Sang Xing Tang - 桑杏湯 - Mulberry Leaf And Apricot Kernel Decoction

English:	Mulberry Leaf and Apricot Kernel Decoction
Also Known As:	Morus and Armeniaca Decoction Morus and Apricot Kernel Combination Decoction of Morus Leaf and Apricot Kernel Decoction of Morus and Apricot Seed

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Fol. Mori	Sang Ye	3-12g	Relieves Wind-Heat, clears Lung Heat, moistens Dryness and stops cough. With Xing Ren, for headache, fever, and dry non-productive cough from External Warm-Dryness disorders.
Sm. Armeniacae	Xing Ren	1.5-12g	Moistens the Intestines, Regulates Lung Qi, Stops cough and wheezing, Unblocks bowels. With Sang Ye, for non-productive dry cough due to Wind-Heat.
Fr. Gardenia	Zhi Zi	1-10g	Clears Heat, Cools the Blood, Drains Damp-Heat, Eliminates irritability, Reduces Fire, Relieves toxicity. With Dan Dou Chi, for insomnia and irritability from Deficiency due to Heat lingering in the chest.
Sm. Sojae Preparata	Dan Dou Chi	1-10g	Expels Wind-Cold or Wind-Heat, eliminates irritability and relieves stuffy sensations in the chest.
Bul. Fritillariae Thunbergii	Zhe Bei Mu	1-6g	Clears Heat, transforms Phlegm and stops cough.
Rx. Glehniae	Bei Sha Shen	2-15g	Clears Heat, Generates fluids, Moistens the Exterior, Moistens the Lungs, Nourishes Stomach Yin, Stops cough.
Fr. Pyri	Li Pi	1-6g	Moistens the Lungs and stops cough. With Bei Sha Shen, nourishes Yin and clears Heat

Formula Actions

• Clears and Disperses Wind-Heat and Dryness
• Moistens the Lungs

Syndromes

• External Wind, Heat and Dryness

Clinical Manifestations

Dry hacking cough Chest pain during severe coughing fits Headache (lighter and more on the surface) Moderate fever Dry throat Dry skin Dry nose Aversion to Cold Headache

Thirst Maybe hemoptysis Little sticky or no Phlegm T: Red or Red tip C: Dry, thin and white or Dry, thin and yellow P: Superficial and rapid or Rapid and big or Weak and rapid

Treats

Flu with dry cough Upper respiratory tract infection Measles during the disappearance of the rash Pharyngitis Pertussis Hemoptysis Acute laryngitis Bronchial asthma Fever Loss of voice Sjogren's Syndrome Tongue pain

Common cold Acute and chronic bronchitis Bronchiectasis Pulmonary tuberculosis Pleurisy Nasal Dryness Cough Acute tonsillitis COPD Hoarseness Headache Dry skin Sore throat

Contraindications And Herb/Drug Interactions

Notes

• Composition: Sang Ye 6-9g, Xing Ren 9-13.5g, Zhi Zi 6-9g, Dan Dou Chi 6-9g, Zhe Bei Mu 6-9g, Sha Shen 12-18g, Li Pi 6-9g (Secondary source)
• Xing Su San (chief herbs Xing Ren and Zi Su Ye) treats Cool-Dryness; Sang Xing Tang (chief herbs Sang Ye and Xing Ren) treats Warm-Dryness.
• Qing Zao Jiu Fei Tang and Sang Xing Tang both treat Warm-Dryness affecting the Lung: Qing Zao Jiu Fei Tang for severe cases, Sang Xing Tang for mild cases.

