responsible for governing Qi, or vital energy, throughout the body. They are considered delicate because they are directly exposed to the external environment through breathing. Strong Lung Qi means clear breathing, good immunity, and vitality. Weak Lung Qi often results in fatigue, frequent colds, and breathing difficulties.
Common patterns in asthma
TCM does not treat asthma as a single disease but rather as patterns of imbalance. The most common include phlegm heat obstructing the lungs, wind cold invading the lungs, and a deficiency of Lung and Kidney Qi. Each pattern has its own symptoms and requires different herbs or formulas.
Principles of treatment
Treatment is designed to restore harmony. This may involve clearing heat and phlegm, strengthening Qi, calming wheezing, and supporting both lung and kidney systems.
Chinese Herbal Formulas for Asthma
Classical formulas
Ma Xing Shi Gan Tang is traditionally used for asthma with heat and wheezing, combining ephedra, apricot kernel, gypsum, and licorice.
Ding Chuan Tang targets phlegm heat that blocks the lungs, making it suitable for cough with thick yellow mucus and shortness of breath.
Bu Fei Tang is prescribed for chronic asthma linked to weak Lung Qi, helping to strengthen breathing over time.
Modern standardized formulas
In recent years, modern formulas have been created and tested. Anti asthma herbal medicine intervention (ASHMI) has been studied in both China and the United States. Suhuang Zhike Capsule is a hospital prescribed formula in China, and Xiao Chuan Ning has been evaluated in proof of concept clinical trials.
Clinical research
Studies suggest that herbal formulas may reduce airway inflammation, improve lung function, and enhance quality of life. Some trials even show that combining certain formulas with corticosteroids allows for lower drug doses while maintaining effectiveness.
Individual Chinese Herbs for Respiratory Health
Herbs that open airways and ease wheezing
- Ma Huang (Ephedra sinica) has strong bronchodilating properties though it is now restricted in many countries.
- Xing Ren (Apricot Kernel) moistens the lungs and calms coughing.
- Zi Su Zi (Perilla Seed) relieves cough and phlegm while making breathing smoother.
- Bai Guo (Ginkgo Nut) supports circulation in the lungs and reduces wheezing.
Herbs that clear heat and calm inflammation
- Shi Gao (Gypsum Fibrosum) cools the lungs and reduces fever.
- Huang Qin (Scutellaria Root) is a powerful anti inflammatory herb.
- Sang Bai Pi (Mulberry Root Bark) helps clear lung heat and calm wheezing.
- Ting Li Zi (Lepidium Seed) breaks down phlegm and relieves chest tightness.
Herbs that strengthen Lung Qi and immunity
- Huang Qi (Astragalus Root) is famous for boosting immunity and preventing respiratory infections.
- Ren Shen (Ginseng Root) restores energy and supports overall vitality.
- Dang Shen (Codonopsis Root) offers a gentler alternative to ginseng.
- Wu Wei Zi (Schisandra Berry) stabilizes Lung Qi and helps prevent chronic coughing.
Herbs that dissolve phlegm and dampness
- Ban Xia (Pinellia Rhizome) dries dampness and clears stubborn phlegm.
- Chen Pi (Aged Tangerine Peel) improves digestion and reduces phlegm production.
- Bei Mu (Fritillaria Bulb) soothes dry coughs and clears mucus.
- Bai Jie Zi (White Mustard Seed) warms the lungs and loosens chest congestion.
Herbs for chronic asthma and lung weakness
- Dong Chong Xia Cao (Cordyceps) strengthens both lung capacity and immune response.
- Ge Jie (Gecko) is traditionally used to tonify lung and kidney function.
- Zi Wan (Aster Root) moistens the lungs and reduces persistent cough.
- Kuan Dong Hua (Coltsfoot Flower) soothes the throat and eases wheezing.
How Chinese Herbal Medicine Works for Asthma
Modern research is beginning to explain why these herbs may help. Many have anti-inflammatory properties, lowering levels of cytokines that drive airway inflammation. Others regulate the immune system, balancing responses that otherwise trigger allergies and asthma attacks. Some herbs act as antioxidants, protecting lung tissue from damage, while others have direct bronchodilating effects that relax airway muscles. Together, these actions support easier breathing and fewer flare ups.
Beyond Asthma: Other Respiratory Conditions
Allergic Rhinitis and Food Allergy
Asthma often overlaps with allergies, which can intensify airway sensitivity and lead to frequent flare ups. In Traditional Chinese Medicine, these conditions are viewed as the body’s defensive Qi being overwhelmed by internal or external triggers. Herbal strategies are chosen to calm the immune response and ease inflammation that drives nasal congestion, sneezing, or food related reactions. Herbs such as Huang Qin or Wu Wei Zi may be used to reduce histamine activity, while formulas that strengthen Lung and Spleen Qi help the body build tolerance over time. By supporting balance and stability, Chinese herbal medicine not only relieves asthma but also addresses the allergic patterns that commonly accompany it.
