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Neijing

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Sang Zhi Shi Gao Zhi Mu Tang桑枝石膏知母汤

Mulberry Twig, Gypsum and Anemarrhena Decoction

Also known asMulberry Twig, Gypsum and Anemarrhea Decoction

Medicinals
16

Composition

  • Sang ZhiRam. Mori9–15 g

    Dispels Wind-Dampness, unblocks the channels and collaterals, benefits the joints and stops spasms.

  • Zhi MuRz. Anemarrhenae6–12 g

    Clears Heat, drains Fire, nourishes Yin and moistens Dryness.

    • Huang Bai
    clears Heat and Drains Fire for Yin Deficiency Fire.
    • Shi Gao
    cools Heat in the Yang Ming or Qi Level while protecting Stomach fluids to treat high fever, profuse sweating, insatiable thirst, a red face, aversion to Heat and a large, strong pulse.
  • Cang ZhuRz. Atractylodis3–10 g

    Strongly dries Dampness, tonifies the Spleen, induces sweating and expels Wind-Dampness.

    • Shi Gao
    for Warm-Damp febrile disease with fever, profuse sweating and generalized body aches.
    • Huang Bai
    for pain, swelling, and weakness of the lower extremities or skin lesions due to Wind-Dampness.
  • Huang BaiCx. Phellodendri3–12 g

    Drains Damp-Heat especially from the Lower *Jiao, drains Fire and relieves Fire toxicity.*

    for Lower Jiao Damp-Heat.
  • Dang GuiRx. Angelicae Sinensis3–15 g

    Tonifies, invigorates and harmonizes the Blood and alleviates pain.

  • Qiang HuoRz. et Rx. Notopterygii3–10 g

    Expels Wind-Cold-Dampness, unblocks painful obstruction and alleviates pain.

    for Dampness.
    for a heavy-headed sensation.
  • Shi GaoGypsum Fibrosum15–60 g

    Clears Heat in the Qi Stage, drains Fire, relieves irritability and quenches thirst

  • Du HuoRx. Angelicae Pubescentis3–10 g

    Dispels Wind-Dampness and alleviates pain.

    for joint pain and numbness.
  • Wei Ling XianRz. Clematidis3–16 g

    Dispels Wind-Dampness, unblocks the channels and alleviates pain.

    for Wind-Damp Bi causing joint pain.
  • Han Fang JiRx. Stephaniae Tetrandrae3–12 g

    Expels Wind-Dampness, alleviates pain and purges Damp-Heat.

  • Yi Yi RenSm. Coicis9–30 g

    Expels Wind-Dampness, relieves pain, strengthens the Spleen, resolves Dampness and clears Damp-Heat.

  • Luo Shi TengCaulis Trachelospermi6–16 g

    Dispels Wind-Dampness and unblocks the channels and collaterals.

  • Wu Jia PiCx. Acanthopanacis4.5–15 g

    Dispels Wind-Dampness, nourishes the Liver and Kidneys, strengthens the sinews and bones, transforms Dampness and reduces swelling.

    • Wei Ling Xian, Qiang Huo
    Qin Jiao, for Wind-Damp Bi* causing muscle spasms and pain.
  • Chi ShaoRx. Paeoniae Rubra4.5–15 g

    Invigorates the Blood, dispels Blood Stasis,clears Heat and cools the Blood and relieves pain.

  • Qin JiaoRx. Gentianae Macrophyllae3–12 g

    Expels Wind-Dampness, opens the channels and soothes the sinews and collaterals.

  • Huang QinRx. Scutellariae3–18 g

    Clears Heat, dries Dampness, drains Fire and detoxifies.

    for Cold-Dampness at the Exterior with Heat in the Interior.

Actions

  • Drives out Wind-Dampness
  • Eliminates Heat
  • Frees stagnation in the channels and collaterals
  • Eases pain

Patterns treated

Bi obstruction driven by combined Wind, Dampness and Heat

Manifestations

  • A burning quality to the affected areas
  • Widespread aching throughout the body
  • A tendency to feel irritable
  • A feeling of heaviness across the shoulders and back
  • Chest and diaphragm area that feels either uncomfortable or tight
  • Numerous sores, carbuncles, furuncles, or abscesses
  • Reddened skin in the area
  • A sensation of itching
  • Swelling that lingers
  • Pain in the chest region
  • A febrile sensation
  • A sensation of thirst
  • Sore, painful limbs
  • Sore, painful joints
  • Intolerable swelling and pain in the legs
  • A stiff shoulder
Tongue body
Within normal limits
Coating
A greasy coat carrying a faint yellow tinge
Pulse
Presents as one of: wiry and rapid; soft and moderate; soft, superficial and slow; slippery and rapid; or deep and tight

Indications

  • Arthritis of a rheumatic nature
  • Joint inflammation
  • Joint pain
  • The condition of gout
  • Cases of fibromyalgia
  • Obstruction accompanied by pain