many ways to learn Chinese herbal therapy. We can learn it one
paragraph after another. We can learn from the clinic experience
of the famous TCM doctor in history. We can also learn it from
the herbal formula by separating the formula into different
groups according to their similar functions. We can also
separate the formula according to the main ingredients in the
formula. Based on the later classification, we can separate the
herbal formula into Mahuang series, Guizhi series, Shigao
series, Gegeng series, etc. Our experience tells us this is one
of the best ways to learn Chinese herbal therapy.
herbal series in the Shanghan Lun are the followings:
series, Guizhi series, Shigao series, Fuzi series, Fuling
series, Gegeng series, Zhizi series, Dahuang series, Chaihu
series, Huangliang series, Banxia series, et.
Mahuang series includes the herbal formula of Mahuang Tang,
Mahuang puls Zhu Tang, Xiao Qinglong Tang, Da Qinglong Tang, Yue
Bi Tang, Yue Bi plus Zhu Tang, Yue Bi plus Banxia Tang, Ma Xing
Shi Gan Tang, Ma Xing Yi Gan Tang, Mahuang Fuzi Xixin Tang,
Mahuang Fuzi Gancao Tang, and Xu Ming Tang, etc.
on, we talk about the Mahuang Tang in this newsletter.
伤寒论：麻黄去节，三两[45g] 桂枝二两[30g] 甘草炙，一两［15g］ 杏仁七十个，去皮尖［20g］
Lun: Mahuang (remove the stems) 45 grams, Guizhi 30 grams,
Zhigancao 15 grams, Xiren 20 grams (remove the skin and tips).
book: Mahuang 9 grams, Guizhi 6 grams, Xinren 6 grams, Zhigancao
to the current study on the measurement scales in history, one
liang in East Han
dynasty equals to current 15.625 grams. If so, the amount of the
Mahuang (and most of other herbs), e.g. the three
liang, used in the
Shanghan Lun should be
45 grams. But according to the current TCM text book, the amount
of Mahuang should be only 9 grams, which is one fifth of the
amount suggested in the
Shanghan Lun! There is a strong arguing that the less amount
of herbs used currently is one of major reasons for poor clinic
healing effect in the use of Shanghan formula in nowadays.
2. Cook the Mahuang in water in a clay pot
first for one to two boiling. Remove the upper floating foam.
Add the rest of the herbs in, continue to cook until the total
liquid volume in the pot is only about 200 to 250 ml. Drink all
once when it is warm. Cover the body after drink so as to get
slight sweat. Strong sweat is not desired.
The herb Mahuang is a strong sweat-stimulating
ingredient. The addition of Guizhi makes it easier to get sweat.
The Xinren is to solve the asthma (and to bring the Lung Qi
downwards to prevent over-rising of the Lung Qi due
to the Mahuang). The Gancao works to buffer all other herbs
effect, making them not work so aggressive. Therefore, the whole
formula work to solve the Taiyang stage of Shanhan disease with
body surface strong syndrome, no sweat, with body pain and
paragraph 35: In Taiyang stage, the patient has headache, fever,
pain in the body and in the lower back, has pain in the joints,
dislikes wind, has no sweat but asthma (short of breath), use
Mahuang Tang as the main formula for the treatment.
paragraph 36: In the co-exist of Taiyang and Yangming, the
patient has asthma, fullness in the chest, do not use
colon-cleansing therapy, but use Mahuang Tang.
paragraph 37: Taiyang stage has lasted for about ten days. The
patient feels desire to lie down with floating-thin pulse. This
condition suggests that the body surface syndrome has been
solved. If at this time, the patient feels fullness in the chest
and pain in the upper side of the stomach, use Xiao Chaihu Tang.
If only the pulse is floating feeling, use Mahuang Tang.
person has floating pulse, his disease is in Taiyang stage, and
a healing sweat is needed. Mahuang Tang is recommended.
the pulse is floating and fast, the healing sweat with Mahuang
Tang is still recommended.