Modifications

For epistaxis:		For marked sore throat:
+ More Fr. Gardenia	Zhi Zi	+ Fr. Arctii	Niu Bang Zi
+ Cx. Moutan	Mu Dan Pi	+ Rx. Scrophulariae	Xuan Shen
+ Hb. Artemisiae	Qing Hao	For more pronounced Exterior symptoms, like aversion to Cold, fever and anhidrosis:
Or		+ Hb. Schizonepetae	Jing Jie
+ Rz. Imperatae	Bai Mao Gen	+ Hb. Menthae	Bo He
Or		For high fever:
+ Hb. Ecliptae	Mo Han Lian	+ Rx. Scrophulariae	Xuan Shen
+ Rz. Imperatae	Bai Mao Gen	+ Rz. Anemarrhenae	Zhi Mu
For a dry and itchy throat:		For oppressive chest pain:
+ 9g Rx. Scrophulariae	Xuan Shen	+ Flos Farfarae	Kuan Dong Hua
+ 9g Tub. Ophiopogonis	Mai Men Dong	+ Flos Inulae	Xuan Fu Hua
For severe Heat and Dryness:		For late stage measles or dryness of the skin and thirst:
+ Gypsum Fibrosum	Shi Gao	+ Rz. Phragmitis	Lu Gen
+ Cx. Lycii	Di Gu Pi	+ Rx. Trichosanthis	Tian Hua Fen
For hemoptysis:		For nasal Dryness:
- Sm. Sojae Preparata	Dan Dou Chi	- Fr. Gardenia	Zhi Zi
+ Rz. Imperatae	Bai Mao Gen	- Fr. Pyri	Li Pi
For Heat and Dryness injuring the Lung collaterals leading to hemoptysis:		+ Rz. Anemarrhenae	Zhi Mu
+ Rz. Phragmitis	Lu Gen	For a cough with thick, yellow sputum:
+ Rz. Imperatae	Bai Mao Gen	+ Rx. Trichosanthis	Tian Hua Fen
+ Indigo Naturalis	Qing Dai	+ Fr. Trichosanthis	Gua Lou
+ Fr. Trichosanthis	Gua Lou	Or
For a dry sore throat:		+ Per Trichosanthis	Gua Lou Pi
+ Fr. Arctii	Niu Bang Zi	+ Fr. Aristolochiae	Ma Dou Ling
+ Hb. Menthae	Bo He	For scratchy throat and more pronounced cough:
+ Rx. Scrophulariae	Xuan Shen	+ Hb Schizonepetae	Jing Jie
+ Tub. Ophiopogonis	Mai Men Dong	+ Periostracum Cicadae	Chan Tui
For severe epistaxis due to Heat:		For hemoptysis due to bronchiectasis:
+ Indigo Naturalis	Qing Dai	- Sm. Sojae Preparata	Dan Dou Chi
+ Hb. Artemisiae	Qing Hao	+ Indigo Naturalis	Qing Dai
+ Cx. Moutan	Mu Dan Pi	+ Per Trichosanthis	Gua Lou Pi
+ Rx. et Rz. Rhei	Da Huang	+ Fr. Chebulae	He Zi
+ Cacumen Platycladi	Ce Bai Ye	For a dry and painful throat:
For cough:		+ Fr. Arctii	Niu Bang Zi
- Fr. Gardeniae	Zhi Zi	For cough with Heat predominant:
- Fr. Pyri	Li Pi	- Fr. Gardeniae	Zhi Zi
+ 10g Fol. Eriobotryae	Pi Pa Ye	- Fr. Pyri	Li Pi
+ 10g Rx. Asteris	Zi Wan	+ 10g Fol. Eriobotryae	Pi Pa Ye
+ Rz. 15g Phragmitis	Lu Gen	+ 10g Rx. Asteris	Zi Wan
For cough with marked consumption of body fluids:		+ Rz. 15g Phragmitis	Lu Gen
+ Gypsum Fibrosum	Shi Gao
- Fr. Gardeniae	Zhi Zi	+ Rz. Anemarrhenae	Zhi Mu
- Fr. Pyri	Li Pi	For cough with Blood-tinged sputum:
+ 10g Fol. Eriobotryae	Pi Pa Ye	- Fr. Gardeniae	Zhi Zi
+ 10g Rx. Asteris	Zi Wan	- Fr. Pyri	Li Pi
+ Rz. 15g Phragmitis	Lu Gen	+ 10g Fol. Eriobotryae	Pi Pa Ye
+ Rx. Ophiopogonis	Mai Men Dong	+ 10g Rx. Asteris	Zi Wan
+ Rz. Polygonati	Huang Jing	+ Rz. 15g Phragmitis	Lu Gen
For laryngitis due to Wind-Dryness:		+ Rz. Imperatae	Bai Mao Gen
