Xiao Xu Ming Tang

Classical TCM Formula Profile

Part of the HJMEDICAL TCM Discovery Center

小續命湯 · Xiǎo Xù Mìng Tāng

A wind-dispersing formula for wind-strike with exterior cold and upright deficiency.

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Quick Facts

Formula Category
Exterior-Releasing Formulas
Primary Pattern
Wind-Cold
Primary Function
Release exterior wind, support the upright
Primary Therapeutic Principle
Dispel wind and support the upright
Classical Source
Qian Jin Yao Fang (Sun Simiao, Tang dynasty)
Available as Granules
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Formula Overview

A wind-dispersing formula for wind-strike with exterior cold and upright deficiency.

Therapeutic Principle

Selected for exterior wind-strike with upright deficiency rather than interior wind or qi-deficiency blood stasis.

Composition: Sovereign, Minister, Assistant, Envoy

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

Classical Composition

  • Ephedrae Herba (Ma Huang)
  • Cinnamomi Ramulus (Gui Zhi)
  • Angelicae Sinensis Radix (Dang Gui)
  • Ginseng Radix (Ren Shen)
  • Glycyrrhizae Radix (Gan Cao)
  • Chuanxiong Rhizoma (Chuan Xiong)
  • Armeniacae Semen Amarum (Xing Ren)
  • Aconiti Radix Lateralis (Fu Zi)
  • Saposhnikoviae Radix (Fang Feng)
  • Stephaniae Tetrandrae Radix (Fang Ji)
  • Scutellariae Radix (Huang Qin)
  • Paeoniae Radix (Shao Yao). From Qian Jin Yao Fang.

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

Related Conditions

Related Health Topics

Actions

  • Dispels wind and supports the upright qi for wind-strike.

Indications

  • Wind-strike with exterior cold and upright deficiency.
  • Hemiplegia or body pain, chills, fatigue.

Traditional Pathogenesis

Cause & mechanism

  • Wind-strike with exterior cold and upright deficiency.
  • Wind attacks when the upright is weak.

Clinical presentation

    Tongue & pulseHemiplegia or body pain, chills, fatigue, white coating, superficial or tight pulse.

    Treatment strategy

    • Dispel wind, support the upright, release the exterior.

    How does this formula compare?

    Compare Xiao Xu Ming TangBu Yang Huan Wu TangZhen Gan Xi Feng TangMa Huang Tang
    Primary Function Release exterior wind, support the uprightTonify Qi, invigorate blood, unblock channelsSedate Liver Yang, extinguish internal wind, nourish YinRelease exterior Wind-Cold, stop wheezing
    Formula Category Exterior-Releasing FormulasBlood-Invigorating FormulasLiver-Wind Extinguishing FormulasExterior-Releasing Formulas
    Typical TCM Pattern Wind-ColdQi DeficiencyLiver FireWind-Cold
    Main Conditions Numbness in Limbs·Muscular Stiffness·Fatigue & Low Energy·Cold LimbsNumbness in LimbsDizziness & Vertigo·HeadacheCough·Dry Cough·Fever·Cold Limbs
    Main Herbs Ephedra Herb·Cinnamon Twig·Chinese Angelica Root·Ginseng Root·Licorice RootAstragalus Root·Chinese Angelica Root·Red Peony Root·Earthworm·Chuanxiong RhizomeAchyranthes Root·Hematite·Dragon Bone / Fossilized Bone·Oyster Shell·Tortoise PlastronEphedra Herb·Cinnamon Twig·Bitter Apricot Kernel·Honey-fried Licorice
    Classical Source Qian Jin Yao Fang (Sun Simiao, Tang dynasty)Qing dynasty formularyYi Xue Zhong Zhong Can Xi Lu (Records of Medicine with Reference to East and West, Zhang Xichun, 1918)Shang Han Lun (Zhang Zhongjing, Eastern Han)

    Clinical Perspective

    Xiao Xu Ming Tang, Bu Yang Huan Wu Tang and Zhen Gan Xi Feng Tang address stroke-type patterns. Bu Yang Huan Wu Tang tonifies qi and invigorates blood. Zhen Gan Xi Feng Tang extinguishes interior wind. This formula dispels exterior wind and supports the upright.

    Clinical Differentiation

    • Used for wind-strike with exterior and upright deficiency.
    • Key points: hemiplegia or body pain with chills and fatigue.
    • Distinct from interior wind formulas.

    Safety notes: Contains Ma Huang and Fu Zi; not appropriate for heat or yin deficiency. Acute stroke needs medical care.

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

    Frequently Asked Questions

    What is Xiao Xu Ming Tang? Are Da Qin Jiao Tang and Bu Yang Huan Wu Tang the same?
    Xiao Xu Ming Tang (小续命汤) is a classic formula from the Bei Ji Qian Jin Yao Fang, centered on dispelling wind, dispersing cold, benefiting qi and invigorating blood for true wind-stroke with sudden stroke, deviation of mouth and eye and hemiplegia. Da Qin Jiao Tang dispels wind, clears heat and nourishes blood, leaning to wind striking the channels. Bu Yang Huan Wu Tang tonifies qi and invigorates blood, leaning to qi deficiency with blood stasis sequelae of stroke. The three cannot be interchanged by equal weight. Write Xiao Xu Ming Tang. Contraindicated in wind-stroke-like patterns from internal stirring of Liver wind.
    What is the composition and traditional use of Xiao Xu Ming Tang?
    Classic composition: Ma Huang, Fang Ji, Ren Shen, Huang Qin, Gui Xin, Gan Cao, Shao Yao, Chuan Xiong, Xing Ren, Fang Feng each 9 g; Fu Zi 6 g; Sheng Jiang 6 g. It acts to dispel wind, disperse cold, benefit qi and invigorate blood. It is used for sudden stroke with deviation of mouth and eye, sinew and vessel contraction, hemiplegia, stiff tongue with inability to speak, or wind-damp bi pain. Ma Huang, Fang Feng and Fang Ji dispel wind; Gui Xin and Fu Zi warm yang; Ren Shen benefits qi; Chuan Xiong and Shao Yao invigorate blood; Huang Qin counters the warming nature as an assistant; Xing Ren descends qi; Gan Cao and Sheng Jiang harmonize.
    How do you choose raw versus prepared? Can Bu Yang Huan Wu Tang replace it?
    Fu Zi is prepared; Ma Huang is nodes-removed. Bu Yang Huan Wu Tang leans to qi deficiency with blood stasis without dispelling wind; 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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