sheng ma ge gen tang

Name: sheng ma ge gen tang
Creator: Bencao Index

Cimicifuga and Kudzu Decoction

About sheng ma ge gen tang

Sheng Ma Ge Gen Tang, Cimicifuga and Kudzu Decoction, is Sheng Ma, Ge Gen, Zhi Gan Cao and Chi Shao. The catalogue classes it among the formulas that release Exterior Wind-Heat, and records it as releasing Wind-Heat from the muscle layer and venting rashes.

Ingredients

Herb	Amount
sheng ma	3 g
ge gen	3 g
zhi gan cao	3 g
chi shao	6 g

Actions and indications

Releases Wind-Heat from the exterior and the muscle layer

Early stage of a warm febrile disease, with externally contracted Heat gathering in the Lung and Stomach
Fever and chills with a dislike of wind, headache and aching all over
Sneezing and cough, red and watery eyes, and thirst
Tongue red and dry; pulse floating and rapid

Vents rashes

Measles in its first stage, or a rash that is slow, patchy or uneven in reaching the surface

Modern uses

Measles
Early viral rashes in children that have not fully erupted
Scarlet fever
Chicken pox
Herpes zoster
Herpes simplex
Influenza
Headache
Fever
Chills
Cough
Sore throat
Tonsillitis
Epistaxis
Bleeding into the eye (hemophthalmia)
Red eyes
Skin diseases
Boils

Symptoms

Aversion to wind
Body aches
Chills
Cough
Excessive tearing
Fever
Headache
Incomplete rash eruption
Rash
Red eyes
Sneezing
Thirst

Modifications

Stronger exterior Heat: + bo he, + chan tui, + jing jie
Sore, swollen throat: + jie geng, + xuan shen, + ma bo, + huang qin
Sore, swollen throat (alternative): + niu bang zi
Dark red rash: + zi cao, + mu dan pi
Yang Ming exterior disorder with fever, thirst and dry nose, or dysenteric diarrhea: + bai shao, − chi shao
Viral rashes, herpes zoster in particular: + zi cao
To clear Heat and resolve toxicity more strongly: + lian qiao, + jin yin hua
Marked cough and wheezing, to regulate and lower Lung Qi: + jie geng, + zhi ke, + qian hu, + xing ren
To protect fluids from Heat: + mai men dong, + sha shen
Early-stage measles: + bo he, + chan tui, + jing jie, + niu bang zi, + jin yin hua, + lian qiao
Rash not fully expressed: + xuan shen, + mu dan pi, + zi cao, + da qing ye
Severe headache: + chuan xiong, + bai zhi

Show all 16 modifications

Stiff, painful back: + fang feng, + qiang huo
Persistent fever: + chai hu, + huang qin, + fang feng
Severe itching: + chan tui, + fang feng
Thirst and irritability: + zhu ye (dan), + lu gen

Cautions

contraindication A rash that has fully come out, particularly when the Heat has moved deeper with rapid breathing, dyspnea and cough; stop the formula at that point and change to one that clears Heat and resolves toxicity
contraindication Measles toxin sinking inward, with short, rough breathing, cough and wheezing
contraindication Interior Heat toxin already present, as when measles brings a high fever and a dark, purple-tinged rash, or the pathogen has reached the Qi or Blood level
caution If the rash is already surfacing evenly, the formula may leave the exterior deficient; continuing to vent after eruption can waste fluids and add to Heat
caution Warm-pathogen Heat diseases: use with care
caution Qi or Yin deficiency, spontaneous sweating, or a rash that has faded: the rising, scattering nature of Sheng Ma and Ge Gen calls for care or avoidance
caution Suspected measles is a reportable infection and needs prompt medical assessment rather than self-treatment
pregnancy Use in pregnancy only under professional guidance, because of its dispersing, upward-venting action

Preparation

Decoction, taken warm

Names

Pinyin	sheng ma ge gen tang
English Name	Cimicifuga and Kudzu Decoction

Classification

Category: Release Exterior Wind Heat

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