Zhi Sou San - 止嗽散 - Stop Coughing Powder

English:	Stop Coughing Powder
Also Known As:	Platycodon and Schizonepeta Formula

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Asteris	Zi Wan	4-10g	Relieves coughs and expels Phlegm. With Jie Geng and Jing Jie, for productive cough in the aftermath of an Externally-contracted disease - usually Wind-Cold.
Rz, Cynanchi Stauntonii	Bai Qian	4-10g	Descends Qi, expels Phlegm and stops cough. With Jie Geng and Jing Jie, for cough due to External Wind-Cold-Phlegm Obstruction.
Rx. Stemonae	Bai Bu	4-10	Moistens the Lungs and stops cough With Jiie Geng, Jing Jie and Zi Wan, for stubborn cough from Wind-Cold.
Rx. Platycodi	Jie Geng	4-10g	Opens the Lungs, spreads Lung Qi, expels Phlegm, benefits the throat and raises Lung Qi, directing the effects of other herbs to the upper body. With Gan Cao, disseminates Lung Qi, expels Phlegm, resolves toxicity, and expels pus for productive cough with hoarseness, pain and swelling of the throat due to Wind-Heat.
Per. Citri Reticulatae	Chen Pi	2-10g	Dries Dampness, Regulates Qi, Transforms Phlegm and descends Qi.
Hb. Schizonepetae	Jing Jie	4-10g	Releases the exterior and expels Wind. With Jie Geng and Gan Cao, for acute cough associated with External disorders.
Rx. Glycyrrhizae	Gan Cao	2-6g	Moistens the Lungs, resolves Phlegm, stops cough and moderates and harmonizes the harsh properties of other herbs. With JIe Geng, for pain and swelling of the throat.

Formula Actions

• Stops coughing
• Transforms Phlegm
• Releases the Exterior
• Ventilates the Lungs

Syndromes

• Cough as a Sequelae to External Wind-Cold with Phlegm
• Tai Yang Zhong Feng with Phlegm
• External Wind attacking the Lung causing cough (Secondary source)

Clinical Manifestations

Coughing Itchy throat Maybe chills and fever or Mild fever or No chills or fever Aversion to Wind Aversion to Cold Sore throat with Phlegm Shortness of breath

Excessive sputum Phlegm that is difficult to expectorate Headache Asthma T: Normal C: Thin and white P: Floating and moderate

Treats

Cough Whooping cough (pertussis) Upper respiratory tract infection Early stages of viral and mycoplasmic pneumonia Influenza Headache Acute tonsillitis Croup Bronchial asthma Emphysema Pertussis

Cough with an Exterior condition Chronic tracheitis Acute bronchitis Chronic bronchitis Interstitial pneumonia Chronic prostatitis Common cold Acute laryngitis Early-stage measles COPD Mild fever Dyspnea

Contraindications And Herb/Drug Interactions

Notes

• This formula is generally used when the Exterior symptoms have almost completely been expelled, but the cough persists.
• Zhi Sou San and Sang Ju Yin both treat cough with an exterior condition: Zhi Sou San is for Wind attacking the Lung with an itchy throat, while Sang Ju Yin is for Wind-Heat with fever, chills and red eyes.

