Shi Shen Tang

Classical TCM Formula Profile

Part of the HJMEDICAL TCM Discovery Center

十神湯 · Shí Shén Tāng

An exterior-releasing formula for wind-cold with qi stagnation.

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Quick Facts

Formula Category
Exterior-Releasing Formulas
Primary Pattern
Wind-Cold
Primary Function
Release exterior wind-cold, move qi
Primary Therapeutic Principle
Release exterior wind-cold and move qi
Classical Source
He Ji Ju Fang (Song dynasty)
Available as Granules
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Formula Overview

An exterior-releasing formula for wind-cold with qi stagnation.

Therapeutic Principle

Selected for wind-cold with qi stagnation — chills with chest oppression — rather than pure exterior or pure qi stagnation.

Composition: Sovereign, Minister, Assistant, Envoy

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

Classical Composition

  • Perillae Folium (Zi Su Ye)
  • Puerariae Radix (Ge Gen)
  • Cimicifugae Rhizoma (Sheng Ma)
  • Citri Reticulatae Pericarpium (Chen Pi)
  • Chuanxiong Rhizoma (Chuan Xiong)
  • Angelicae Dahuricae Radix (Bai Zhi)
  • Ephedrae Herba (Ma Huang)
  • Glycyrrhizae Radix (Gan Cao). From He Ji Ju Fang. An exterior-releasing
  • qi-moving formula.

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

Related Conditions

Related Health Topics

Actions

  • Releases exterior wind-cold and moves qi.

Indications

  • Wind-cold with qi stagnation.
  • Chills, fever, headache, chest oppression, no sweat, white coating.

Traditional Pathogenesis

Cause & mechanism

  • Wind-cold with qi stagnation.
  • Exterior is not released and qi is constrained.

Clinical presentation

  • Chills, fever, headache, chest oppression, no sweat, white coating, superficial pulse.

Treatment strategy

  • Release exterior wind-cold, move qi.

How does this formula compare?

Compare Shi Shen TangXiang Su SanMa Huang TangShen Su Yin
Primary Function Release exterior wind-cold, move qiRelease exterior, move qi, harmonize the middleRelease exterior Wind-Cold, stop wheezingTonify Qi, release exterior, resolve phlegm
Formula Category Exterior-Releasing FormulasExterior-Releasing FormulasExterior-Releasing FormulasExterior-Releasing Formulas
Typical TCM Pattern Wind-ColdQi StagnationWind-ColdQi Deficiency
Main Conditions Fever·Headache·Chest Tightness·Nasal CongestionFever·Headache·Chest Tightness·BloatingCough·Dry Cough·Fever·Cold LimbsCough·Nasal Congestion·Fever·Fatigue & Low Energy
Main Herbs Perilla Leaf·Kudzu Root·Cimicifuga Rhizome·Tangerine Peel·Chuanxiong RhizomeCyperus Rhizome·Perilla Leaf·Tangerine Peel·Honey-fried Licorice·Fresh GingerEphedra Herb·Cinnamon Twig·Bitter Apricot Kernel·Honey-fried LicoriceGinseng Root·Perilla Leaf·Kudzu Root·Peucedanum Root·Pinellia Rhizome
Classical Source He Ji Ju Fang (Song dynasty)He Ji Ju Fang (Song dynasty)Shang Han Lun (Zhang Zhongjing, Eastern Han)Tai Ping Hui Min He Ji Ju Fang (Song dynasty)

Clinical Perspective

Shi Shen Tang, Xiang Su San and Ma Huang Tang release the exterior. Xiang Su San moves qi with less exterior force. Ma Huang Tang releases wind-cold strongly. This formula releases exterior and moves qi.

Clinical Differentiation

  • Used for wind-cold with qi stagnation.
  • Key points: chills with chest oppression.
  • Distinct from pure wind-cold and pure qi stagnation.

Safety notes: Contains Ma Huang; not appropriate for yin deficiency heat or free sweating.

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

Frequently Asked Questions

What is Shi Shen Tang? Are Ma Huang Tang and Ge Gen Tang the same?
Shi Shen Tang (十神汤) is a classic formula, centered on releasing the flesh and the exterior, regulating qi and freeing yang for wind-cold common cold with fever, aversion to cold, headache, absence of sweating, cough and nasal congestion. Ma Huang Tang induces sweating and releases the exterior, leaning to wind-cold exterior excess. Ge Gen Tang releases the flesh and the exterior, leaning to taiyang disease with stiff nape and back. The three cannot be interchanged by equal weight. Write Shi Shen Tang. Use caution in vacuity with copious sweating and hypertension.
What is the composition and traditional use of Shi Shen Tang?
Classic composition: Chen Pi, Ma Huang, Chuan Xiong, Zhi Gan Cao, Xiang Fu, Zi Su Ye, Bai Zhi, Sheng Ma, Ge Gen, Chi Shao, Sheng Jiang. It acts to release the flesh and the exterior, regulate qi and free yang. It is used for wind-cold common cold with fever, aversion to cold, headache, absence of sweating, cough and nasal congestion. Ma Huang, Ge Gen and Sheng Ma release the exterior; Zi Su, Bai Zhi and Chuan Xiong dispel wind and stop pain; Chen Pi and Xiang Fu regulate qi; Chi Shao harmonizes the nutritive; Gan Cao and Sheng Jiang harmonize.
How do you choose raw versus prepared? Can Ma Huang Tang replace it?
Ma Huang is nodes-removed; Gan Cao is honey-fried. Ma Huang Tang lacks heavy regulation of qi and freeing of yang; it cannot replace the formula by equal weight. Commercial products follow regulated compounding; do not self-modify.
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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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