Shi Shang Bai (石上柏; Shí Shàng Bǎi; Latin: Herba Selaginellae Doederleinii; English: Doederlein spikemoss) in the current pharmacopoeia is the dried whole herb of Selaginella doederleinii, an evergreen creeping plant of the spikemoss family, usually used raw. It is cool, bitter, and acrid, enters the Lung and Liver channels, and its core actions are to clear and benefit the throat, and to reduce swelling and disperse nodules. It usually goes into decoctions or light throat teas. The usual amount is 10–15 g, smaller for the throat and larger for swelling. Being light in texture, it needs no special first or late addition.
It is not Chui Pen Cao. That herb is slightly cold, sweet and bland, and leans toward liver-gallbladder damp-heat with jaundice and hypochondriac pain; Shi Shang Bai is cool, bitter and acrid, and leans toward the upper throat and surface lumps. Spleen-stomach deficiency-cold, with frequent abdominal pain and loose stools, is a poor match. Use caution in pregnancy. A lump that is hard and steadily enlarging, or comes with fever and fatigue, needs a clinic first rather than self-brewing.
It is used most often for three patterns:
- Red, sore, swollen throat with mild dry mouth
- Early surface sores, red but unbroken, tender swollen lymph nodes
- Mild breast or thyroid nodules
Cool, bitter, and acrid, it is not a daily “throat cooling” tea to keep brewing. Clearing when there is no heat in the throat can drain spleen-stomach yang and leave the belly cold.
When wind-heat attacks the upper burner, or local heat and qi stagnation swell the throat and surface tissues, a red sore throat and tender lumps are common. Shi Shang Bai is cool, bitter, and acrid. It clears, benefits the throat, and disperses, which is why it appears in Fu Fang Shi Shang Bai Jian (Compound Spikemoss Decoction)–type formulas, often with Jie Geng (Platycodon Root) guiding the action upward. It disperses more than it holds. A spleen and stomach already cold and weak, with no heat to clear, get colder if more is added.
Shi Shang Bai is not a catch-all throat or nodule herb. In spleen-stomach deficiency-cold, with no heat pattern, or in pregnancy, using it alone is a poor match. Raw or sliced, and whether it belongs in a formula, should be decided by a licensed Chinese medicine practitioner after pattern diagnosis.