Cold-invasion Taiyang stage, if the person has floating and
tight pulse, but no sweat therapy is given, he may have bleeding
in nose. To promote sweat, Mahuang Tang should be used.
Yangming stage, the pulse is floating; the patient has no sweat
but asthma, sweat therapy works. Use Mahuang Tang.
the healing of Wind-attack, headache due to Cold-attack, Wen
malaria. Works to stimulate sweat, remove Xieqi and fever, to
stop cough and to reverse the up-rising Qi, to remove Cold or
Hotness, and break hard mass and accumulation in the body.
Ben Cao Gang Mu：Works
to solve red eye, swelling and pain in the eyes, swelling, Wind
swelling, and blood stasis after birth delivery.
TCM text book：Stimulate
sweat and to expel cold; to release the bronchi so as to solve
asthma; to direct water metabolism so as to solve swelling; to
solve Cold-mass, or Cold-tumor in the body.
Attention need to pay when use the Mahuang Tang:
Mahuang Tang is the main formula used in the Taiyang stage of
Shanghan disease. It is mostly used when the pulse is floating,
the patient feels strong headache in the head and neck and feels
chilly (dislikes cold environment). The Taiyang stage of
Shanghan disease must be distinguished with other disease
conditions, such as followings:
the early stage of a Wen disease, the patient feels hot and fever, has sweat, no
cold-dislike feeling but hot-disliking feeling, use Ma Xing Shi
Gan Tang, Da Qinglong Tang or Gegen Tang, etc.
the Wind-attack Taiyang stage, if the pulse is floating, body
feels pain and the person has sweat, use Guizhi Tang.
the Cold attacks the Shaoyin phase of the body, the patient
feels also headache and pain in the body, and feels chilly and
dislikes cold, but the pulse is deep. In this case, use Mahuang
Fuzi Xixing Tang, or Mahuang Fuzi Gancao Tang.
Floating pulse: the pulse must feel as floating, e.g. you can
feel the pulse once you put your finger on the wrist of the
patient. The pulse should not be deep. If the pulse is deep, it
indicates the Taiyin stage and the herbal formula that should be
used is Mahuang Fuzi Xixing Tang, or Mahuang Fuzi Gancao Tang.
Strong pain on the head and neck: the patient feels pain on the
head, neck, back, back of legs, back of the heel. It can be pain
anywhere along the Taiyang meridian. It can be pain or
stiffness, or sour.
Chilly feeling or cold-dislike feeling. The patient feels cold
and wants warm and more cover on the body. Such chilly or fold
feeling can be whole body, or only on the neck, on the back, but
not means the cold feeling on the fingers or toes.
Actually, the person who is suitable to use the Mahuang-containing
herbs for the treatment has special body constitution. They are
usually those of people whose body looks strong but the muscle
is soft. They could have local swelling here or there on the
body, for example, water bag under the eyes, or swelling on the
knee on one side or on both sides of the knee. Such person
usually is hard to sweat.
7. For the
treatment of asthma by the use of Mahuang Tang:
Mahuang Tang: it is used for no-sweat asthma. The patient can
have bloating feeling on the stomach and difficulty in bowel
movement (e.g. there is Yangming organ phase).
Guizhi jia Houpu Xingren Tang: it is used for those patients
with sweat and asthma.
Xing Shi Gan Tang: it is used to asthma. The patient has sweat,
and may have dry mouth, or hard in bowel movement, e.g. there is
no strong hotness in the body but may has slight hotness inside.
Qin Liang Tang: it is used also for asthma with sweat, but the
patient may have continuous diarrhea. The pulse feels urgent.
Qinglong Tang: the body has cold outside and water accumulation
inside of the body. It is used for asthma with large amount of
water-like phlegm or saliva.
