Sundance Acupuncture

Herb & Acupuncture Database

(This is my own personal database of teachers, teachings and notes that I use in my practice. I’ve decided to share it freely with anyone who would like to reference it.)

Sheng Ma - 升麻 - Rhizoma Cimicifugae - Black Cohosh

Pharmaceutical Latin: Rhizoma Cimicifugae
Common English: Black Cohosh
Bugbane Rhizome
Cimicifuga
Rising Hemp Root

Category

Herbs that Release the Exterior: Cool Acrid Herbs that Release the Exterior (Wind-Heat Diaphoretics)

Properties

Taste Temperature Entering Meridians Dosage
Sweet
Acrid
Slightly Cold
(Cool)
(Warm)
Large Intestine
Lung
Spleen
Stomach
1.5-9g
Maximum dose: 15g
Tincture: 2-3ml
3-9g (Secondary source)

Actions And Indications

Actions Indications/Syndromes

Releases the Exterior and vents measles

Headache due to Wind-Heat

Early stages of measles

Clears Heat and relieves toxicity

Fire toxins in the upper or superficial aspects of the body with sore teeth, swollen or painful gums, ulcerated lips or gums, canker sores, painful and swollen throat, sores or maculae from Warm-Heat pathogen diseases

Raises Yang and lifts sunken Qi

Central Qi Sinking or Middle Qi Deficiency with shortness of breath, fatigue and prolapse

Dai channel spasms

Guides other herbs upwards

Contraindications, Incompatibilities And Herb/Drug Interactions

CONTRAINDICATIONS
  • Contraindicated for those with Heat due to Yin Deficiency.
  • Contraindicated for those with breathing difficulty or asthma.
  • Contraindicated for those with fully erupted measles.
  • Contraindicated for those with Excess Fire Rising.
  • Contraindicated for those with upper Excess and lower Deficiency.
  • Contraindicated during pregnancy during the first trimester.
  • Contraindicated for nursing mothers.
  • Use with caution due to potential allergic effect.
  • Toxicity: Overdose causes headaches, dizziness, vomiting, tremors, gastroenteritis and pathogenic erections.
  • It may cause ulceration and congestion of the blood in the skin.
  • It may irritate the Stomach and cause gastroenteritis. In severe cases, it may cause delirium and breathing difficulty.
  • Large doses may cause tremor, dizziness, muscle relaxation and bradycardia.
INCOMPATIBILITIES
HERB/DRUG INTERACTIONS

Major Combinations

Rx. Puerariae
Ge Gen

Fr. Arctii
Niu Bang Zi
Fol. Isatidis
Da Qing Ye

Gypsum Fibrosum
Shi Gao

Early stage measles with incomplete expression of the rash with fever along with relatively superficial Yang Ming disorders.

Unblocks the pores to vent rashes and treat Wind-Heat patterns in which Heat toxin has injured the Fluids of the Stomach with fever, chills, headache and thirst.

Incomplete expression of Fire toxin rashes.

Clears Heat Excess and Fire toxin from the Yang Ming channel with toothache, swollen and bleeding gums or jaw, vertex headache or redness and swelling along the lower eyelid.

Rash resulting from Qi Stage/Yang Ming level Heat toxin.

Gypsum Fibrosum
Shi Gao
Fol. Isatidis
Da Qing Ye

Rz. Coptidis
Huang Lian

Rx. Platycodi
Jie Geng
Rx. Scrophulariae
Xuan Shen
(Fr. Arctii)
(Niu Bang Zi)

Maculae from warm febrile disease.

Clears and drains Heart and Stomach Fire with swelling of the gums, toothache, and ulcerations of the mouth and tongue.

Ulcers of the gums and mouth with bad breath.

Swollen, painful throat due to Wind-Heat.

Rx. Angelicae Dahuricae
Bai Zhi

Rx. Rehmanniae
Sheng Di Huang

Hb. Taraxaci
Pu Gong Ying
Fr. Forsythiae
Lian Qiao
Rx. Paeoniae Ru brae
Chi Shao Yao

Yang Ming headache.

Toothache from Stomach Fire.

Cools Heat in the Lungs and Stomach, stopping hemoptysis and hematemesis.

Boils, carbuncles and skin diseases.

Rx. Bupleuri
Chai Hu

Rx. Bupleuri
Chai Hu

Heat clearing herbs

Rz. Coptidis
Huang Lian
Rx. Rehmanniae
Sheng Di Huang
Gypsum
Shi Gao
Cx. Moutan
Mu Dan Pi

Chronic dysenteric disorders, rectal prolapse and uterine prolapse due to Yang Deficiency.

With other Wind-expelling, exterior releasing herbs to treat continuous fever, headache and sore throat from Wind-Heat patterns constrained in the muscle layer.

Erysipelas of the head and face and swelling and pain due to Fire toxin.

Stomach Fire with swollen, painful gums and oral ulcers.

Rz Atractylodis Macrocephalae
Bai Zhu

Charred Hb. Schizonepetae
Jing Jie Tan

Rx. Curcumae
Yu Jin

Dai channel spasms manifested as dragging sensations in the lower body, usually accompanied by vaginal discharge.

With charred Cimicifugae Sheng Ma Tan for urinary, menstrual or rectal bleeding due to Yang Qi Sinking and injuring the Yin collaterals.

Toxins in either the upper or lower body.

Sm. Arcae
Bing Lang

Rx. Angelicae Sinensis
Dang Gui

Or

Sm. Persicae
Tao Ren

Rx. Angelicae Sinensis
Dang Gui
Hb. Cistanches
Rou Cong Rong
Rx. Achyranthis Bidentatae
Niu Xi

Lifts the Qi to ease the Intestines.

