Formula

Sang Xing Tang

桑杏汤

Properties

Dryness-treating formulas · Slightly Cool

Key Ingredients

Sang Ye, Xing Ren

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

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About This Formula

Traditional Chinese Medicine background and properties

Formula Description

A gentle, cooling formula used for dry cough, sore throat, and thirst that develop when warm, dry autumn weather affects the lungs. It works by lightly dispersing the dryness-heat from the body's surface while moistening and soothing the lungs to restore lost fluids.

Formula Category

Main Actions

  • Gently disperses warm Dryness
  • Moistens the Lungs
  • Stops Cough
  • Clears Lung Heat
  • Generates Fluids

TCM Patterns

In TCM, symptoms don't appear randomly — they cluster into recognizable patterns of disharmony that reveal what's out of balance in the body. Sang Xing Tang is traditionally associated with these specific patterns.

The following describes this formula's classification within Traditional Chinese Medicine theory and is provided for educational purposes only.

Why Sang Xing Tang addresses this pattern

Warm-dryness (温燥) is a seasonal pathogenic factor most common in early autumn, when heat from summer lingers and the air becomes dry. When it invades the body, it targets the Lung first because the Lung is the most delicate organ and has a direct connection to the nose and throat. The warm component causes mild fever and a floating, rapid pulse. The dry component scorches Lung fluids, producing a dry cough with no sputum (or only small amounts of sticky sputum), a dry and sore throat, thirst, and dry nasal passages.

Sang Xing Tang addresses this pattern through its combination of light dispersal and gentle moistening. The King herbs (Sang Ye and Xing Ren) clear the warm-dryness from the Lung's exterior while restoring its descending function. The Deputies (Sha Shen, Li Pi, Dan Dou Chi) replenish lost fluids and help release the remaining surface pathogen. The Assistants (Zhi Zi Pi, Zhe Bei Mu) clear residual heat and resolve sticky phlegm. This formula is specifically designed for the early, mild stage of warm-dryness before it penetrates deeper into the body.

A practitioner would look for one or more of these signs

Dry Cough

Cough with no sputum, or only scanty sticky sputum

Dry Throat

Throat dryness and soreness

Thirst

Thirst with desire to drink

Dry Nose

Nasal dryness

Low Grade Fever

Mild fever, body not very hot

Headaches

Headache from exterior pathogen

Red Tongue

Red tongue with thin, white, dry coating

How It Addresses the Root Cause

Sang Xing Tang addresses a specific situation that arises in autumn: the Lungs are attacked by warm, dry climatic Qi (温燥). In TCM, the Lungs are considered a "delicate organ" (娇脏) that prefers moisture and is easily damaged by dryness. When warm Dryness invades from the outside, it first strikes the Lung's protective (Wei) level and the Qi aspect of the Lung channel.

The warm Dryness dries up the Lung's fluids. This is why the person develops a dry, irritating cough with no phlegm or only scant, sticky phlegm that is difficult to expectorate. The throat and nose become parched because the Lung governs the nose and connects to the throat, and its moistening function has been impaired. Mild fever and slight headache occur because the body's defensive Qi is struggling against the invading pathogen at the surface. The tongue appears red with a thin, dry, white coating, and the pulse is floating and rapid (especially large on the right side, which reflects the Lung), all confirming that Heat and Dryness are consuming Lung fluids at a superficial level.

Crucially, this is a mild, early-stage condition. The dryness has not yet penetrated deeply or severely depleted the body's Yin. The treatment strategy must therefore be light and gentle: gently disperse the exterior Dryness-Heat while simultaneously moistening and protecting the Lung fluids. Overly strong or heavy medicines would "overshoot the disease location," as Wu Jutong cautioned.

Formula Properties

Temperature

Slightly Cool

Taste Profile

Predominantly acrid (pungent) and sweet with a mild bitter note. The acrid quality gently disperses the exterior pathogen, the sweet taste moistens and nourishes Lung fluids, and the slight bitterness clears Heat.

Target Organs
Lungs Stomach
Channels Entered
Lung Stomach

Formula Origin

Wen Bing Tiao Bian (温病条辨, Systematic Differentiation of Warm Diseases) by Wu Tang (Wu Jutong)

This is just partial information on the formula's TCM properties. More detailed information is available on the formula's dedicated page

Ingredients in Sang Xing Tang

Detailed information about each herb in Sang Xing Tang and their roles

Kings
Deputies
Assistants
Sang Ye
Sang Ye

Mulberry leaf

Dosage: 3g

Temperature Cold
Taste Sweet (甘 gān), Bitter (苦 kǔ)
Organ Affinity Lungs, Liver
Parts Used Leaf (叶 yè)
Role in Sang Xing Tang

Light, cool, and aromatic, Sang Ye gently disperses warm-dryness from the Lung and Wei (defensive) level. Its acrid-cool nature releases the exterior pathogen without being overly cold or harsh, making it ideal for a mild warm-dryness presentation.