Qinglong Tang: the body has cold outside but hotness inside of
the body. It is used for asthma with annoying feeling and dry
mouth and/or dry throat.
Jia Banxia Tang: “Jia” means to add in. It means to add herb
Banxia into the formula Juebi Tang. It is used for asthma with
very urgent breath, so much so that the eyes of the patients
seem to fall off.
Shegan Mahuang Tang: it is used for asthma, short of breath,
stroke feeling in throat, with water noise in the throat.
drink of the Mahuang Tang, and if the patient has bleeding from
nose, no worry about it. It would indicate that the disease is
to get cured, since it indicates that the body
Yang Qi is sufficient to struggle against the
Xieqi (disease-causing energy). However, if the patient feels dizzy
or cloudy mind after drink of the Mahuang Tang, it may suggest
that the Kidney Qi is
insufficient in the body. Supply of Kidney
Qi, for example use
Jing Kui Shen Qi Wang, needs to be considered.
8. Use of
Mahuang Tang for the treatment of cough:
Mahuang Tang: it is used for cough without sweat.
Ao Tang: the patient has no sweat, only cough.
Xing Shi Gan Tang: the patient has sweat, cough or asthma, dry
mouth, likes to drink cold water (there is slight hotness inside
of the body).
Qinglong Tang: patient feels chilly or cold, bloating feeling in
stomach (or water noise in stomach), cough with more water-like
Qinglong Tang plus Shigao: the patient has the syndrome as the
condition for Xiao Qinglong Tang, and irritated feeling, dry
mouth, and/or constipation.
Qinglong Tang: the patient has surface-cold syndrome (chilly,
muscle pain without sweat), and also inside hotness (dry mouth
or throat, irritated, and/or constipation).
Chaihu Tang without Shengjiang, Rensheng and Dazao, but with
Ganjiang and Wuweizi: it is used for long term cough. The
patient may have hot-cold shift feeling, bitter taste in mouth,
dry throat, dizziness. The patient may also has block feeling or
pain in the ears, or tingling feeling in throat.
Maimendong Tang: it belongs to Shaoyang stage with little
weakness condition. The patient has stimulating cough due to
Qi up-rushing. The
cough is usually continuous, as spasm-like, and more at night.
Phlegm is not much and it is hard to spit out. The voice is
Xian Tang plus Zhuru: it is used for cough with dryness phlegm.
The phlegm is hard to spit out so the patient has continuous
cough and short of breath.
Gualu Zhishi Tang: it is used for all kinds of cough except for
the cold-phlegm cough. It is much more suitable for dry-phlegm
cough. The cough starts in the early morning and stop after
noon. The patient has short of breath and inside hotness (such
as yellow-red urine), hard to lien evenly on the bed, usually
has bloating feeling in the chest. The patient is usually a long
term smoker. The application of this formula is similar to the
Chai Xian Tang plus Zhuru above.
Fei Tang: The lung is with hotness inside. The phlegm is sticky
and hard to spit out, so that the patient has to cough heavily
to spit out the phlegm. The throat is pain, or itch, or the
voice is harsh for a long term. The body tends to be hot.
clinic, the Mahuang Tang is also used in the following
early stage of other diseases, such as common cold, flu,
pneumonia, measles, and typhoid fever, etc.
stiffness in children.
Common cold without sweat but with nose bleeding.
Asthma due to common cold. The pulse is floating and tight but
Insufficient breast milk secretion.
stage of an arthritis
Stroke onset almost without breath; acute false death.
Millwoods Acupuncture Center is
located in Edmonton, Alberta, Canada and serves Edmonton
surrounding area, including: St. Albert, Big
Lake, Spruce Grove, Stony Plain, Devon, Beaumont, Sherwood Park,
Calgary, Red Deer and Whitecourt, Barrhead, Westlock, Wetaskiwin,
Camrose, Fort Saskatchewan, Grande Prairie. Our clients also come
from Vancouver and Saskatoon.