Herb Formulas Notebook

Sheng Jiang San

Ascending and Descending Powder

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Source: Systematic Differentiation of Cold Damage and Warm Epidemics (1748)
Author: Yang Lishan

Category: Formulas that Clear Heat

Pattern: Liver and Gallbladder constrained Heat, obstruction of the Qi dynamic and Heat harassing the Heart spirit.

Key Symptoms: Can be used for a number of presentations including:

Headache, dizziness, stifling sensation and distention in the chest, chest and abdominal pain, vomiting or spitting of food;

Interior fever leading to thirst, simultaneous vomiting and diarrhoea, but the body has no fever;

Abhorrence of cold, vigorous heat, the whole body’s bones and joints are sore, excessive drinking of water;

Cold reversal of the limbs, body is cold like ice, breath is like fire, irritability and restlessness, unsettled spirit;

Chan Tui 6g
Jiang Huang 6g
Chai Hu 6g
Huang Qin 6g
Chuan Lian Zi 6g
Zhi Ke 6g
Zhu Ru 6g
Bai Jiang Can 10g
Shan Zha 3g (scorched)
Mai Ya 3g (scorched)
Shen Qu 3g (scorched)
Shui Hong Hua Zi 10g
Da Huang 1g

In the UK several ingredients need to be substituted. Some suggestions include:

Chan Tui == Bo He
Bai Jiang Can == Tian Ma + Tian Zhu Huang

Shui Hong Hua Zi, while allowed may not be available. Other Blood Moving herbs might be applicable depending on the presentation being treated.

Preparation: No instructions given in most sources but presumably ground into a powder in the original text but given in quantities to make a decoction in most modern texts.

Actions: Clear Liver Heat and regulate the Qi dynamic in order to bring about peaceful sleep

Original formula taken from Blalack (2012): http://www.chinesemedicinedoc.com/wp-content/uploads/2014/11/JCM98_Blalack_p18-23_v2.pdf.

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.