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
• Early stage of rashes due to externally contracted Heat (Secondary source)

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. Sweating

Treats

Measles Influenza Scarlet fever Chicken pox Herpes zoster Herpes simplex Headache Fever Sore throat

Epistaxis Hemopthalmia Tonsillitis Skin diseases Boils Cough Chills Red eyes

Contraindications And 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	Zi Cao
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