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Knowledge baseFormulas

Si Wu Ma Huang Tang Jia Jian四物麻黃汤加減

Modified Four Substances with Ephedra Decoction

Medicinals
10

Composition

  • Ma HuangRx. Ephedrae6 g

    Induces sweating, releases the Exterior and warms and disperses Cold pathogens.

    for Wind-Cold cough and wheezing.
  • Gui ZhiRam. Cinnamomi6 g

    Releases the exterior, assists the Yang, adjusts the Ying and Wei, releases the muscle layer, warms the channels and collaterals to relieve pain and warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels.

    • Ma Huang
    for Wind-Cold Excess conditions with fever and chills but no sweat.
    • Bai Shao
    for External Wind-Cold.
  • Xing RenSm. Armeniacae6 g

    Stops cough and calms wheezing.

  • Chuan XiongRz. Chuanxiong6 g

    Invigorates the Blood, promotes the movement of Qi, expels Wind and alleviates pain.

    expels Wind-Dampness, warms the channels and collaterals, facilitates joint movement and relieves Bi pain for joint and limb pain due to External Wind-Cold invasion.
  • Dang GuiRx. Angelicae Sinensis12 g

    Nourishes, invigorates and harmonizes the Blood, disperses Cold, reduces swelling, expels pus, generates flesh and stops pain due to Blood Stasis.

    • Bai Shao
    regulates and harmonizes Qi and Blood.
    harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis.
  • Bai ShaoRx. Paeoniae Alba12 g

    Nourishes the Blood, calms Liver Yang and Liver Wind and alleviates pain.

    harmonizes the Ying and Wei.
    • Dang
    • Gui
    nourishes Yin and Blood.
  • Sheng Di HuangRx. Rehmanniae12 g

    Clears Heat, cools the Blood, nourishes Yin, and generates fluids.

    • Bai Shao
    for Blood Deficiency Heat.
  • Bei Sha ShenRx. Glehniae12 g

    Nourishes Lung Yin, clears Lung Heat, nourishes Stomach Yin, generates fluids and tonifies Liver and Kidney *Yin.*

  • Sheng JiangRz. Zingiberis Recens10 g

    Releases the Exterior, induces perspiration, disperses Cold and reduces the toxicity of other herbs.

    strongly induces sweating for treatment of External Wind-Cold with chills, fever, body aches and anhidrosis.
    harmonizes the Ying and Wei to drive out pathogens.
    • Ma Huang
    strongly creates sweating to treat all externally contracted Wind-Cold disorders.
  • Da ZaoFr. Jujube15 g

    Nourishes the Blood, calms the Spirit and moderates and harmonizes the harsh properties of other herbs.

    for External Wind-Cold.

Actions

  • Disperses Wind
  • Scatters Cold
  • Activates the Blood
  • Harmonizes the Ying

Patterns treated

Psoriasis presenting with a Wind-Cold pattern

Manifestations

  • This presentation appears during a first outbreak of plaque or guttate psoriasis
  • Lesions present as dot-like spots or coin-shaped patches, or
  • Merge into red plaques topped with scales that peel away easily
  • This condition can arise during any season, though it tends to worsen in winter and generally eases or fades by summer
Tongue body
Pale-red coloration
Coating
Thin in texture and white in color
Pulse
Floating in quality and tight in character

Indications

Cases of psoriasis