Shēng Má Gě Gēn Tāng

升麻葛根汤

Cimicifuga and Kudzu Decoction

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Category: Release Exterior ⌕ 
Subcategory: Wind Heat  Source: Tai Ping Hui Min He Ji Ju Fang 
Actions: Release the muscle layer and vents rashes. [31]
Diagnosis
Tongue: red with thin, dry coat      Pulse: floating, rapid    Other: 
Patterns: Wind Heat 
Indications: Early stage of rashes due to externally contracted Heat [35] • Beginning of measles. Measles unable to vent, fever, headache, cough, red eyes with tears, thirst, red tongue with thin and dry coating, floating rapid pulse.[31]
Contraindications: 
Description
Name Variations: Sheng Ma Ge Gen Tang, 升麻葛根汤, Cimicifuga and Kudzu Decoction,
Herb List: Sheng MaGe GenBai ShaoGan Cao
Commentary:
Related Formulas:
NCCAOM: The 5 NCCAOM formulas for Wind Heat are Yín Qiào Sǎn, Sāng Jú Yǐn, Chái Gé Jiě Jī Tāng, Shēng Má Gě Gēn Tāng, and Jiā Jiǎn Wēi Ruí Tāng. • Yin Qiao San is for a severe early-stage infection with obvious heat and toxicity. • Sang Ju Yin is for mild Wind-Heat causing cough and eye disorders, slight thirst. • Chai Ge Jie Ji Tang is for when Wind Cold transforms into interior Yang Ming channel heat, causing severe fever, no sweating, painful eyes, dry nose, dry throat, thin yellow tongue coating. Treats Tai Yang, Yang Ming, and Shao Yang channel symptoms. • Sheng Ma Ge Gen Tang is for early stage of rashes due to externally contracted Heat (initial measle stage or measles unable to vent) • Jia Jian Wei Rui Tang is for exterior Wind-Heat with Yin deficiency.
Herbs Cat/Dosage Actions Attributes
Sheng Ma • 
Black Cohosh • 升麻
Release Exterior Wind Heat Vent measles • Clear Heat • Raise Yang Qi • Relieve toxins • Release exterior • Lifts and guides upward antibiotic, antipyretic, hypotensive, anti-inflammatory, analgesic[18]
Ge Gen • 
Kudzu Root • 葛根
Release Exterior Wind Heat Generate fluid • Release muscle layer heat • Raise clear yang of yang brightness • Vent rashes • Treats diarrhea • Release Exterior • Guide herbs to Yang Ming and Tai Yin JingBest for treating stiffness in upper back and neck. Ge Fen (葛粉)is a powdered form used as an antacid, stomach discomfort from poor dietary habits • Good for acute eye issues with heat related symptoms -12-15g raw, up to 24g Antidiabetic • Antidiarrheal • Antiplatelet • Antipyretic • Antispasmodic • Hypotensive • Vasodilative
Bai Shao • 
White Root Peony • 白芍
Tonify Blood Nourish blood • Regulate menses • Soothes liver • Relieve pain • Preserve yin • Reduce spasms • Harmonize Ying and Wei QiDao Di: Zhe Jiang • AKA Shao Yao analgesic • antibacterial • anti-inflammatory • hepatoprotective • immune system boost • sedative
Gan Cao • 
Licorice Root • 甘草 
Tonify Qi Tonify Spleen Qi • Tonify Heart qi • Clear heat • Resolve toxicity • Stop cough • Dispel phlegm • Lubricate lungs • Stop wheezing • Reduce spasm • Relieve pain • Harmonize other herb effects • enters 12 channelsEnters all 12 channels, often serve as envoy in a formula. Hypoglycemic • Antiarrhythmic • Hypertensive • Expectorant • Antidiarrheal • Antiulcer • Hepatoprotective • Immunostimulant • Antitussive • Antiviral • Detox • Demulcent • Anti-inflammatory • Laxative • Emmenagogue • Antimicrobial • Spasmolytic • Corticosteroidal
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions: 

Caution

ALERT: Contraindications of each herb - use with caution under these conditions:
Sheng Ma: Yin deficiency • Liver yang rising • Complete eruption of measles
Ge Gen:
Bai Shao: Deficiency cold • Breast feeding • Pregnancy • Bleeding Disorder • Scheduled Surgery
Gan Cao: High blood pressure • Low potassium • Seaweed • Medications: Gan Cao can interact with various medication. See Pharma Interaction section.

Notes

 

Bibliography: [3], [8], [9], [14]

Information in this post came from many sources, including class notes, practitioners, websites, webinars, books, magazines, and editor's personal experience.  While the original source often came from historical Chinese texts,  variations may result from the numerous English translations.   Always consult a doctor prior to using these drugs.  The information here is strictly for educational purposes. 

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