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Su He Xiang

Traditionally used for: Traditional short-term use under a qualified practitioner. Sudden fainting or collapse (traditional); Chest pain.

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What is Su He Xiang? Su He Xiang is a sticky brown resin with a sweet smell. It comes from the trunk of a tree called the Oriental sweetgum. In English it is called storax or styrax. Chinese medicine uses it to wake a person who has fainted or collapsed. It is almost always one herb inside a mixed pill. It is not taken on its own. Human trials on this herb alone have not been published. It does have a long record in old formulas. A long history of use is not proof that something works. How does Su He Xiang work? No one has shown how it works in the body. Lab work points to the oils in the resin. These oils kill germs in a dish and can sting skin. Old Chinese texts give a different account. They call the resin warm and strong-smelling. They say it opens the senses and moves stuck qi (the body's life energy, in Chinese thought). Some studies look at the mixed pill Su He Xiang Wan for chest pain. Those studies test the whole pill, not this one herb. So they cannot tell us what the resin does by itself. What forms does Su He Xiang come in? You will rarely see this resin sold on its own. It is nearly always one part of a ready-made pill. Forms you may meet: - raw resin, dark and sticky - Su He Xiang Wan (Storax Pill), an old Chinese mixed pill - compound benzoin tincture, a skin and steam product sold in the West - a trace amount in incense and scent Buy from a shop or pharmacy that tests what it sells. Cheaper gums are sometimes sold in its place. Where it comes from: The tree does not grow in China. Traders from Arab and Persian lands brought the resin east along the Silk Road. Chinese records go back more than a thousand years, to the Tang era. The Storax Pill first appears in Song dynasty texts. People carried it for sudden collapse and chest pain. The resin has its own long past further west. Greek, Arab and European doctors burned it and put it on wounds. That is why it counts as classical in more than one tradition.

Helps

What does Su He Xiang help with? Fainting and sudden collapse: This is the classical use, and it is the one we most want to warn you about. Old texts say the strong smell rouses a person who has passed out. There are no human trials behind this. Fainting and collapse can mean a stroke, a heart problem or low blood sugar. Call emergency services first. Do not delay help to give a herbal pill. Chest pain of the cold type: Storax Pill has long been carried for sudden chest pain in Chinese practice. Modern studies from China have tested the whole pill, mostly in angina (chest pain from a narrowed heart artery). Those studies were small and often poorly reported. They also cannot tell us what this single herb adds. New or worsening chest pain is a medical emergency. Treat it as one. Cramping belly pain that eases with warmth: Traditional texts group this resin with warm, moving herbs for cold pain in the belly and chest. It is used in mixed pills, not alone. We found no human trials for this use. The support is traditional only. Small wounds and cracked skin: Storax and the related benzoin resins have a long record on the skin in Europe and the Middle East. They dry and coat the surface, and are still sold as compound benzoin tincture. Good human trials are thin. These resins are also a common cause of skin allergy, so stop at the first sign of a rash. Chesty cough and blocked nose: Benzoin-type resins are added to hot water and the steam is breathed in. Many people find the warm steam soothing. Most of the comfort may come from the steam itself. Trials that separate the resin from plain steam are lacking.

Su He Xiang

Quick Facts

  • What it is: Su He Xiang is a sweet-smelling tree resin, also called storax, used in Chinese mixed pills to rouse someone who has collapsed.
  • Main uses: Sudden fainting or collapse (traditional), Chest pain, within a mixed pill, Cold, cramping belly pain, Skin and steam use as a resin
  • Best for: Traditional short-term use under a qualified practitioner
  • Active ingredients: Cinnamic acid, Cinnamyl cinnamate, Styrene, Vanillin
  • Forms: Raw resin, Su He Xiang Wan (Storax Pill), Compound benzoin tincture for skin and steam, Incense
  • Time to effect: Tradition says minutes; this has not been measured in trials.
  • Side effects: Skin rash is the main problem; mouth burning, nausea and headache are also reported.
  • Pregnancy & breastfeeding: Avoid in pregnancy and while breastfeeding.

Educational information, not medical advice — ask your doctor or midwife.

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What is Su He Xiang?

Su He Xiang is a sticky brown resin with a sweet smell. It comes from the trunk of a tree called the Oriental sweetgum. In English it is called storax or styrax.

Chinese medicine uses it to wake a person who has fainted or collapsed. It is almost always one herb inside a mixed pill. It is not taken on its own.

Human trials on this herb alone have not been published. It does have a long record in old formulas. A long history of use is not proof that something works.

How does Su He Xiang work?

No one has shown how it works in the body. Lab work points to the oils in the resin. These oils kill germs in a dish and can sting skin.

Old Chinese texts give a different account. They call the resin warm and strong-smelling. They say it opens the senses and moves stuck qi (the body's life energy, in Chinese thought).

Some studies look at the mixed pill Su He Xiang Wan for chest pain. Those studies test the whole pill, not this one herb. So they cannot tell us what the resin does by itself.

What forms does Su He Xiang come in?

You will rarely see this resin sold on its own. It is nearly always one part of a ready-made pill.

Forms you may meet: - raw resin, dark and sticky - Su He Xiang Wan (Storax Pill), an old Chinese mixed pill - compound benzoin tincture, a skin and steam product sold in the West - a trace amount in incense and scent

Buy from a shop or pharmacy that tests what it sells. Cheaper gums are sometimes sold in its place.

Where it comes from:

The tree does not grow in China. Traders from Arab and Persian lands brought the resin east along the Silk Road. Chinese records go back more than a thousand years, to the Tang era.

The Storax Pill first appears in Song dynasty texts. People carried it for sudden collapse and chest pain.

The resin has its own long past further west. Greek, Arab and European doctors burned it and put it on wounds. That is why it counts as classical in more than one tradition.

If this is an emergency

Some reactions to Su He Xiang need urgent care. Call your local emergency number or go to an emergency department straight away — do not wait to see whether it passes.

Who should avoid Su He Xiang?

  • Do not use if you are pregnant, or think you may be. Chinese texts ban this herb in pregnancy, and there is no dose known to be safe.
  • Do not use if you are breastfeeding.
  • Do not use if you are giving it to a child, unless a qualified practitioner has prescribed it.
  • Do not use if you have ever reacted to benzoin, friar's balsam, balsam of Peru or sticking plasters, as allergy crosses between them.
  • Do not use if you or someone near you has collapsed, has crushing chest pain, or may be having a stroke. Call emergency services instead.
  • Do not use if you take warfarin or another blood thinner, unless your doctor agrees first.
  • Do not use if you plan to swallow compound benzoin tincture. That product is made for the skin and for steam only.
  • Do not use if you want to take it daily for months, because of the styrene in the resin.
  • Do not use if you have night sweats, a dry mouth and a red tongue, which Chinese medicine calls dryness with heat. Warm, strong-smelling herbs make this worse.

When should you see a doctor?

Call emergency services at once if someone faints, collapses, or has crushing or spreading chest pain. Do not treat this with a herbal pill.

Get urgent care for swelling of the lips, face or tongue, a spreading rash, or trouble breathing after use.

See your doctor if a cough, wound or belly pain is no better after a few days, or if you are taking heart or blood-thinning medicines and want to try this herb.

Evidence grades and traditional-use labels are explained in our methodology. Nothing here is medical advice.

Reviewed by the HealisticMD editorial team How we grade evidence →

The published evidence for Su He Xiang is weak or absent. That usually means no controlled trial has tested it, not that a trial found it ineffective — the two are different, and we grade only what has been published.

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