+ 15g Prepared Fol. Eriobotryae	Zhi Pi Pa Ye	For laryngitis due to Wind-Dryness with Heat:
+ 15g Prepared Fol. Eriobotryae	Zhi Pi Pa Ye
+ 12g Rx. Ophiopogonis	Mai Men Dong
+ 9g Rx. Platycodi	Jie Geng	+ 12g Rx. Ophiopogonis	Mai Men Dong
+ 9g Sm. Oroxyli	Mu Hu Die	+ 9g Rx. Platycodi	Jie Geng
For laryngitis due to Wind-Dryness with headache and fever:		+ 9g Sm. Oroxyli	Mu Hu Die
+ 12g Rz. Anemarrhenae	Zhi Mu
+ 15g Prepared Fol. Eriobotryae	Zhi Pi Pa Ye
+ 18g Gypsum Fibrosum	Shi Gao
+ 12g Rx. Ophiopogonis	Mai Men Dong	For laryngitis due to Wind-Dryness with Exterior symptoms:
+ 9g Rx. Platycodi	Jie Geng
+ 9g Sm. Oroxyli	Mu Hu Die	+ 15g Prepared Fol. Eriobotryae	Zhi Pi Pa Ye
+ 6g Hb. Menthae	Bo He
+ 12g Fr. Forsythiae	Lian Qiao	+ 12g Rx. Ophiopogonis	Mai Men Dong
+ 9g Periostracum Cicadae	Chan Tui	+ 9g Rx. Platycodi	Jie Geng
+ 9g Sm. Oroxyli	Mu Hu Die
For laryngitis due to Wind-Dryness with severe or painful cough :		+ 9g Hb. Schizonepetae	Jing Jie
+ 6g Hb. Menthae	Bo He
+ 15g Prepared Fol. Eriobotryae	Zhi Pi Pa Ye	For laryngitis due to severe Wind-Dryness:
+ 15g Prepared Fol. Eriobotryae	Zhi Pi Pa Ye
+ 12g Rx. Ophiopogonis	Mai Men Dong
+ 9g Rx. Platycodi	Jie Geng	+ 12g Rx. Ophiopogonis	Mai Men Dong
+ 9g Sm. Oroxyli	Mu Hu Die	+ 9g Rx. Platycodi	Jie Geng
+ 12g Cx. Mori	Sang Bai Pi	+ 9g Sm. Oroxyli	Mu Hu Die
+ 12g Fr. Aristolochiae	Ma Dou Ling	+ 9g. Rx. Asparagi	Tian Men Dong
For laryngitis due to Wind-Dryness with a sore throat:		+ 12g Rx. Trichosanthis	Tian Hua Fen
For laryngitis due to Wind-Dryness with epistaxis or Blood-streaked mucus:
+ 15g Prepared Fol. Eriobotryae	Zhi Pi Pa Ye
+ 15g Prepared Fol. Eriobotryae	Zhi Pi Pa Ye
+ 12g Rx. Ophiopogonis	Mai Men Dong
+ 9g Rx. Platycodi	Jie Geng	+ 12g Rx. Ophiopogonis	Mai Men Dong
+ 9g Sm. Oroxyli	Mu Hu Die	+ 9g Rx. Platycodi	Jie Geng
+ 15g Rx. Scrophulariae	Xuan Shen	+ 9g Sm. Oroxyli	Mu Hu Die
+ 3g Lasiosphere/ Calvatiae	Ma Bo	+18g Rx. Isatidis	Ban Lan Gen
+ 12g Charred Rx. Rehmanniae	Sheng Di Tan
Or
+ 15g Prepared Fol. Eriobotryae	Zhi Pi Pa Ye	For a cough:
- Rx Fritillariae Thunbergii	Zhe Bei Mu
+ 12g Rx. Ophiopogonis	Mai Men Dong
+ 9g Rx. Platycodi	Jie Geng	+ Rx Fritillariae Cirrhosae	Chuan Bei Mu
+ 9g Sm. Oroxyli	Mu Hu Die
+ 15g Rx. Scrophulariae	Xuan Shen	+ 15g Prepared Fol. Eriobotryae	Zhi Pi Pa Ye
+ 9g Rz. Belamcandae	She Gan
For a cough with severe Heat:		+ 18g Rz. Phragmitis	Lu Gen
- Rx Fritillariae Thunbergii	Zhe Bei Mu	+ 12g Rx. Ophiopogonis	Mai Men Dong
+ 12g Fr. Trichosanthis	Gua Lou
+ Rx Fritillariae Cirrhosae	Chuan Bei Mu	For a cough with a severe headache and fever:
- Rx Fritillariae Thunbergii	Zhe Bei Mu
+ 15g Prepared Fol. Eriobotryae	Zhi Pi Pa Ye
+ Rx Fritillariae Cirrhosae	Chuan Bei Mu
+ 18g Rz. Phragmitis	Lu Gen
+ 12g Rx. Ophiopogonis	Mai Men Dong	+ 15g Prepared Fol. Eriobotryae	Zhi Pi Pa Ye