Modifications

For cough caused by Wind-Heat:		For a cough caused by Wind-Cold:
+ Fol. Mori	Sang Ye	+ Fol. Perillae	Sang Ye
+ Hb, Menthae	Bo He	+ Rx. Saposhnikoviae	Fang Feng
Or		+ Sm. Armeniacae	Xing Ren
+ Less Hb. Schizonepetae	Jing Jie	Or
+ Sm. Armeniacae	Xing Ren	+ Sm. Armeniacae	Xing Ren
+ Fol. Mori	Sang Ye	+ Rx. Saposhnikoviae	Fang Feng
For a cough and a greasy tongue coat caused by Summer-Dampness:		+ Rz. et Rx. Notopterygii	Qiang Huo
For a dry cough with a sore throat:
+ Fol. Mori	Sang Ye
+ Hb. Agastaches	Huo Xiang	+ Rx. Glehniae/ Adenophorae	Sha Shen
+ Hb. Eupatorii	Pei Lan
+ Hb. Moslae	Xiang Ru	+ Rz. Belamcandae	She Gan
For a cough and fever in children:		For a headache, stuffy nose and chills and fever:
+ Flos Lonicerae	Jin Yin Hua	+ Fol. Perillae	Zi Su Ye
+ Fr. Arctii	Niu Bang Zi	+ Rx. Saposhnikoviae	Fang Feng
+ Rx. Scutellariae	Huang Qin	+ Rz. Zingiberis	Sheng Jiang
+ Fr. Perillae	Zi Su Zi	For thirst, irritability and dark yellow urine caused by Interior Heat:
+ Sm. Armeniacae	Xing Ren
+ Bul Fritillariae Cirrhosae	Chuan Bei Mu	+ Fr. Gardeniae	Zhi Zi
+ Rx. Scutellariae	Huang Qin
For early-stage Wind-Cold:		+ Rx. Trichosanthis	Tian Hua Fen
+ Rz. Zingiberis	Sheng Jiang	For thirst, irritability and dark yellow urine caused by Summerheat:
For thick, sticky sputum from Dampness Transforming into Phlegm:
+ Rz. Coptidis	Huang Lian
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	+ Rx. Scutellariae	Huang Qin
+ Rx. Trichosanthis	Tian Hua Fen
+ Cx. Mori	Sang Bai Pi	For a dry non-productive cough
+ Poria	Fu Ling	- Hb. Schizonepetae	Jing Jie
+ Rz. Zingiberis	Sheng Jiang	- Per. Citri Reticulatae	Chen Pi
+ Fr. Jujube	Da Zao	+ Fr. Trichosanthis	Gua Lou
For a sore throat, painful eyes, and more fever that chills due to Wind-Heat:		+ Bul. Fritillariae Thunbergii	Zhe Bei Mu
+ Flos Chrysanthemi	Ju Hua	+ Rz. Anemarrhenae	Zhi Mu
+ Fol. Mori	Sang Ye	+ Sm. Platycladi	Bai Zi Ren
+ Hb, Menthae	Bo He	For copious sputum, reduced appetite, a stifling sensation in the chest and a white, greasy tongue coat:
+ Fr. Arctii	Niu Bang Zi
+ Rx. Scutellariae	Huang Qin	+ Two Aged (Herb) Decoction Er Chen Tang
For profuse yellow sputum:
+ Rx. Scutellariae	Huang Qin	For a cough with profuse sputum:
+ Indigo Naturalis	Qing Dai	+ Rz. Pinelliae Preparatum	Zhi Ban Xia
+ Arisaemae cum Bile	Dan Nan Xing
For a dry cough with no sputum:		+ Poria	Fu Ling
+ Fr. Trichosanthis	Gua Lou	For cough due to Phlegm-Dampness affecting the Lung:
+ Bul. Fritillariae Thunbergii	Zhe Bei Mu
- Hb. Schizonepetae	Jing Jie
+ Rz. Anemarrhenae	Zhi Mu	+ Rx. Scutellariae	Huang Qin
For cough due to Dryness affecting the Lung:		+ Sm. Armeniacae	Xing Ren
+ Less Hb. Schizonepetae	Jing Jie	For cough associated with an exterior condition:
+ Cx. Moutan	Mu Dan Pi
+ Less Rx. Cynanchi Stauntonii	Bai Qian	+ Rx. Salviae Miltiorrhizae	Dan Shen
+ Less Per. Citri Reticulatae	Chen Pi	For cough associated with Dryness and Heat Damaging the Lungs:
+ Rx. Glehniae/ Adenophorae	Sha Shen	+ Cx. Moutan	Mu Dan Pi
