HERB FORMULAS

SHENG MA GE GEN TANG - 升麻葛根湯 - CIMICIFUGA AND KUDZU DECOCTION

English: Cimicifuga and Kudzu Decoction
Also Known As: Cimicifuga and Pueraria Combination
Decoction of Cimicifugae and Pueraria

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rz. Cimicifugae Sheng Ma 2-6g Releases the exterior and vents rashes.
With Ge Gen, for early stage measles with incomplete expression of the rash with fever along with relatively superficial Yang Ming disorders.
Rx. Puerariae Ge Gen 3-12g Disperses the muscle layer to assist in venting rashes and raises fluids to expel Heat.
With Sheng Ma and Gan Cao, for Early stage measles where the rash has not yet appeared.
Rx. Glycyrrhizae Gan Cao 1.5 -6g Relieves toxicity, helps Clear Heat and vents rashes.
Rx. Paeoniae Rubra Chi Shao 3-9g Cools the Blood.
With Gan Cao, prevents other herbs from injuring the Qi and Yin.
(Rz. Zingiberis Recens) (Sheng Jiang) (2-6g) (Detoxifies - included in some versions.)

FORMULA ACTIONS

  • Expels Exterior Wind-Heat
  • Releases muscle layer
  • Vents rashes

SYNDROMES

  • Measles
  • Externally contracted Heat collecting in the Lung and Stomach
  • Early-stage Warm febrile diseases

CLINICAL MANIFESTATIONS

  • Early-stage measles or rashes that do not surface evenly
  • Fever and chills
  • Headache
  • Generalized body aches
  • Sneezing
  • Cough
  • Red eyes
  • Tearing
  • Thirst
  • Intolerance of Wind
  • T: Red and dry
  • P: Floating and rapid.

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • This formula may cause exterior Deficiency in rashes that surface evenly.
  • Contraindicated for those with measles toxin sinking internally (symptoms: shortness of breath, rough breathing, cough, wheezing).
  • Use caution for those with warm pathogen Heat diseases.
  • Contraindicated if the measles are fully erupted and the Heat has gone deeper with rapid breathing, dyspnea and cough.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For more pronounced exterior Heat: For swollen, sore throat:
+ Hb. Menthae Bo He + Rx. Platycodi Jie Geng
+ Periostricum Cicadae Chan Tui + Rx. Scrophulariae Xuan Shen
+ Hb. Schizonepetae Jing Jie + Lasiosphere/Calvatia Ma Bo
or
For dark red rash:
+ Fr. Arctii Niu Bang Zi + Rx. Lithospermi Zi Cao
For exterior Yang Ming stage disorders characterized by fever, thirst, dry nasal passages, or for dysenteric diarrhea:
+ Cx. Moutan Radicis Mu Dan Pi
- Rx. Paeoniae Rubrae Chi Shao
For viral rashes, especially herpes zoster:
+ Rx. Paeoniae Alba Bai Shao
+ Rx. Lithospermi
For stronger Heat clearing and detoxifying:
For regulating and descending Lung Qi where there is pronounced cough and wheezing:
+ Fr. Forsythiae Lian Qiao + Rx. Platycodi Jie Geng
+ Flos Lonicerae Jin Yin Hua + Fr. Aurantii Zhi Ke
For preventing Fluid damage due to Heat:
 + Rx. Peucedani Qian Hu
+ Rx. Ophiopogonis Mai Men Dong + Sm. Armeniacae Xing Ren
+ Rx. Adenophorae/ Glehniae Sha Shen
For early-stage measles:
For incomplete expression of the rash:
+ Hb. Menthae Bo He
+ Rx. Scrophulariae Xuan Shen + Periostracum Cicadae Chan Tui
+ Cx. Moutan Radicis Mu Dan Pi + Hb. Schizonepetae Jing Jie
+ Rx. Arnebiae/ Lithospermi Zi Cao + Fr. Arctii Niu Bang Zi
+ Fol. Isatidis Da Qing Ye + Flos Lonicerae Jin Yin Hua
For severe headache:
+ Fr. Forsythiae Lian Qiao
+ Rz. Chuanxiong Chuan Xiong
For stiffness and pain of the back:
+ Rx. Angelicae Dahuricae Bai Zhi + Rx. Saposhnikoviae Fang Feng
For persistent fever:
+ Rz. et Rx. Notopterygii Qiang Huo
+ Rx. Bupleuri Chai Hu
For severe itching:
+ Rx. Scutellariae Huang Qin + Periostracum Cicadae Chan Tui
+ Rx. Saposhnikoviae Fang Feng + Rx. Saposhnikoviae Fang Feng
For thirst and irritability:
For a sore, swollen throat:
+ Hb. Phylostachys Zhu Ye + Rx. Scutellariae Huang Qin
+ Rz. Phragmitis Lu Gen + Rx. Platycodi Jie Geng