Sang piao xiao san: a classic prescription for nourishing the heart and kidneys, clearing semen and stopping impotence
- Hongji Medical
- Feb 10
- 6 min read
Sang Piao Xiao San, from the "Compendium of Materia Medica", is a classic Chinese medicine prescription that has been handed down for a long time. The "Sangpoxi" in its name refers to the egg sheath of the mantis, which has the effect of consolidating semen and stopping nocturnal emission, and has become the main medicine of this prescription. This prescription is mainly used to treat various symptoms caused by deficiency of both heart and kidney, such as frequent urination, nocturnal emission, and spermatorrhea.
Composition of Sang Piao Xiao San
The ingredients of Sang Piao Xiao San include Sangpiaoco, Polygala tenuifolia, Acorus calamus, Dragon bone, Ginseng, Poria, Angelica sinensis and roasted tortoise shell.
Main drug: Mulberry silkworm cocoon (roasted) Mulberry silkworm cocoon, sweet and salty in taste, neutral in nature, enters the liver and kidney meridians, is good at astringing and consolidating, and is an important drug for consolidating semen and stopping retention. Its main function is to reach the diseased area directly, consolidate semen and stop retention, and is the core medicinal material of this prescription.
Assistant medicine: Ginseng Ginseng, which greatly replenishes the vital energy and nourishes the heart and spleen, can not only replenish the qi and blood to treat deficiency, but also enhance the firming power of the silkworm cocoon. The qi-replenishing and foundation-strengthening effect of ginseng makes this prescription more comprehensive in nourishing the heart and kidney.
Adjuvants: Polygala tenuifolia, Acorus calamus, Dragon bone, Poria
Yuanzhi : soothes the mind and improves intelligence, connects the heart and kidneys, and balances water and fire.
Acorus calamus : opens the channels and eliminates phlegm, refreshes the brain and improves eyesight.
Dragon bone : calms nerves, consolidates semen and stops sweating.
Poria : Strengthens the spleen and promotes diuresis, calms the mind and soothes the nerves.
Adjuvant drug: Angelica sinensis, turtle plate (fried with vinegar)
Angelica Root : replenishes blood and activates blood circulation, replenishing without stagnation.
Turtle Plate : nourishes yin and kidney, strengthens tendons and bones, and when paired with ginseng, it replenishes both qi and yin.
Pathogenesis of Sang Piao Xiao San
The pathogenesis of Sang Piao Xiao San is mainly due to deficiency of both heart and kidney, and the lack of interaction between water and fire . The kidney governs water and stores essence. If the kidney is deficient and cannot be stored, and the bladder fails to function properly, symptoms such as frequent urination and incontinence will occur. If the kidney is deficient and fails to seal and store essence, and the essence gate is not solid, spermatorrhea, incontinence or rice-colored urine will occur. In addition, insufficient kidney essence will lead to kidney qi weakness, which cannot be communicated to the heart, insufficient heart qi, and loss of nourishment for the spirit, which will lead to symptoms such as forgetfulness and mental confusion .
As time goes by, the blood and vital energy are damaged, and symptoms such as pale tongue with white fur and weak pulse will appear. These symptoms indicate that the kidney is weak and not solid, the heart is weak and not peaceful, and the heart and kidney are not connected, so it is necessary to regulate the heart and kidney and stop the residual essence.
Sang Piao Xiao San achieves the effect of nourishing the heart and kidney and strengthening the essence through the combination of monarch, minister, assistant and guiding ingredients, thus effectively treating various symptoms caused by deficiency of both heart and kidney. Its main treatment diseases include:
Frequent urination, thick rice water, white in color : This is caused by weak kidney qi and bladder dysfunction.
Confusion and forgetfulness : The heart and kidney are not connected, and the spirit is not nourished.
Emaciation, loss of appetite: weak spleen and stomach, dysfunction of transportation and transformation.
Sperm emission, spermatorrhea, or nocturnal emission : kidney deficiency and weak sperm gate.
Female labor injury : mostly refers to the symptoms of exhaustion caused by excessive sexual intercourse or postpartum disorders.
Impotence : Insufficient kidney yang and lack of nourishment to the tendons.
Effects of Sang Piao Xiao San
The main effects of Sang Piao Xiao San are to regulate the heart and kidneys, stop spermatorrhea , and calm the mind .
