Ma Huang Tang (Ephedra Decoction)

Ma Huang Tang (麻黃湯), ‘Ephedra Decoction’, strongly induces sweating to release exterior wind-cold of the excess type (no sweating), and diffuses Lung qi to calm wheezing.

Má Huáng Tāng  ·  麻黃湯  ·  Ephedra Decoction

English Name

Ephedra Decoction

Classical Source

Shang Han Lun, c. 220 CE

Ingredients

  • Ma Huang (ephedra) 9g – chief
  • Gui Zhi (cinnamon twig) 6g – deputy
  • Xing Ren (apricot kernel) 9g – assistant
  • Zhi Gan Cao (honey-fried licorice) 3g – envoy

Actions & Functions

  • Induces sweating and releases exterior wind-cold (excess)
  • Diffuses Lung qi and calms wheezing

Indications

Exterior wind-cold excess: chills and fever with no sweating, headache and generalised body aches, and wheezing.

Tongue & Pulse

Tongue: thin, white coat. Pulse: floating and tight.

Modifications

With interior heat and irritability, add Shi Gao (Da Qing Long Tang). For milder cases, reduce the dose of Ma Huang.

Cautions & Contraindications

A strong diaphoretic - contraindicated in exterior deficiency with sweating, in qi or yin deficiency, and in those with hypertension. Use briefly and stop once sweating is achieved.

About Attilio

Doctor of Chinese medicine, acupuncture expert and author of My Fertility Guide and My Pregnancy Guide.

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