What is Ma Bo? Are She Gan, Niu Bang Zi and Chan Tui the same?
Official Ma Bo (马勃) is the dried fruiting body of Lasiosphaera fenzlii, Calvatia gigantea or Calvatia lilacina. The pharmacopoeial name is Lasiosphaera seu Calvatia. She Gan is bitter-cold: clears heat, resolves toxin, eliminates phlegm and benefits the throat. Niu Bang Zi is acrid-bitter and cold: disperses wind-heat, diffuses the Lung, vents rash, resolves toxin and benefits the throat. Chan Tui is sweet-cold: disperses wind-heat, benefits the throat, vents rash, brightens the eyes and abates nebula. Write Ma Bo and decoct it in a cloth bag. Use caution in wind-cold loss of voice.
What are the TCM properties and traditional uses of Ma Bo?
According to the Chinese Pharmacopoeia, Ma Bo is acrid and neutral, enters the Lung channel, and acts to clear the Lung, benefit the throat and stop bleeding. It is used for sore throat, cough and hoarseness from wind-heat depressing the Lung; externally for nosebleed and traumatic bleeding. Acrid-neutral and clearing, it suits wind-heat sore throat and hoarseness—not wind-cold lying in the Lung with cough and loss of voice.
Does Ma Bo need special processing? Can She Gan replace it?
Remove the hard skin and cut into small pieces. Decoct in a cloth bag so the spores do not scatter. Blackberry lily eliminates phlegm and benefits the throat; it cannot replace clearing the Lung and stopping bleeding by equal weight. External powder needs a separate instruction; do not blow it deep into the throat yourself.
What is the usual dosage? Can it be drunk daily as a throat tea?
The pharmacopoeial decoction dose is 2–6 g, wrapped in cloth. Externally, a suitable amount is used. It is not a four-season “puffball throat tea.” Wind-cold loss of voice only closes further as it clears. Sore throat and hoarseness need a practitioner to name a short course; it does not replace laryngoscopy.
What are the contraindications? Can it be used in pregnancy?
Unsuitable for wind-cold lying in the Lung with cough and loss of voice. Pregnancy needs a practitioner’s assessment. A few people develop rash, dizziness or nausea, which often settle after stopping. Massive nosebleed and difficulty breathing are emergencies.
Can Ma Bo clear the Lung, benefit the throat and stop bleeding?
It can help sore throat and hoarseness from wind-heat depressing the Lung. Massive-head scourge with swollen throat may enter Pu Ji Xiao Du Yin, with Scutellaria, Coptis, burdock fruit, scrophularia and isatis root. Externally it may help nosebleed and traumatic bleeding. It clears the Lung, benefits the throat and stops bleeding—not a specific for every loss of voice or every nosebleed.
Can Ma Bo be drunk daily as a throat, cough or hemostatic tea?
Wind-heat sore throat may enter a short formula; wind-cold only hoarsens further as it clears. “Puffball must benefit the throat and stop bleeding” does not replace throat and bleeding assessment. Clearing the Lung, benefiting the throat and stopping bleeding should name 2–6 g, wrapped.
How do you choose among Ma Bo, She Gan, Niu Bang Zi, Chan Tui and Bai Mao Gen?
Puffball is acrid-neutral: clears the Lung, benefits the throat and stops bleeding—wind-heat sore throat, hoarseness and nosebleed, and must be wrapped. Blackberry lily is bitter-cold: clears heat, resolves toxin, eliminates phlegm and benefits the throat—phlegm-fire sore throat. Burdock fruit is acrid-bitter and cold: disperses wind-heat, vents rash, resolves toxin and benefits the throat. Cicada slough is sweet-cold: disperses wind-heat, vents rash, brightens the eyes and abates nebula. Imperata rhizome is sweet-cold: cools Blood, stops bleeding, clears heat and promotes urination—hematuria from Blood heat. Wind-heat hoarseness favors Ma Bo (Pu Ji Xiao Du Yin); phlegm-fire favors She Gan; wind-heat rash favors Niu Bang Zi; nebula favors Chan Tui; hematuria favors Bai Mao Gen. They may be paired; wind-cold loss of voice forbids large Ma Bo and She Gan.
Which herbs is Ma Bo combined with? What are the representative formulas?
Wind-heat pestilential toxin with swelling of the head, face and throat joins Scutellaria, Coptis, burdock fruit, scrophularia and isatis root in Pu Ji Xiao Du Yin. Write Ma Bo 2–6 g, wrapped in cloth.
How do you choose and store Ma Bo?
Choose gray-brown or purple-brown spore tissue, light and soft, powdery when rubbed, without hard skin or foreign matter. Moldy, damp-caked or sandy lots are discarded. Store dry against dust. Buy pharmacopoeial Ma Bo; do not replace clearing the Lung, benefiting the throat and stopping bleeding with blackberry lily by equal weight.