Shengjiang San (Ascending and Descending Powder)

傷寒溫疫條辨

Bai Jiangcan (stir-fried with wine) 2 qian, Quan Chantui (soil removed) 1 qian, Guang Jianghuang (peeled) 3 fen, Chuan Dahuang (raw) 4 qian. Grind the above into a fine powder and mix thoroughly. For mild illness, divide into four doses; each dose is 1 qian 8 fen 2 li 5 hao, mixed evenly with one cup of yellow wine and 5 qian of honey, and taken cold; stop as soon as the illness is hit. For severe illness, divide into three doses; each dose is 2 qian 4 fen 3 li 3 hao, with one and a half cups of yellow wine and 7 qian 5 fen of honey, mixed evenly and taken cold. For the most severe, divide into two doses; each dose is 3 qian 6 fen 5 li, with two cups of yellow wine and 1 liang of honey, mixed evenly and taken cold. It is not contraindicated in pregnancy and childbirth. Refined honey pills, named Taiji Wan, are taken by the same method as above, divided according to severity, and swallowed with honey and wine mixed evenly.

Grind the above into a fine powder and mix thoroughly. For mild illness, divide into four doses; each dose is 6 g, mixed evenly with one cup of yellow wine and 15 g of honey, and taken cold; stop as soon as the illness is hit. For severe illness, divide into three doses; each dose is 7.5 g, with one and a half cups of yellow wine and 24 g of honey, mixed evenly and taken cold. For the most severe, divide into two doses; each dose is 12 g, with two cups of yellow wine and 30 g of honey, mixed evenly and taken cold. (Modern usage: it may also be used as a Decoction, decocted in water for oral administration; the dosage is determined according to the proportions of the original formula.)

湯劑

Outthrust and disperse constrained heat, resolve toxin, drain fire, and descend turbidity.

In exogenous diseases, it is mainly used for fever, restlessness, dry bound stool, and other conditions due to qi-aspect fire-heat. In miscellaneous diseases, it is mainly used for two aspects: first, fire depression pattern, with heart vexation and agitation, easy anger, insomnia, restless sleep at night, bitter taste in the mouth and dry throat, dry stool and red urine, red tongue with prickles, or red tongue, yellow coating, and wiry rapid pulse. Second, the pattern of mutual binding of heat and stasis with obstruction of the Channels / Meridians, with joint and muscle pain and impaired movement.

For cardiac urgency, agitation, and restless sleep at night, belonging to severe depression-heat of the Liver channel: add Chai Hu:10, Huang Qin:10, Chuan Lian Zi:6. -- For red tongue with prickles on the tip, belonging to exuberance of both heart and liver fire: add Huang Lian:6. -- For manifestations of fire depression and Blood stasis: add Chi Shao:10, Dan Shen:10. -- For dry throat and throat discomfort: add Bai Mao Gen:10, Lu Gen:10, Zi Su Ye:6. -- For food stagnation that does not resolve, or Triple Burner (San Jiao) qi mechanism failing to descend: add Jiao Shan Zha:10, Chao Mai Ya:10, Jiao Shen Qu:10, Shui Hong Hua Zi:10. -- For concurrent dampness with a soggy, slow pulse: add Huo Xiang:10, Pei Lan:10. -- For concurrent gallbladder depression, Phlegm-heat, and insomnia: combine with Wen Dan Tang. -- For qi mechanism disharmony, or concurrent damp turbidity: add Jing Jie:6, Fang Feng:6. -- Thyroid cancer: add Mu Li:30, Zhe Bei Mu:10, Xuan Shen:20.