Xing Ren
Xing Ren

Bitter apricot kernel

Dosage: 4.5g

Temperature Slightly Warm
Taste Bitter (苦 kǔ)
Organ Affinity Lungs, Large Intestine
Parts Used Seed (种子 zhǒng zǐ / 子 zǐ / 仁 rén)
Role in Sang Xing Tang

Descends and regulates Lung Qi to stop cough while gently moistening dryness. Partners with Sang Ye to address both the exterior pathogen (through dispersal) and the interior symptom (cough from impaired Lung descending function).

Dan Dou Chi
Dan Dou Chi

Fermented soybean

Dosage: 3g

Temperature Cool
Taste Bitter (苦 kǔ), Acrid / Pungent (辛 xīn)
Organ Affinity Lungs, Stomach
Parts Used Processed / Derived product (加工品 jiā gōng pǐn)
Role in Sang Xing Tang

Assists Sang Ye in gently releasing the exterior by dispersing mild heat from the surface and upper body. Its light, dispersing nature helps vent pathogens outward without damaging fluids.

Sha Ren
Sha Ren

Amomum fruit

Dosage: 6g

Temperature Warm
Taste Acrid / Pungent (辛 xīn), Aromatic (芳香 fāng xiāng)
Organ Affinity Spleen, Stomach, Kidneys
Parts Used Fruit (果 guǒ / 果实 guǒ shí)
Role in Sang Xing Tang

Nourishes Lung Yin and generates fluids. As the herb with the largest dosage in the formula, it counterbalances the drying tendency of the pathogen by replenishing the fluids that warm-dryness has begun to consume.

Li Pi
Li Pi

Pear skin

Dosage: 3g

Temperature Cool
Taste Sweet (甘 gān), Astringent (涩 sè)
Organ Affinity Lungs, Heart, Kidneys, Large Intestine
Parts Used Peel / Rind (皮 pí / 果皮 guǒ pí)
Role in Sang Xing Tang

Cool and sweet, it clears heat and moistens dryness in the Lung. Works alongside Sha Shen to generate fluids and soothe the dry, irritated respiratory tract.

Zhi Zi
Zhi Zi

Gardenia fruit

Dosage: 3g

Temperature Cold
Taste Bitter (苦 kǔ)
Organ Affinity Heart, Lungs, San Jiao (Triple Burner)
Parts Used Fruit (果 guǒ / 果实 guǒ shí)
Role in Sang Xing Tang

The peel of Gardenia fruit is light and directed upward, specifically clearing heat from the Upper Jiao (upper body) and the Lung. Using only the peel rather than the whole fruit keeps the action light and focused on the superficial level of the disease.

Zh
Zhe Bei Mu

Zhejiang Fritillary bulb

Dosage: 3g

Temperature Cold
Taste Bitter (苦 kǔ)
Organ Affinity Heart, Lungs
Parts Used Bulb (鳞茎 lín jīng)
Role in Sang Xing Tang

Clears heat and transforms phlegm to help resolve any sticky, scanty sputum caused by the drying and heating of Lung fluids. Assists Xing Ren in stopping cough by addressing the phlegm component.

Modern Research (1 study)

  • Combined exploration of the mechanism of Sang Xing Decoction in the treatment of smoke-induced acute bronchitis from protein and metabolic levels (Animal study, 2022)
See all research on the formula page

Usage & Safety

How to use this formula and important safety information

Important Medical Disclaimer

The information provided here is for educational purposes only and is not intended as medical advice or to replace consultation with a qualified healthcare professional. This formula is a dietary supplement and has not been evaluated by the FDA. It is not intended to diagnose, treat, cure, or prevent any disease.

Always consult with a qualified healthcare provider, particularly if you are pregnant, nursing, have a medical condition, or are taking other medications. Discontinue use and consult your healthcare provider if you experience any adverse reactions.

Recommended Dosage

Instructions for safe storage and consumption

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Best Time to Take

Taken warm, 30 minutes after meals, 1-2 times daily. The original text specifies taking the full decoction in one dose (顿服), with a repeat dose for more severe cases.

Typical Duration

Acute use: 3-7 days. As a formula for mild, early-stage exterior Dryness, it is intended for short courses and should be reassessed promptly if symptoms do not improve or worsen.

