Author: Qian Yi, 錢乙
Year: 1119
Source: Craft of Medicines and Patterns for Children (Xiao Er Yao Zheng Zhen Jue, 小兒藥證真訣)
Category: Formulas that Release the Exterior
Pattern: Early stage measles or rashes due to External Invasion of a pathogen generating or bringing out Heat in the Lungs and Stomach or Spleen
Key Symptoms: Early stage measles or rashes that do not surface evenly, fever and chills, headache, generalised body aches, sneezing, coughing, red eyes, tearing, thirst
Tongue: Red and dry tongue
Pulse: Floating and rapid
Ingredients
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Sheng Ma
| 3-6g | |
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Pinyin: Sheng Ma
Chinese: 升麻
Pharmaceutical: Rhizoma Actaeae
Taxonomy: Actaea cimicifuga, A. heracleifolia (Da San Ye Sheng Ma), A. dahurica (Xin Gan Sheng Ma), A. simplex (Ye Sheng Ma)
English: Chinese Cohosh |
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Tastes: Pungent, slightly bitter, slightly cold
Meridians Entered: Lung, Spleen, Stomach and Large Intestine |
Actions & Indications:
- Releases the Exterior and vents measles
Headache due to Wind-Heat Early stages of measles
- Clears Heat and relieves toxicity
Fire toxins in the upper or superficial aspects of the body with sore teeth, swollen or painful gums, ulcerated lips or gums, canker sores, painful and swollen throat, sores or maculae from Warm-Heat pathogen diseases
- Raises Yang and lifts sunken Qi
Central Qi Sinking or Middle Qi Deficiency with shortness of breath, fatigue and prolapse
Dai channel spasms
Guides other herbs upwards
- Kills Gu Parasites and Scatters Toxins by Releasing the Exterior
Chronic inflammatory disease (Fruehauf, 1998; 2015)
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, prevent premature death, make the body light and prolong life. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生).
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Standard Dosage: 3-10g in decoction.
Cautions: The patients whose measles have come out or have yin deficiency and heat excess, or yin deficiency and yang going upward adversely are forbidden to use this herb. |
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Ge Gen
| 3-9g | |
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Pinyin: Ge Gen
Chinese: 葛根
Pharmaceutical: Radix Puerariae
Taxonomy: Pueraria lobata
English: Kudzu Vine Root |
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Tastes: Sweet, pungent, cool
Meridians Entered: Lung, Spleen and Stomach |
Actions & Indications:
- Discharges Exterior conditions and releases the muscles, especially of the neck and upper back
Wind-Heat or Wind-Cold lodged in the muscles of the upper back and neck
- Relieves Heat and generates fluids (relieves thirst)
Thirst due to Stomach Heat or Wind-Heat or Wasting and Thirsting
- Vents and discharges measles
Measles with incomplete expression of the rash
- Raises Spleen Yang and stops diarrhoea
Diarrhoea or dysentery due to Heat
Diarrhoea due to Spleen Deficiency (with appropriate herbs)
- Lowers blood pressure
Hypertension symptoms such as headache, dizziness, tinnitus or paresthesia
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Standard Dosage: 3-10g in decoction.
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Zhi Gan Cao
| 3g | |
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Pinyin: Gan Cao
Chinese: 甘草
Pharmaceutical: Radix Glycyrrhizae
Taxonomy: Glycyrrhiza uralensis seu glabra seu inflata
English: Liquorice Root |
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Tastes: Sweet, slightly cold
Meridians Entered: Heart, Lung and Spleen (and all 12 meridians) |
Actions & Indications:
- Tonifies the Spleen and augments Qi
Spleen Qi Deficiency with shortness of breath, lassitude and loose stools
Qi and Blood Deficiency with an irregular pulse and/or palpitations
Heart Qi Deficiency or Heart Yang Deficiency
- Moistens the Lungs, resolves Phlegm and stops coughing
Lung Heat or Cold
Productive or non-productive coughing
- Moderates spasms and alleviates pain
Painful muscle spasms of the abdomen and legs
- Clears Heat and relieves Fire Toxicity
Raw for Toxic Heat with sore throat or carbuncles and sores (Chuang Yung)
- Antidote for many toxic substances (internal and topical)
Poisoning
Bites (after washing the wound, chew Gan Cao and apply a thick layer on the bite wound, changing whenever it dries out; Bao Xiang-Ao, 1846, New Compilation of Proven Formulas)
- Moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels
Often added in small doses to harmonise formulas
- Tonifies the Qi while suppressing Parasites
Gu Sydnrome (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, make the body light and prolong life. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生).
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Standard Dosage: Typically 1.5-9g in decoction. Large doses can be up 30g.
Cautions: It is contraindicated for combining with Hai Zao, Da Ji, Gan Sui and Yuan Hua because of "eighteen antagonisms". It is also contraindicated in cases of dampness obstruction in middle energizer and edema because it can help dampness obstruct qi, and it is prohibited from long-term usage in large dosage (more than 20g/day) and should be avoided or used with extreme caution in patients with high blood pressure because it may raise aldosterone levels in the blood causing retention of sodium.
The NHS recommends avoiding during pregnancy. |
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Chi Shao
| 6-9g | | |
Pinyin: Chi Shao
Chinese: 赤芍
Pharmaceutical: Radix Paeoniae Rubra
Taxonomy: Paeonia lactiflora seu veitchii
English: Red Peony Root |
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Tastes: Bitter, pungent, light cold
Meridians Entered: Liver |
Actions & Indications:
- Clears Heat and cools the Blood
Xue Stage Heat Stage Heat or Blood Heat with fever, a purple tongue, maculae, hemorrhage and Blood Heat gynecological problems
- Clears Liver Fire and relieves eye pain
Liver Fire with redness, swelling and pain of the eyes
- Reduces swelling from sores and abscesses
Early stage abscesses and boils
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Standard Dosage: 6-12g in decoction.
Cautions: It is antagonistic to Li Lu. It should be used with caution in hot skin conditions where it may aggravate by "fanning the flames". Caution with anticoagulants as it may slow clotting time. May also slow the absorption of phenytoin. |
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Preparation: Originally equal amounts of each herb were ground into powder and taken in 12g doses. May also be prepared as a decoction with the dosages indicated.
Actions: Releases the Muscle Layer and vents rashes
Research Links:
Reference Notes: (click to display)
Most formulas are found in Scheid, Bensky, Ellis & Barolet (2009): Chinese Herbal Medicine: Formulas & Strategies and Chen & Chen (2015) Chinese Herbal Formulas and Applications. Others are from translations of primary sources. It is recommended that the original material is cross-referenced for mistakes and additional information.
Substitutions have been taken from Ken Lloyd & Prof. Leung (2004): Mayway UK Substitution List or the above publications and are intended as suggestions to help navigate the tight restrictions in the UK quickly. More applicable substitutions may be appropriate in specific situations.
Individual herb information has initially been sourced from TCM Wiki and American Dragon for basic data and then updated manually with my own notes.
These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.