Sang Xing Tang

Classical TCM Formula Profile

Part of the HJMEDICAL TCM Discovery Center

桑杏汤 · Sāng Xìng Tāng

Gentle formula for early-stage warm-dryness invading the Lungs. Presents with dry cough, slight fever, dry throat and thirst without heavy phlegm or severe Qi damage.

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Quick Facts

Formula Category
Exterior-Releasing Formulas
Primary Pattern
Wind-Heat
Primary Function
Disperse warm-dryness, moisten Lungs, stop cough
Primary Therapeutic Principle
Gently disperse warm-dryness, moisten the Lungs and stop cough
Classical Source
Wen Bing Tiao Bian (Wu Jutong, Qing dynasty)
Available as Granules
Yes

Formula Overview

Gentle formula for early-stage warm-dryness invading the Lungs. Presents with dry cough, slight fever, dry throat and thirst without heavy phlegm or severe Qi damage.

Therapeutic Principle

Traditionally selected at the earliest stage of warm-dryness, with a light dry cough, thirst and minimal systemic involvement — a gentler, more dispersing choice than Qing Zao Jiu Fei Tang, which suits deeper damage to Qi and Yin, and opposite in nature to Xing Su San's cool-dryness.

Composition: Sovereign, Minister, Assistant, Envoy

Every herb in the formula, grouped by the job it does in the classical hierarchy.

Classical Composition

  • Mori Folium (Sang Ye) 1 qian (3g)
  • Armeniacae Semen Amarum (Xing Ren) 1.5 qian (4.5g)
  • Glehniae Radix (Bei Sha Shen) 2 qian (6g)
  • Fritillariae Thunbergii Bulbus (Zhe Bei Mu) 1 qian (3g)
  • Sojae Semen Praeparatum (Dan Dou Chi) 1 qian (3g)
  • Gardeniae Pericarpium (Zhi Zi Pi) 1 qian (3g)
  • Gardeniae Pericarpium (Li Pi) 1 qian (3g)

Dosages follow the classical source and are shown for study, not as a prescription.

Related Conditions

Related Health Topics

Actions

  • Clears and diffuses warm-dryness
  • moistens the lung and dissolves phlegm.

Indications

  • Sang Xing Tang is indicated for the pattern of externally-contracted warm-dryness.
  • The symptoms are mild fever, thirst, dry throat and nasal cavities, dry cough without sputum, or with scanty, and sticky sputum.

Tongue & pulseThe tongue body is red with a thin, white and dry coating. The pulse is floating and rapid and is large on the right side.

Traditional Pathogenesis

Cause & mechanism

  • Sang Xing Tang is designed to treat mild patterns of externally-contracted warm-dryness injuring the lung fluids.
  • Since warm-dryness invades the lung-wei in autumn, the resulting condition is mild and occurs at the exterior level to induce a mild fever.
  • Dryness also depletes the lung fluids causing failure of the lung qi to purify leading to symptoms such as thirst, dry throat and nasal cavities, dry cough without sputum, or with scanty, and sticky sputum.
  • This pattern resembles exterior wind-heat, yet this pattern is caused by warm-dryness.

Treatment strategy

  • The lung fluids have been depleted and therefore the therapeutic principle is to clear and diffuse dryness-heat at the exterior, moisten the lung and dissolve phlegm in the interior.

How does this formula compare?