+ Rx. Salviae Miltiorrhizae	Dan Shen
+ Rx. Scrophulariae	Xuan Shen
+ Rz. Anemarrhenae	Zhi Mu	+ Bul Lilii	Bai He
For cough associated with an exterior condition with profuse white sputum:		+ Rx. Ophiopogonis	Mai Men Dong
For cough associated with an exterior condition with yellow sputum:
+ Cx. Moutan	Mu Dan Pi
+ Rx. Salviae Miltiorrhizae	Dan Shen	+ Cx. Moutan	Mu Dan Pi
+ Rx. Salviae Miltiorrhizae	Dan Shen
+ Rx. Polygalae	Yuan Zhi
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	+ Cx. Mori	Sang Bai Pi
+ Rx. Scutellariae	Huang Qin
For whooping cough:		For whooping cough with profuse Phlegm:
- Rz. Cynanchi Stauntonii	Bai Qian	- Rz. Cynanchi Stauntonii	Bai Qian
- Rx. Asteris	Zi Wan	- Rx. Asteris	Zi Wan
+ Rx. Peucedani	Qian Hu	+ Rx. Peucedani	Qian Hu
+ Sm. Persicae	Tao Ren	+ Sm. Persicae	Tao Ren
+ Bul. Fritillariae Thunbergii	Zhe Bei Mu	+ Bul. Fritillariae Thunbergii	Zhe Bei Mu
+ Bombyx Batryticatus	Jiang Can	+ Bombyx Batryticatus	Jiang Can
+ Pheretima	Di Long	+ Pheretima	Di Long
For whooping cough with fever:		+ Rz. Pinelliae Preparatum	Zhi Ban Xia
- Rz. Cynanchi Stauntonii	Bai Qian	+ Fr. Trichosanthis	Gua Lou
For whooping cough with frequent nausea and vomiting:
- Rx. Asteris	Zi Wan
+ Rx. Peucedani	Qian Hu	- Rz. Cynanchi Stauntonii	Bai Qian
+ Sm. Persicae	Tao Ren
+ Bul. Fritillariae Thunbergii	Zhe Bei Mu	- Rx. Asteris	Zi Wan
+ Bombyx Batryticatus	Jiang Can	+ Rx. Peucedani	Qian Hu
+ Pheretima	Di Long	+ Sm. Persicae	Tao Ren
+ Flos Lonicerae	Jin Yin Hua	+ Bul. Fritillariae Thunbergii	Zhe Bei Mu
+ Hb. Taraxaci	Pu Gong Ying
For whooping cough with Blood in the sputum:		+ Bombyx Batryticatus	Jiang Can
- Rz. Cynanchi Stauntonii	Bai Qian	+ Pheretima	Di Long
+ Rz. Pinelliae Preparatum	Zhi Ban Xia
- Rx. Asteris	Zi Wan
+ Rx. Peucedani	Qian Hu	+ Haematitum	Dai Zhe Shi
+ Sm. Persicae	Tao Ren	For acute bronchitis:
+ Bul. Fritillariae Thunbergii	Zhe Bei Mu	+ Concretio Bambusae Silicea	Tian Zhu Huang
+ Bombyx Batryticatus	Jiang Can	+ Per. Trichosanthis	Gua Lou Pi
+ Pheretima	Di Long	+ Rx. Astragali	Huang Qi
+ Cx. Moutan	Mu Dan Pi	+ Cx. Mori	Sang Bai Pi
+ Cx. Mori	Sang Bai Pi	+ Rx. Peucedani	Qian Hu
For chronic bronchitis:		+ Flos Lonicerae	Jin Yin Hua
- Hb. Schizonepetae	Jing Jie	For chronic bronchitis with hot Phlegm:
+ Sm. Armeniacae	Xing Ren	- Hb. Schizonepetae	Jing Jie
+ Rx. Salviae Miltiorrhizae	Dan Shen	+ Sm. Armeniacae	Xing Ren
+ Rx. Salviae Miltiorrhizae	Dan Shen
For chronic bronchitis with cold Phlegm:
- Hb. Schizonepetae	Jing Jie	+ Rx. Scutellariae	Huang Qi
+ Sm. Armeniacae	Xing Ren	+ Cx. Mori	Sang Bai Pi
+ Rx. Salviae Miltiorrhizae	Dan Shen	For chronic bronchitis with Lung Dryness:
- Hb. Schizonepetae	Jing Jie
+ Hb. Ephedrae	Ma Huang	+ Sm. Armeniacae	Xing Ren
+ Rx. Asari	Xi Xin	+ Rx. Salviae Miltiorrhizae	Dan Shen
For chronic bronchitis with Lung and Spleen Qi Deficiency:
+ Rx. Glehniae/ Adenophorae	Sha Shen
- Hb. Schizonepetae	Jing Jie
+ Sm. Armeniacae	Xing Ren	+ Rx. Ophiopogonis	Mai Men Dong
+ Rx. Salviae Miltiorrhizae	Dan Shen	For interstitial pneumonia:
+ Sm. Persicae	Tao Ren
+ Rx. Codonopsis	Dang Shen	+ Rx. Isatidis	Ban Lan Gen
+ Rx. Astragali	Huang Qi	For interstitial pneumonia with Wind-Cold:
For interstitial pneumonia with fever and cough:		+ Sm. Persicae	Tao Ren
+ Sm. Persicae	Tao Ren	+ Rx. Isatidis	Ban Lan Gen
+ Rx. Isatidis	Ban Lan Gen	+ Three-Unbinding Decoction San Ao Tang
+ Ephedra, Apricot Kernel, Licorice and Gypsum Decoction Ma Xing Shi Gan Tang
For interstitial pneumonia with Phlegm-Dampness:
+ Fr. Forsythiae	Lian Qiao	+ Sm. Persicae	Tao Ren
+ Flos Lonicerae	Jin Yin Hua	+ Rx. Isatidis	Ban Lan Gen
For chronic prostatitis:		+ Calm the Stomach Powder Ping Wei San
+ Arrest Wheezing Decoction Ding Chuan Tang
For chronic prostatitis increased white blood cells in the prostatic fluid:
For chronic prostatitis with increased white significant reduction of lecithin mass:
+ Arrest Wheezing Decoction Ding Chuan Tang
+ Arrest Wheezing Decoction Ding Chuan Tang
+ Cx. Phellodendri	Huang Bai
+ Rz. Cibotii	Gou Ji	+ Rz. Atractylodis	Cang Zhu
+ Rx. Dipsaci	Xu Duan	For chronic prostatitis with Yin Deficiency:
+ Rx. Morindae Officinalis	Ba Ji Tian	+ Arrest Wheezing Decoction Ding Chuan Tang
+ Hb Epimedii	Yin Yang Huo	+ Cx. Phellodendri	Huang Bai
For chronic prostatitis with Yang Deficiency:		+ Rz. Anemarrhenae	Zhi Mu
+ Arrest Wheezing Decoction Ding Chuan Tang		+ Rx. Rehmanniae	Sheng Di Huang
For chronic prostatitis with Blood Stagnation:
+ Rx. Astragali	Huang Qi	+ Arrest Wheezing Decoction Ding Chuan Tang
+ Rx. Codonopsis	Dang Shen
+ Rz. Cimicifugae	Sheng Ma	+ Rx. Salviae Miltiorrhizae	Dan Shen
For cough with Blood-streaked sputum:
- Rx. Platycodi	Jie Geng	+ Rz. Corydalis	Yan Hu Suo
+ 12g Rz. Imperatae	Bai Mao Gen	For a cough due to cool Dryness with an itchy throat:
+ 12g Hb. Agrimoniae	Xian He Cao
For a cough due to cool Dryness with a severe itchy throat:		+ 12g Fr. Trichosanthis	Gua Lou
+ 6g Sm. Armeniacae	Xing Ren
+ 12g Fr. Trichosanthis	Gua Lou	For a cough with severe Dryness and Heat:
+ 6g Sm. Armeniacae	Xing Ren	+ 12g Fr. Trichosanthis	Gua Lou
+ 6g Periostracum Cicadae	Chan Tui	+ 6g Sm. Armeniacae	Xing Ren
+ 9g Rz. Anemarrhenae	Zhi Mu
+ 9g Rx. Peucedani	Qian Hu	+ 20g Gypsum Fibrosum	Shi Gao
For a cough with severe sore throat:		For a cough with difficult-to-expectorate Phlegm:
+ 12g Fr. Trichosanthis	Gua Lou
+ 6g Sm. Armeniacae	Xing Ren	+ 12g Fr. Trichosanthis	Gua Lou
+ 9g Rx. Scrophulariae	Xuan Shen	+ 6g Sm. Armeniacae	Xing Ren
+ 3g Lasiosphere/ Calvatia	Ma Bo	+ 9g Rx. Platycodi	Jie Geng
+ 9g Sm. Benincasae	Dong Gua Zi
For a cough with hemoptysis, bloody Phlegm and epistaxis:		For excessive Cold Phlegm:
+ Poria	Fu Ling
+ 12g Fr. Trichosanthis	Gua Lou	+ Rz Zingiberis Preparatum	Zhi Ban Xia
+ 6g Sm. Armeniacae	Xing Ren
+ 9g Rz. Imperatae	Bai Mao Gen	For a dry cough with thin sputum due to excessive Lung Heat:
+ 9g Cacumen Platycladi	Ce Bai Ye
+ Fr. Trichosanthis	Gua Lou
+ Bul Fritillariae Cirrhosae	Chuan Bei Mu
Or
+ Fr. Trichosanthis	Gua Lou
+ Rx. Trichosanthis	Tian Hua Fen