Dietary Advice

While taking this formula, favor foods that moisten the Lungs and generate fluids: pears, white fungus (Bai Mu Er), lily bulb (Bai He), honey, sesame, and congee. Drink adequate warm fluids throughout the day. Avoid foods that intensify Dryness or generate Heat: deep-fried and greasy foods, spicy or heavily seasoned dishes (chili, pepper, ginger), roasted nuts, alcohol, and strong coffee. Also avoid cold or raw foods that may impair the Spleen's fluid distribution, as well as dairy products which may thicken phlegm.

Special Populations

Pregnancy

Generally considered safe for short-term use during pregnancy, but caution is warranted. Xing Ren (Apricot Kernel) contains amygdalin, which can be toxic in large doses; however, the dosages in this formula are very light (3-4.5g). Dan Dou Chi (Fermented Soybean) has mild dispersing properties that are unlikely to cause concern at these small doses. Pregnant women should consult a qualified practitioner before use, and the formula should not be taken for extended periods.

Breastfeeding

No specific contraindications for breastfeeding have been documented for Sang Xing Tang. The herbs are mild in nature and used at very light dosages. Sang Ye (Mulberry Leaf), Sha Shen (Adenophora Root), and Li Pi (Pear Peel) are food-grade or commonly consumed substances. Xing Ren (Apricot Kernel) contains trace amygdalin, but at the formula's low doses, transfer through breast milk is unlikely to be clinically significant. As with any herbal formula during breastfeeding, use should be supervised by a qualified practitioner and limited to the shortest effective course.

Pediatric Use

Sang Xing Tang can be used in children with appropriate dosage reduction. General pediatric dosing guidelines apply: - Infants under 1 year: not typically recommended without specialist supervision. - Children 1-5 years: approximately one-third of the adult dose. - Children 6-12 years: approximately one-half to two-thirds of the adult dose. - Adolescents over 12: near-adult doses may be appropriate. The formula's gentle nature and light dosages make it well-suited for pediatric respiratory conditions presenting with dry cough and mild fever in autumn. Xing Ren (Apricot Kernel) should be carefully dosed in young children due to amygdalin content. The decoction can be sweetened slightly with honey (for children over 1 year) to improve palatability.

Drug Interactions

No major drug interactions have been specifically documented for Sang Xing Tang in clinical literature. However, the following theoretical considerations apply based on the pharmacological properties of individual herbs:

  • Xing Ren (Apricot Kernel): Contains amygdalin, which is metabolized to trace amounts of hydrogen cyanide. Caution is advised with concurrent use of other cyanogenic compounds or in patients taking high-dose vitamin C supplements (which may theoretically increase cyanide conversion).
  • Zhi Zi Pi (Gardenia Peel): Gardenia fruit has been shown to have mild effects on bilirubin metabolism and liver enzymes. Patients taking hepatically-metabolized medications should be monitored.
  • Anticoagulant or antiplatelet drugs: Sang Ye (Mulberry Leaf) has mild blood-sugar and blood-lipid modulating properties. While clinically unlikely to be significant at these low doses, patients on antidiabetic medications or blood thinners should inform their practitioner.

Overall, given the very light dosages used in this formula and its intended short-term use, clinically significant drug interactions are unlikely but not impossible.

Contraindications

Avoid

Cool Dryness (凉燥) patterns: This formula is designed for warm Dryness only. Cool Dryness presents with chills, thin white tongue coating, and watery phlegm, and requires warming, dispersing formulas such as Xing Su San instead.

Avoid

Wind-Cold exterior patterns with pronounced chills, body aches, and absence of thirst or dryness symptoms. The cooling and moistening nature of this formula would worsen a Cold pattern.

Caution

Cold-Dampness or Spleen-Stomach deficiency with Cold: The formula's cool, moistening herbs may aggravate Dampness or weaken digestive function in patients with loose stools, poor appetite, or a thick greasy tongue coating.

Caution

Severe Yin Deficiency with empty Heat: This formula treats a mild, early-stage exterior Dryness condition. Deep-seated Yin Deficiency with significant internal Heat requires heavier nourishing formulas like Qing Zao Jiu Fei Tang or Sha Shen Mai Dong Tang.

Caution

Productive cough with copious, thin, white phlegm, indicating Phlegm-Dampness rather than Dryness. The moistening herbs would further increase Phlegm production.

Cautions & Warnings

Sang Xing Tang is typically safe for most individuals, but it can lead to side effects in some cases. Pregnant, nursing, or postpartum women, as well as those with liver conditions, should use this formula cautiously and preferably under professional supervision.

As with any Chinese herbal remedy, it is advisable to seek guidance from a qualified Traditional Chinese Medicine (TCM) practitioner before beginning treatment with Sang Xing Tang.

Product Details

Manufacturing, supplier, and product specifications

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Granules

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Treasure of the East

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