桑杏汤

4. Granule conversion and dose

Calculation of the total raw herb weight of the original formula:

Sang Ye (mulberry leaf) 3 g + Xing Ren (apricot seed) 4.5 g + Sha Shen (glehnia/adenophora root) 6 g + Li Pi (pear peel) 3 g + Zhi Zi (gardenia fruit) 4.5 g + Dan Dou Chi (fermented soybean) 3 g + Xiang Bei Mu (fritillaria bulb) 3 g = 27 g.

Conversion to 5:1 granules:

27 g raw herbs ÷ 5 = 5.4 g granules.

Recommended dose and method of administration:

• Standard adult daily dose: The classical decoction is generally taken as one dose per day, divided into two administrations. The original formula emphasizes that "light medicinals should not be used in heavy amounts," so the dose should be light.
• Converted to ProCare Herbs granules:

o Total daily dose is 5.4 g granules.

o Taken in two doses: 3 g per dose, twice daily.

• It is recommended to take after meals. This formula is light and clear in nature and should not be decocted for a long time; ProCare Herbs granules have already been optimized to address this issue.

5. Cautions and clinical notes

• [Contraindications]:
  1. This formula is suitable for external contraction of warm-dryness with relatively mild fluid damage. It is contraindicated for wind-cold cough or patterns of damp-phlegm or cold-phlegm with copious white phlegm.
  2. If the dry pathogen transforms into fire and severely damages yin, presenting with high fever, cough and panting, and a red tongue with little coating, this formula is insufficient, and a formula such as Qing Zao Jiu Fei Tang (Eliminate Dryness and Rescue the Lung Decoction) should be used instead.
• [Relation to modern medicine]: This formula is very suitable for upper respiratory tract infection and acute bronchitis caused by dry autumn air, presenting with dry cough, itchy throat, and dryness of the mouth and nose.
• Modern applications: Mainly used for upper respiratory tract infection, acute bronchitis, bronchiectasis, and pertussis, in patterns identified as external contraction of warm-dryness scorching Lung fluids.
• Duration of use: This formula is for newly contracted external disease; discontinue once the disease is resolved, generally taken for 3-5 days. If the dry pathogen has been resolved but yin damage has not yet recovered, one should switch to formulas that nourish yin and moisten the Lung for follow-up treatment.