Skip to content
Herbs & Cultures

Formulas that release the exterior

Ma huang tang

Ephedra Decoction

Chinese name
麻黄汤
Group
Formulas that release the exterior
English name
Ephedra Decoction
Basic formula
✓

Warm, stimulating and diaphoretic; expels wind-cold and works against asthma.

Indications

For the 'greater yang' stage with excess: fever, chills with aversion to cold, inability to sweat, an aching body, headache and asthma. With the right picture, for colds, asthma, cough and bronchitis.

Ingredients

IngredientsAmount
Ma huang (ephedra)6–9 g
Cinnamon twig (gui zhi)6–9 g
Apricot kernel (xing ren)toxicno amount
Honey-fried licorice (zhi gan cao)3–6 g
Tongue
thin white coating
Pulse
superficial and slow

Variations

  • For arthritis from wind, cold and damp: add bai zhu (ma huang jia zhu tang).
  • For a cold with sweating, headache, blocked nose and cough with phlegm: omit cinnamon twig (san ao tang).
  • With gypsum instead of cinnamon twig: ma xing shi gan tang, for internal heat and thirst.
  • With Job's tears instead of cinnamon twig: ma xing yi gan tang, for rheumatic pain from dampness in the muscles, chilblains, eczema, dandruff, calluses and corns.
  • With gypsum and fresh ginger added: da qing long tang ('major blue-green dragon'), for higher fever with restlessness, aversion to cold, aching muscles, no sweating, asthma, thirst and oedema.

Note

The book uses this as an example of the hierarchy in a formula: ma huang as emperor, cinnamon twig as minister, apricot kernel as assistant and licorice as servant.