
Actaea cimicifuga
Also known as Chinese cimicifuga, Chinese black cohosh, Dahurian bugbane, large-leaf bugbane, foetid bugbane, shēng má.
Sheng ma is the dried rhizome of several Chinese bugbanes, chiefly Actaea cimicifuga (still traded as Cimicifuga foetida) with Actaea dahurica and Actaea heracleifolia, tall woodland perennials of northern and central China, Siberia and Korea. It is a cool, acrid herb with two distinct jobs: in small amounts it lifts sinking qi and anchors the famous qi-raising formulas, while in larger amounts it vents rashes, clears fire toxin from the mouth and throat, and reduces fever. It is a close relative of American black cohosh but is used quite differently.

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Ask HerbertA child with fever and a measles-type rash that is slow and patchy to erupt, with sore throat and irritability
Chronic fatigue with a bearing-down feeling, hemorrhoids or mild uterine prolapse, where a small dose is added to a qi tonic formula to lift the qi
Low dose botanical. Used in drop doses in the classical practice; not a plant to dose freely.
The record lists 8 contraindications; open the plate in the library to read them in full.
Dose determines the role. At 1.5 to 3 g in a formula, sheng ma acts as an envoy that carries qi tonics upward; this is how it is used with huang qi (Astragalus), dang shen and chai hu for rectal or uterine prolapse, chronic diarrhea, tiredness with a dragging sensation, and bleeding from qi failing to hold blood.
Temperature: slightly cold. Taste: acrid, slightly sweet, slightly bitter. Channels: Lung, Spleen, Stomach, Large Intestine. Actions: Releases the exterior and vents rashes such as measles; Clears heat and resolves toxicity, especially in the mouth, throat and gums; Raises the yang qi of the spleen and stomach to lift prolapse and sinking.
| Preparation | As written | Metric |
|---|---|---|
| Decoction (lifting qi) | 1.5-3 g dried rhizome daily in decoction | 1500-3000 mg |
| Decoction (venting rashes, clearing toxin) | 3-10 g dried rhizome daily in decoction | 3000-10000 mg |
| Tincture (1:5, 45%) | 1-2 mL three times daily | 1-2 mL |
Doses are reproduced from the sources for practitioners and are not a recommendation for any person.
Overview. Sheng ma is the dried rhizome of several Chinese bugbanes, chiefly Actaea cimicifuga (still traded as Cimicifuga foetida) with Actaea dahurica and Actaea heracleifolia, tall woodland perennials of northern and central China, Siberia and Korea. It is a cool, acrid herb with two distinct jobs: in small amounts it lifts sinking qi and anchors the famous qi-raising formulas, while in larger amounts it vents rashes, clears fire toxin from the mouth and throat, and reduces fever. It is a close relative of American black cohosh but is used quite differently.
Clinical Notes. Dose determines the role. At 1.5 to 3 g in a formula, sheng ma acts as an envoy that carries qi tonics upward; this is how it is used with huang qi (Astragalus), dang shen and chai hu for rectal or uterine prolapse, chronic diarrhea, tiredness with a dragging sensation, and bleeding from qi failing to hold blood.
Chinese Medicine Profile. Temperature: slightly cold. Taste: acrid, slightly sweet, slightly bitter. Channels: Lung, Spleen, Stomach, Large Intestine. Actions: Releases the exterior and vents rashes such as measles; Clears heat and resolves toxicity, especially in the mouth, throat and gums; Raises the yang qi of the spleen and stomach to lift prolapse and sinking.
Sheng ma stands in 91 documented formulas in the library, among them shẽng má gé gẽn tāng, xuǎn dú fà bião tāng, lì chuan jiàn, tông yõu táng, ging wèi sắn, qing wèi táng.

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