Zai Zao San

Zai Zao San 再造散
Renewal Powder

Tradition:

TCM

Source / Author:

Six Texts on Cold Induced Disorders (Shang Han Liu Shu)

Herb Name Latin Amount *
Huang Qi(Astragalus) Astragalus membranaceus 6 grams
Ren Shen(Ginseng) Panax ginseng 3 grams ea.
Zhi Fu Zi(Processed Aconite) Aconitum carmichaeli ½ grams ea.
Gui Zhi(Cinnamon twig) Cinnamomum cassia 2 pieces
Xi Xin(Chinese Asarum) Asarum heterotropoides Notopterygium incisum
Qiang Huo (Notopterygium) Ligusticum chuanxiong
Chuan Xiong (Sichuan lovage) Saposhnikovia divaricata
Fang Feng (Saposhnikovia) Paeonia lactiflora
Chi Shao Yao(Red Peony) * Zingiber officinale
Sheng Jiang(fresh Ginger) ** Glycyrrhiza uralensis
Gan Cao(Licorice) Ziziphus jujuba
Da Zao(Jujube fruit)

* Chi Shao Yao should be Dry-fried for use in this formula
** Fresh Ginger was required to be roasted in the original text. This is not normally done today.

Preparation:

Powder.
The powder is usually prepared as a decoction with fresh Ginger and Jujubes.

Function:

Tonifies Yang and Qi, clears the exterior, promotes Sweating

Use:

Mild fever, strong Chills, no sweat, headache, cold extremities, fatigue, pale tongue with a white coat and a weak or floating and forceless pulse.
1. Common Cold or Flu in the weak or elderly
2. Rheumatic Fever

Dose:

A cupful 2 or 3 times daily, keeping warm afterwards to induce sweat

Cautions:

Not used in Heat conditions.

Modifications:

1. Muscle and Joint pain, add Angelica Du Huo, and Loranthus Sang Ji Sheng.
2. Codonopsis Dang Shen normally replaces Ginseng; Paeonia Bai Shao is the type of Peony normally used today.

This was traditionally used for exterior conditions (Wind-Cold attack) with marked Yang deficiency (Coldness). In such cases, inducing sweating with the likes of Ma Huang Tang (Ephedra Decoction) was said to potentially be fatal.

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