Compare Sang Xing TangQing Zao Jiu Fei TangXing Su SanSang Ju YinSha Shen Mai Dong Tang
Primary Function Disperse warm-dryness, moisten Lungs, stop coughClear Dryness, moisten Lungs, rescue Lung Yin and QiDisperse cool-dryness, regulate Lung Qi, transform phlegmDisperse Wind-Heat, stop coughNourish Lung-Stomach Yin, generate fluids
Formula Category Exterior-Releasing FormulasHeat-Clearing FormulasExterior-Releasing FormulasExterior-Releasing FormulasYin-Tonifying Formulas
Typical TCM Pattern Wind-HeatLung HeatWind-ColdWind-HeatYin Deficiency
Main Conditions Dry Cough·Dry Mouth & Throat·Sore ThroatDry Cough·Sore Throat·Dry Mouth & ThroatCough·Excessive Mucus·Nasal CongestionCough·Dry Cough·Sore Throat·FeverDry Cough·Yin Deficiency Constitution·Dry Mouth & Throat
Main Herbs Mulberry Leaf·Bitter Apricot Kernel·Glehnia / Adenophora Root·Thunberg Fritillaria Bulb·Prepared SoybeanMulberry Leaf·Gypsum·Ophiopogon Tuber·Donkey-hide Gelatin·Black Sesame SeedBitter Apricot Kernel·Perilla Leaf·Peucedanum Root·Platycodon Root·Bitter OrangeMulberry Leaf·Chrysanthemum Flower·Forsythia Fruit·Mentha / Peppermint·Platycodon RootGlehnia Root·Ophiopogon Tuber·Fragrant Solomonseal Rhizome·Mulberry Leaf·Trichosanthes Root
Classical Source Wen Bing Tiao Bian (Wu Jutong, Qing dynasty)Yi Men Fa Lu (Qing dynasty, Yu Chang)Wen Bing Tiao Bian (Wu Jutong, Qing dynasty)Wen Bing Tiao Bian (Systematic Differentiation of Warm Pathogen Diseases, Wu Jutong, 1798)Wen Bing Tiao Bian (Wu Jutong, Qing dynasty)

Clinical Perspective

Sang Xing Tang is mild for early warm-dryness. Qing Zao Jiu Fei Tang is stronger when dryness has damaged Qi and Yin more deeply. Xing Su San addresses cool-dryness. Sha Shen Mai Dong Tang is for internal Lung-Stomach Yin deficiency dryness.

Clinical Differentiation

  • Sang Xing Tang is a formula commonly used to treat mild patterns of warm-dryness that have damaged the lung.
  • This clinical pattern is marked by mild fever, dry cough without sputum, or with scantyand sticky sputum, rapid and large pulse on the right.

Safety notes: The medicinals in this formula should be used in small dosage and should only be cooked for a short period of time because the pathogens are not severe and are located in the superficial layer. It was explained in a postscript from the formula’s source text: “Light medicinals should not be used in large dosage or decocted for a long time because if they are, light medicinals cannot act at the qi level but will act on the other levels” .

For educational reference only, based on traditional pattern differentiation — not a substitute for professional advice.

Frequently Asked Questions

What are the actions of Sang Xing Tang?
Sang Xing Tang has the actions of clearing and dispersing Warm-Dryness, moistening the Lung, and stopping cough. It is the classic mild formula for externally contracted Warm-Dryness injuring the Lung Wei and fluids.
Which modern diseases is Sang Xing Tang suited to?
Modern TCM clinical practice commonly applies it to individuals whose pattern differentiation falls within Warm-Dryness invading the Lung, including upper respiratory tract infections, acute or chronic bronchitis with dry cough, dry cough from environmental dryness, and certain cases of pertussis or bronchiectasis with dryness-Heat features.
Is Sang Xing Tang suitable for improving dry cough with little phlegm?
For presentations of mild fever, dry cough with little or no phlegm (or scanty sticky phlegm), dry throat and nasal passages, slight thirst, a red tongue with thin dry coating, and a floating rapid pulse — in those whose pattern differentiation confirms Warm-Dryness injuring the Lung — TCM commonly applies Sang Xing Tang as an adjunct. It cannot replace standard medical treatment.
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Medical Disclaimer

For general TCM education only — not medical advice. Consult a qualified TCM practitioner or licensed healthcare provider before use, especially if pregnant, nursing, on medication, or managing a chronic condition.

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