Shi Shen Tang - 十神湯 - Ten-Miracle Decoction

English:	Ten-Miracle Decoction
Also Known As:	Ten-Immortal Decoction Ma Huang and Cimicifuga Combination

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Hb. Ephedrae	Ma Huang	3-6g	Calms wheezing, Disseminates and facilitates Lung Qi, Induces sweating, Promotes urination, Reduces edema, Releases the exterior, Stops coughing, Warms and disperses Cold pathogens.
Rz. Cimicifugae	Sheng Ma	1.5-9g	Releases the exterior, vents measles, clears Heat and relieves toxicity. With Bai Zhi, for Yang Ming headaches.
Rx. Paeoniae Rubra	Chi Shao	3-9g	Invigorates the Blood, dispels Blood Stasis, relieves pain, clears Heat, cools the Blood and reduces swelling from sores and abscesses. With Xiang Fu, for flank pain, abdominal pain, and dysmenorrhea due to Qi and Blood Stagnation.
(Rx. Paeoniae Alba)	(Bai Shao)	(3-9g)	(May substitute for Chi Shao)
Rx. Angelicae Dahuricae	Bai Zhi	1.5-6g	Expels Wind, eliminates Dampness, unblocks the nasal passages, dispels Cold, alleviates pain, reduces swelling, eliminates toxins, expels pus, expels dampness, alleviates discharge and treats leukorrhea and diarrhea. With Ge Gen, for Wind-Cold trapped at the level of the muscles and interstices. With Chuan Xiong, for headaches.
Rz. Chuanxiong	Chuan Xiong	3-6g	Invigorates the Blood, promotes the movement of Qi, expels Wind and alleviates pain. With Xiang Fu, for Qi Stagnation combined with Blood Stasis.
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	1.5-6g	Clears Heat, Harmonizes the harsh properties of other herbs, Moistens the Lungs, Relieves Fire toxicity and moderates, Resolves Phlegm, Stops cough.
Per. Citri Reticulatae	Chen Pi	3-9g	Regulates Qi, adjusts the Middle, relieves the diaphragm, descends Qi, dries Dampness and transforms Phlegm.
Fol. Perillae	Zi Su Ye	3-9g	Releases the exterior, disperses Cold, promotes the movement of Spleen and Stomach Qi. harmonizes the Middle Jiao, relieves intestinal gas, improves Lung function, expands the chest and relieves Cold induced wheezing. With Xiang Fu, releases the Exterior in a patient with pre-existing Qi Stagnation with chills, fever, headache, anhidrosis, a stuffy chest, belching and flatulence. With Ma Huang, releases the Exterior in a patient with severe Cold and pre-existing Qi Stagnation. With Xiang Fu and Chen Pi, for Wind-Cold with Qi Stagnation and chest congestion.
Rz. Cyperi	Xiang Fu	6-9g	Spreads and regulates Liver Qi, regulates menstruation and alleviates pain. With Zi Su Ye, for nasal congestion, epigastric and abdominal distention and discomfort associated with externally contracted disorders.
Rx. Puerariae	Ge Gen	3-18g	Discharges Exterior conditions, releases the muscles, especially of the neck and upper back, relieves Heat, generates fluids and vents and discharges measles. With Sheng Ma, for early stage measles where the rash has not yet appeared.
Rz. Zingiberis Recens	Sheng Jiang	2-6g	Releases the exterior, induces perspiration, disperses Cold, warms the Lungs, stops cough, warms the Middle, stops vomiting and reduces the toxicity of other herbs. With Chen Pi, for Cold-Dampness Obstructing the Middle with nausea and hiccup. With Ma Huang, strongly creates sweating to treat all externally contracted Wind-Cold disorders, especially those in which Wind-Cold has constrained Lung Qi with cough and wheezing and the failure of Lung Qi to descend causing nausea and vomiting.
(Bul. Allii Fistulosi)	(Cong Bai)	(2-6g)	(Included in some versions).

Formula Actions

• Releases pathogens from the Exterior
• Regulates the Qi
• Disseminates Lung Qi
• Relieves cough
• Smoothes the channels

Syndromes

• Wind-Cold Attacks the Lungs with Internal Qi Stagnation
• Epidemic disorders with Internal Qi Stagnation
• Wind-Cold-Damp Bi
• Epidemic pox disorders (expresses papules)

Clinical Manifestations

Headache Stifling sensation in the chest Focal distention in the chest Anhidrosis Fever Severe chills Cough Nasal congestion

Nasal obstruction Dyspnea Hypochondriac distention Aversion to Cold A low voice T: Normal C: Thin and white or White and slippery P: Superficial and tight

Treats

Common cold Fever Headache

Influenza Hoarseness Dyspnea

Contraindications And Herb/Drug Interactions

Notes

• This formula treats unseasonable weather that brings on fast spreading epidemic diseases which affect many people.

Modifications

For Middle Jiao or chest fullness with Excess Qi:		For fever and headache:
+ Fr. Aurantii	Zhi Ke	+ Bul. Allii Fistulosi	Cong Bai
For tidal fevers:		For cough and increased respiration:
+ Rx. Scutellariae	Huang Qin	+ Rx. Platycodi	Jie Geng
+ Rx. Ophiopogonis	Mai Men Dong	+ Cx. Mori	Sang Bai Pi
For headache:		+ Rz. Pinelliae Preparatum	Zhi Ban Xia
+ Hb. Asari	Xi Xin	For incessant nosebleed:
+ Gypsum Fibrosum	Shi Gao	+ Fr. Mume	Wu Mei
+ Bul. Allii Fistulosi	Cong Bai	+ Rx. Scutellariae	Huang Qin
For vomiting:		For epigastric fullness and distention:
+ Flos Caryophylli	Ding Xiang	+ Fr. Aurantii Immaturus	Zhi Shi
+ Fr. Amomi	Sha Ren	+ Rz. Pinelliae Preparatum	Zhi Ban Xia
For abdominal pain:		For anorexia:
+ Wine-fried Rx. Paeoniae Alba	Jiu Chao Bai Shao	+ Rz. Atractylodis Macrocephalae	Bai Zhu
For constipation:		+ Fr. Amomi	Sha Ren
+ Rx et Rz. Rhei	Da Huang	Or
+ Natrii Sulfas	Mang Xiao	+ Rz. Atractylodis Macrocephalae	Bai Zhu
For nausea and vomiting:		+ Rx. Ginseng	Ren Shen
+ Hb. Agastaches/ Pogostemonis	Huo Xiang	+ Rx. Aucklandiae	Mu Xiang
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	For diarrhea:
For dysentery:		+ Rz. Atractylodis Macrocephalae	Bai Zhu
+ Fr. Aurantii	Zhi Ke	+ Poria	Fu Ling
+ Rz. Coptidis	Huang Lian	For abdominal pain:
+ Rx. Paeoniae Alba	Bai Shao