+ 12g Fr. Trichosanthis	Gua Lou
+ 12g Rz. Anemarrhenae	Zhi Mu	+ 18g Rz. Phragmitis	Lu Gen
+ 12g Rx. Ophiopogonis	Mai Men Dong
+ 18g Gypsum Fibrosum	Shi Gao	+ 12g Fr. Trichosanthis	Gua Lou
For a cough with a sore throat:		+ 6g Hb. Menthae	Bo He
- Rx Fritillariae Thunbergii	Zhe Bei Mu	+ 12g Fr. Forsythiae	Lian Qiao
+ 9g Periostracum Cicadae	Chan Tui
+ Rx Fritillariae Cirrhosae	Chuan Bei Mu
Or
+ 15g Prepared Fol. Eriobotryae	Zhi Pi Pa Ye
+ 10g Fr. Forsythiae	Lian Qiao
+ 10g Hb. Menthae	Bo He
+ 18g Rz. Phragmitis	Lu Gen	+ 5g Periostracum Cicadae	Chan Tui
+ 12g Rx. Ophiopogonis	Mai Men Dong
+ 12g Fr. Trichosanthis	Gua Lou	For a cough with epistaxis or Blood-streaked sputum:
+ One or two of the following:
15g Rx. Scrophulariae	Xuan Shen	- Rx Fritillariae Thunbergii	Zhe Bei Mu
3g Fructificatio Lasiosphere/Calvatiae	Ma Bo
+ Rx Fritillariae Cirrhosae	Chuan Bei Mu
9g Rz. Belamcandae	She Gan
Or		+ 15g Prepared Fol. Eriobotryae	Zhi Pi Pa Ye
+10g Rx. Scrophulariae	Xuan Shen
+ 10g Fr. Arctii	Niu Bang Zi	+ 18g Rz. Phragmitis	Lu Gen
For Lung Heat asthma:		+ 12g Rx. Ophiopogonis	Mai Men Dong
- Bul Fritillariae Thunbergii	Zhe Bei Mu	+ 12g Fr. Trichosanthis	Gua Lou
+ 15g Rz. Imperatae	Bai Mao Gen
+ 6g Bul. Fritillariae Cirrhosae	Chuan Bei Mu	+ 15g Rx. Rehmanniae	Sheng Di Huang
Or
+ 9g Fol. Eriobotryae	Pi Pa Ye	+ 15g Rz. Imperatae	Bai Mao Gen
+ 9g Fr. Aristolochiae	Ma Dou Ling	For Lung Heat asthma with foul-smelling green Phlegm:
+ 6g Rz. Polygonati Odorati	Yu Zhu
- Bul Fritillariae Thunbergii	Zhe Bei Mu
For a cough due to Dry-Heat:
- Rx Fritillariae Thunbergii	Zhe Bei Mu	+ 6g Bul. Fritillariae Cirrhosae	Chuan Bei Mu
+ Rx Fritillariae Cirrhosae	Chuan Bei Mu
+ 9g Fol. Eriobotryae	Pi Pa Ye
+ 9g Rz. Phragmitis	Lu Gen	+ 9g Fr. Aristolochiae	Ma Dou Ling
+ 15g Fr. Trichosanthis	Gua Lou	+ 6g Rz. Polygonati Odorati	Yu Zhu
+ 12g Rx. Ophiopogonis	Mai Men Dong
For a cough with severe Dry-Heat:		+ 18g Hb. Houttuyniae	Yu Xing Cao
+ 15g Gypsum Fibrosum	Shi Gao	+ 9g Rz. Phragmitis	Lu Gen
+ 9g Cx. Lycii	Di Gu Pi	For a cough with oppressive chest pain:
For an upper respiratory tract infection:		+ 9g Flos Farfarae	Kuan Dong Hua
- Rx Fritillariae Thunbergii	Zhe Bei Mu	+ 9g Flos Inulae	Xuan Fu Hua
For an upper respiratory tract infection with severe thirst:
+ 9g Bul. Fritillariae Cirrhosae	Chuan Bei Mu
- Rx Fritillariae Thunbergii	Zhe Bei Mu
+ 18g Rz. Phragmitis	Lu Gen
+ 9g Rx. Platycodi	Jie Geng	+ 9g Bul. Fritillariae Cirrhosae	Chuan Bei Mu
+ 6g Hb. Menthae	Bo He
For an upper respiratory tract infection with Blood-streaked mucus:		+ 18g Rz. Phragmitis	Lu Gen
+ 9g Rx. Platycodi	Jie Geng
- Rx Fritillariae Thunbergii	Zhe Bei Mu	+ 6g Hb. Menthae	Bo He
+ 15g Gypsum Fibrosum	Shi Gao
+ 9g Bul. Fritillariae Cirrhosae	Chuan Bei Mu	+ 12g Rx. Trichosanthis	Tian Hua Fen