Raises the clear Qi, allowing turbidity to descend and moistening of the Intestines.

Unblocks stool parched by Deficiency.

Rx. Puerariae
Ge Gen

Fr. Arctii
Niu Bang Zi
Rx. Scutellariae
Huang Qin
Hb. Menthae
Bo He

Rx. Paeoniae Alba
Bai Shao
Rx. Glycyrrhizae
Gan Cao

Fol. Nelumbinis
He Ye
Rz. Atractylodis
Cang Zhu
Rx. Glycyrrhizae
Gan Cao

Measles.

Incomplete expression of measles.

Facial skin disorders.

Rz. Coptidis
Huang Lian

Talcum
Shi Gao
Rx. Rehmanniae
Sheng Di Huang

Fr. Forsythiae
Lian Qiao
Rx. et Rz. Rhei
Da Huang
Rx. Ampelopsis
Bai Lian

Flos Lonicerae
Jin Yin Hua
Fr. Forsythiae
Lian Qiao
Hb. Taraxaci
Pu Gong Ying

Toothache.

Carbuncles without abscess.

Carbuncles with abscess and ulceration.

Rx. Bupleuri
Chai Hu

Rx. Astragali
Huang Qi

Prolapse of internal organs.

Notes

  1. Certain sources state that this herb treats Stomach Heat, Heart Yin Deficiency and Liver Yang Rising.
  2. Its uses include raising Yang, relieving surface Heat, and treating childhood illnesses such as chicken pox and measles, often together with Rx. Pueraria Ge Gen.
  3. The essential oil plays an important role in releasing the surface, so for that purpose the herb should be cooked only briefly.
  4. At 3-6 grams it lifts Qi; at 10 or more grams it clears the Stomach.
  5. According to some sources, it treats rheumatoid arthritis and eases childbirth.
  6. It is thought to act as an insecticide against bugs (bugbane).
  7. It closely resembles the American variety of black cohosh.
  8. Its most accurate name is Guang Dong Sheng Ma, to distinguish it from Serratula Sheng Ma, which lacks the antiprolapse action.
  9. Recently it has been used to treat neurocardiac disorder and hypertension.
  10. Research shows that it inhibits the growth of cancer cells.
  11. One source states that this herb guides other herbs to tonify the Spleen and Stomach.
  12. For various pyogenic infections, it can be powdered and mixed with vinegar for topical use.
  13. It is reputed to cure root decay of the teeth accompanied by a fetid smell.
  14. For carbuncles and eruptive diseases, prepare a decoction and apply it to the sores with silk floss.
  15. When treating tumors, the dosage should be raised.
  16. Sheng Ma, Rx. Puerariae Ge Gen and Rx. Bupleuri Chai Hu all release the exterior and raise Yang. Sheng Ma disperses Wind from the muscle layer and exterior, stops Yang Ming headache, and is the ideal choice for raising Spleen and Stomach Yang Qi in sinking of Yang Qi with chronic diarrhea or prolapse. Ge Gen concentrates on the Yang Ming channel, releasing the muscle layer, eliminating Heat and treating stiff neck, while also encouraging Stomach Qi to rise, producing Fluids and stopping thirst. When baked, it can lift the Yang and stop diarrhea. Chai Hu concentrates on dispersing pathogens in the Xiao Yang channel to treat alternating chills and fever, and it raises Yang Qi. Because its lifting power is weaker than that of Sheng ma, the two are often combined. Ge Gen and Sheng Ma can both vent rashes, and Sheng Ma and Chai Hu both spread Liver Qi.
  17. Unprepared Cimicifuga, Sheng Sheng Ma, releases the exterior, vents rashes, and has a strong cooling and toxin-relieving action.
  18. Honey-prepared Cimicifuga, Mi Zhi Sheng Ma, is less acrid and dispersing but targets the Middle Jiao with a stronger ascending tendency.
  19. Charred Cimicifuga, Sheng Ma Tan, is less acrid and dispersing but can stop bleeding, and is used for vaginal or rectal bleeding from weak Spleen or Qi Deficiency.
  20. Dry-fried Cimicifuga, Chao Sheng Ma, is remarkably effective for dysenteric disorders with nausea and difficulty eating when it is fried in vinegar and combined with Rx. Ginseng Ren Shen and Sm. Nelumbinis Lian Zi. Frying in wine strengthens its ability to tonify the Spleen and ascend. Frying in salt guides it into the Kidney channel to lift and benefit the Kidney Qi; salt-fried and combined with Kidney tonics, it can be used for spermatorrhea, vaginal discharge and incontinence.

From Class

  • Sheng Ma (Cimicifuga): Releases toxic guilt and lifts the qi — guilt/remorse is often big at end of life. (Lewis)
  • Sheng Ma (Cimicifuga): Alchemical herb — a good one to go to when a patient is encountering a lot of guilt. (Lewis)
  • Sheng Ma (Cimicifuga): 'The ascending root'; ingredient in the Ku Shen heart-pain wine. (Yuen)
  • Sheng Ma (Cimicifuga) with Spleen tonics: Adding Sheng Ma to Spleen-fortifying herbs lifts one out of the heaviness of guilt/remorse that bogs down the Spleen. (Lewis)
  • Ku Shen Jiu (Sophora wine) — four-herb version: Alcohol for the nine heart pains: Ku Shen with Long Dan Cao (Gentiana scabra), Sheng Ma (Cimicifuga, the 'ascending root') and Zhi Zi (Gardenia) soaked in alcohol. (Yuen)

For educational reference only; not a substitute for care from a qualified practitioner.