Herb Formulas Notebook

Sang Piao Xiao San

(Mantis Egg-Case Powder)

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Source: Extension of the Materia Medica (1116)

Category: Formulas that Stabilise and Bind

Pattern: Heart and Kidney Qi deficiency causing the Bladder to lose its restraint.

Key Symptoms: Frequent urination to the point of incontinence, gray and cloudy urine like rice water sometimes accompanied by spermatorrhoea
Secondary Symptoms: Disorientation, forgetfulness

Tongue: Pale with white coating
Pulse: Thin, slow and frail

Sang Piao Xiao 9-12g
Long Gu 12-30g
Ren Shen 9-12g
Fu Shen 9-12g
Yuan Zhi 3-6g
Shi Chang Pu 6-9g
Gui Ban 9-15g
Dang Gui 6-9g

In the UK some ingredients, including the principal one, must be substituted due to laws on animal products. Typical substitutes include:
Sang Piao Xiao == Tu Si Zi + Quan Shi
Long Gu == Bai Shao + Wu Wei Zi
Gui Ban == Han Lian Cao + Nu Zhen Zi
Presumably herbs like Fu Pen Zi, Yi Zhi Ren and Bu Gu Zhi could be appropriate too, especially if there are signs of Yang deficiency and cold.

Preparation: Grind equal amounts of each herb into a powder and take 6g at bedtime. In the source text it is advised to take with a decoction of Ren Shen. At present this is usually substituted with Dang Shen at 2-3x the dosage. May also be prepared as a decoction with dosages given.

Actions: Regulates and tonifies the Heart and Kidneys, stabilises the Jing, stops leakage

Contraindications: Should not be used for incontinence due to Damp-Heat or vigorous Fire in the Lower Jiao which will usually present with burning urination.

Research Links:
Science Direct
Google Scholar
Journal of Chinese Medicine
American Dragon

Reference Notes: (click to display)

These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.