Chronic Obstructive Pulmonary Disease
Chronic obstructive pulmonary disease, which includes chronic bronchitis and emphysema, is another major condition where Chinese herbal medicine has been applied. Many of the same formulas used for asthma such as Bu Fei Tang or Dong Chong Xia Cao are prescribed to people with COPD. These remedies help reduce excess mucus, improve airflow, and support lung function that has been weakened by long term irritation or smoking history. Clinical research suggests that combining herbal therapies with inhalers may improve exercise tolerance and enhance overall quality of life. By strengthening both Lung and Kidney Qi, herbal medicine seeks to lessen the frequency of flare ups and increase energy for daily activities.
Seasonal Respiratory Infections
Respiratory infections are one of the most common triggers for both asthma attacks and COPD flare ups. Because of this, prevention is emphasized in Traditional Chinese Medicine. During the colder months, practitioners often recommend Qi tonics such as Huang Qi or Ren Shen to improve immune strength. When early signs of sore throat or congestion appear, herbs like Zi Su Ye or Jing Jie may be included to dispel pathogens before they settle deeply into the lungs. Strengthening the body in advance makes it less likely that a simple cold will develop into bronchitis or pneumonia. For people with asthma, this proactive approach reduces the chance of infections leading to serious breathing difficulties.
Safety and Professional Guidance
Herbal medicine is powerful and must be used wisely. Certain herbs, such as ephedra, are restricted in many countries because of safety concerns. Interactions with asthma drugs are also possible, so it is essential to consult a qualified practitioner. Children, pregnant women, and people with other health conditions require special care. Working with our licensed professional ensures the formulas are safe and matched to the individual pattern.
A Holistic Path Forward in Respiratory Health
Chinese herbal medicine provides a holistic path for people with asthma and other respiratory conditions. While it is not a cure, it can complement inhalers, steroids, and other medical treatments. By reducing inflammation, balancing the immune system, and strengthening the lungs, it offers a bridge between traditional wisdom and modern science.
At ACA Acupuncture and Wellness, we take an integrative approach to respiratory care by combining Chinese herbal formulas with therapies such as thermal therapy, cupping therapy, moxibustion, Tuina massage, reflexology, and ear seeding. Each of these methods supports lung function in different ways, from improving circulation and clearing phlegm to calming inflammation and restoring overall balance. For those seeking a more comprehensive approach to breathing health and long-term vitality, working with our qualified TCM practitioner ensures treatment is personalized, effective, and safe.
Sources:
Lu, K., Li, C., Men, J., Xu, B., Chen, Y., Yan, P., Gai, Z., Zhang, Q., & Zhang, L. (2024). Traditional Chinese medicine to improve immune imbalance of asthma: Focus on the adjustment of gut microbiota. Frontiers in Microbiology, 15.
Zhang, H. P., Wang, L., Wang, Z., Xu, X. R., Zhou, X. M., Liu, G., He, L. Y., Wang, J., Hsu, A., Li, W. M., & Wang, G. (2018). Chinese herbal medicine formula for acute asthma: A multi-center, randomized, double-blind, proof-of-concept trial. Phytomedicine, 48, 130–138.
Zhou, B.-W., Liu, H.-M., & Jia, X.-H. (2022). The role and mechanisms of traditional Chinese medicine for airway inflammation and remodeling in asthma: Overview and progress. Frontiers in Pharmacology, 13, Article 917256.Â
Li, L., Liu, X.-F., Cui, Z.-F., Zou, H., Liu, S.-L., & Wang, H.-W. (2025). The mechanism of traditional Chinese medicine and natural medicine in treating chronic obstructive pulmonary disease. International Journal of Chronic Obstructive Pulmonary Disease, 20, 1249–1266.
Li, X.-M. (2009). Traditional Chinese herbal remedies for asthma and food allergy. Journal of Allergy and Clinical Immunology, 123(2), 297–306.
Frequently Asked Questions
Can Chinese herbs cure asthma?
No. Asthma cannot be permanently cured, but certain Chinese herbal formulas may reduce flare-ups, ease breathing difficulties, and support long-term lung health when used correctly.
Which Chinese herbs are most used for asthma relief?
Commonly referenced herbs include ephedra (ma huang), apricot kernel (xing ren), astragalus (huang qi), ginseng (ren shen), and fritillaria (bei mu). These are often combined into formulas tailored to the individual’s condition.
Is it safe to use herbs with inhalers or prescription medicine?
Yes, but only under the guidance of a qualified practitioner. Some herbs may interact with prescription medications, so professional supervision is important for safety and effectiveness.
How long does it take to see results from herbal treatment?
Mild improvements such as easier breathing or reduced coughing may appear within a few weeks, while chronic asthma cases often require consistent use for several months. Results vary depending on the person’s overall health and treatment plan.
What is ASHMI and how does it help asthma?
ASHMI (Anti Asthma Herbal Medicine Intervention) is a modern Chinese herbal formula made from Ganoderma (ling zhi), Sophora (ku shen), and licorice (gan cao). It is used in Chinese medicine to calm airway inflammation, support lung strength, and make breathing easier.
Can Chinese medicine therapies beyond herbs help with asthma?
Yes. Alongside herbal remedies, therapies like acupuncture, cupping, moxibustion, Tuina massage, thermal therapy, and ear seeding are often used in Traditional Chinese Medicine (TCM) to strengthen the lungs, regulate immunity, and reduce the frequency of asthma attacks.
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