For Sjogren's Syndrome:
+ 18g Rz. Phragmitis	Lu Gen	- Bul. Fritillariae Thunbergii	Zhe Bei Mu
+ 9g Rx. Platycodi	Jie Geng
+ 6g Hb. Menthae	Bo He	+ 3-6g Bul. Fritillariae Cirrhosae	Chuan Bei Mu
+ 30g Rz. Imperatae	Bai Mao Gen
+ 15g Nodus Nelumbinis Rhizomatis	Ou Jie	For Sjogren's Syndrome with marked joint aching and pain:
For Sjogren's Syndrome with low back weakness and pain:		- Bul. Fritillariae Thunbergii	Zhe Bei Mu
- Bul. Fritillariae Thunbergii	Zhe Bei Mu
+ 3-6g Bul. Fritillariae Cirrhosae	Chuan Bei Mu
+ 3-6g Bul. Fritillariae Cirrhosae	Chuan Bei Mu
+ 9g Ram. Mori	Sang Zhi
+ 9g Rz. et Rx. Notopterygii	Qiang Huo
+ 9g Fr. Lycii	Gou Qi Zi
+ 9g Rx. Achyranthis Bidentatae	Niu Xi	+ 9g Rx. Saposhnikoviae	Fang Feng
For Sjogren's Syndrome with severe dryness, difficulty swallowing dry food, dry, crimson lips, dry stools, scanty urine and dry eyes:
For Sjogren's Syndrome with swollen, enlarged parotid glands:
- Bul. Fritillariae Thunbergii	Zhe Bei Mu
- Bul. Fritillariae Thunbergii	Zhe Bei Mu
+ 3-6g Bul. Fritillariae Cirrhosae	Chuan Bei Mu
+ 3-6g Bul. Fritillariae Cirrhosae	Chuan Bei Mu
+ 9g Pseudobulbus Cremastrae/Pleiones	Shan Ci Gu	+ 15g Rx. Rehmanniae	Sheng Di Huang
+ 9g Rx. Ophiopogonis	Mai Men Dong
For tongue pain with a red, swollen tongue:		+ 9g Rx. Scrophulariae	Xuan Shen
+ 10g Hb. Taraxaci	Pu Gong Ying	For tongue pain with thirst:
+ 10g Hb. Lophatheri	Dan Zhu Ye	+ 10g Rx. Ophiopogonis	Mai Men Dong
For tongue pain with a headache:		+ 10g Rx. Scrophulariae	Xuan Shen
+ 10g Fr. Viticis	Man Jing Zi	For tongue pain with a fever:
For tongue pain with a cough and expectoration of yellow Phlegm:		+ 10g Rx. Scutellariae	Huang Qin
For a dry sore throat:
+ 10g Rx. Peucedani	Qian Hu	+ 6g Hb. Menthae	Bo He
For a dry, red, swollen sore throat:		+ 6g Rx. Glycyrrhizae	Gan Cao
+ 6g Hb. Menthae	Bo He	For a dry sore throat due to Wind-Dry-Heat:
+ 6g Rx. Glycyrrhizae	Gan Cao	+ 6g Hb. Menthae	Bo He
+ 10g Hb. Taraxaci	Pu Gong Ying	+ 6g Rx. Glycyrrhizae	Gan Cao
+ 10g Hb Lophatheri	Dan Zhu Ye	+ 10g Rx. Ophiopogonis	Mai Men Dong
For a dry sore throat with a fever:		+ 10g Rx. Scrophulariae	Xuan Shen
+ 6g Hb. Menthae	Bo He	For a dry sore throat with a headache:
+ 6g Rx. Glycyrrhizae	Gan Cao	+ 6g Hb. Menthae	Bo He
+ 10g Rx. Bupleuri	Chai Hu	+ 6g Rx. Glycyrrhizae	Gan Cao
+ 10g Rz. Cimicifugae	Sheng Ma	+ 10g Flos Chrysanthemi	Ju Hua
For a dry sore throat with a cough with expectoration of yellow Phlegm due to Invasion by Wind-Dry-Heat:
+ 10g Fr. Viticis	Man Jing Zi
For a dry sore throat with constipation:
+ 6g Hb. Menthae	Bo He	+ 6g Hb. Menthae	Bo He
+ 6g Rx. Glycyrrhizae	Gan Cao	+ 6g Rx. Glycyrrhizae	Gan Cao
+ 10g Fr. Trichosanthis	Gua Lou	+ 15g Sm. Trichosanthis	Gua Lou Ren
+ 10g Bul. Fritillariae Thunbergii	Zhe Bei Mu	+ 15g Rx. Rehmanniae	Sheng Di Huang