The main drug in the formula, mulberry silkworm cocoon, has the effect of consolidating semen and stopping nocturnal emission, and can effectively treat symptoms such as frequent urination, nocturnal emission, and spermatorrhea. The assistant drug ginseng greatly replenishes the vital energy, nourishes the heart and spleen, and enhances the firming power of mulberry silkworm cocoon, thereby achieving the effect of replenishing deficiency. The auxiliary drugs Yuanzhi and Acorus calamus communicate the heart and kidney, so that water and fire are balanced; Longgu calms the nerves and can also consolidate the astringent; Poria strengthens the spleen and calms the heart, and helps ginseng to replenish. The assistant drug Angelica sinensis replenishes blood and activates blood circulation, so that the tonic is not stagnant; Guiban nourishes yin and suppresses yang, replenishes the kidney and strengthens the bones, and is matched with ginseng to replenish both qi and yin.
The whole formula is exquisitely matched, taking into account both the symptoms and the root cause. It can not only replenish the deficiency of the heart and kidney, but also consolidate the slippage of the sperm gate. Therefore, it can effectively treat many diseases caused by the deficiency of the heart and kidney and the loose sperm gate . In clinical practice, Sangpiaoxiao Powder is often used to treat frequent urination and incontinence in children, as well as diabetes, neurasthenia and other diseases caused by deficiency of both heart and kidney. Its effect of regulating the heart and kidney, consolidating the sperm and stopping the incontinence makes it have a significant effect in the treatment of these diseases.
The main treatment principle of Sangpiaoxie Powder is to regulate and nourish the heart and kidneys, and to stop the semen from leaving the body:
Main medicine: Mulberry silkworm cocoon : It is good at astringing and consolidating, and is an important medicine for consolidating semen and stopping waste, and it directly reaches the site of disease.
Assistant medicine ginseng : greatly replenishes vital energy, nourishes the heart and spleen, can replenish qi and blood to treat deficiency, and can also enhance the silkworm cocoon's ability to strengthen the body.
Auxiliary drugs: Radix Polygoni Multiflori and Rhizoma Acorus Calamus : they connect the heart and kidney, bringing water and fire into harmony; Rhizoma Dioscoreae can calm nerves and soothe the mind, and can also strengthen the body; Rhizoma Poriae can strengthen the spleen and soothe the heart, and help ginseng to have a tonic effect.
Assistant drugs: Angelica dahurica and Gelugpa turcica : Angelica dahurica replenishes blood and activates blood circulation, making it replenished without stagnation; Gelugpa turcica nourishes yin and suppresses yang, replenishes the kidneys and strengthens bones, and when paired with ginseng, it replenishes both qi and yin.
Modern application of Sangpoxixiaosan
Modern research shows that Sangpoxie Powder has shown significant efficacy in the treatment of a variety of diseases. First, Sangpoxie Powder is widely used to treat nocturia and hemorrhage in children. Studies have found that this prescription can effectively regulate bladder function and reduce nocturnal urine volume, thereby improving children's sleep quality and quality of life. In addition, Sangpoxie Powder also shows certain effects in the treatment of interstitial cystitis, and can relieve patients' symptoms such as frequent urination and urgency.
Secondly, Sangpiaoxie Powder is also used in the prevention and treatment of cardiovascular diseases. Some ingredients in the formula, such as ginseng and angelica, have anti-thrombotic, blood circulation-promoting and blood pressure-lowering effects. These ingredients can improve cardiovascular health through multiple pathways and reduce the risk of heart disease and cerebrovascular disease. In addition, Sangpiaoxie Powder is also used to treat diseases defined by modern medicine, such as diabetes and neurasthenia, showing its wide application prospects in a variety of diseases.
Notes
When using Sang Piao Xiao San, you need to pay attention to the following points:
Key points for syndrome differentiation : This prescription is commonly used to treat deficiency of both heart and kidney. The key points for clinical application are frequent urination or incontinence, mental confusion, pale tongue with white coating, and weak pulse.
Contraindications : This prescription is not suitable for frequent urination, inuria, or spermatorrhea caused by damp heat in the lower abdomen or excessive movement of the Yang fire.
Side effects : Generally speaking, the side effects of Sangpiaoxiaosan are relatively few, but you still need to follow your doctor's instructions when using it and avoid overdose.
Summary
As a classic prescription for tonifying the heart and kidneys, consolidating semen and stopping impotence, Sangpiaoxie Powder is widely used in clinical practice due to its rigorous formulation and mild medicinal properties. It can both tonify deficiency and consolidate astringency, and has a good therapeutic effect on symptoms such as incontinence, spermatorrhea, spermatorrhea, palpitations, and insomnia caused by deficiency of the heart and kidneys and weak semen. In modern medicine, the application scope of Sangpiaoxie Powder is constantly expanding, showing its important role in treating symptoms of deficiency of both heart and kidney. However, it is still necessary to pay attention to syndrome differentiation and treatment when using it, and avoid misuse of adverse symptoms to ensure efficacy and safety.
