去须及头芦用。
甘，苦，辛，平，微寒，手足阳明、太阴药也。表散风邪，升发火郁。利咽喉而止疼痛，
消
肿毒而排脓血。解斑疹疮痘之毒，升脱泻崩带之陷。兼辟瘟疫瘴气，最解蛊精药毒。阴虚火
动者忌之。
蜀汉、陕西、淮南皆有之，以蜀川出者为胜。叶似麻叶而青，四五月开花，似粟穗，白
色。
六七月开实，黑色。根如蒿根，紫黑色，多须。二八月采。
天行斑毒∶晋元帝时，此症自西流起，名虏疮，身面发斑，须臾周匝，状如火 ，皆戴
白浆
，随决随生，不治数日必死，瘥后斑点弥岁方减，此恶毒之气所致也。蜜煎升麻，时时食之
，并用水煎升麻绵拭洗之。（验方第一。）
肿毒猝起，醋磨敷之。（第二。）
喉痹作痛，含咽汁。（第三。）
胃火牙痛，煎漱咽之。（第四。）
口舌疮，一两，黄连三分，末，绵包含咽。（第五。）
热痱瘙痒，内服外洗。（第六。）
小儿尿血，水煎服。（第七。）
恶露不尽，或经月或半年，酒煎三两服。当吐下恶物极良。（第八。）
解莨菪毒，水煎多服。（第九。）
射工溪毒，同射干煎服。（第十。）
升麻鳖甲汤 升麻 鳖甲 甘草 当归 雄黄 蜀椒
水煎服。治面赤发斑如锦纹，咽喉痛，吐脓血，阳毒也。（诸方第一。）
又升麻、鳖甲、甘草、当归，治面青身痛如被杖，咽痛，阴毒也。（第二。）
Use after removing the rootlets and the rhizome head (Lu Tou).
Sweet, bitter, pungent, neutral in nature, slightly cold. It is a herb for the Hand and Foot Yangming and Taiyin meridians. It disperses wind pathogens and raises fire stagnation. It benefits the throat and stops pain, reduces swelling and toxicity, and drains pus and blood. It resolves the toxicity of macules, rashes, sores, and smallpox; it lifts sinking conditions such as rectal prolapse, diarrhea, metrorrhagia, and leukorrhea. It also repels epidemic pestilence and miasma, and is most effective in resolving gu poison and drug toxicity. It is contraindicated in cases of yin deficiency with hyperactive fire.
It is found in Shuhan, Shaanxi, and Huainan, with those from Sichuan being superior. The leaves resemble hemp leaves and are green; flowers appear in April and May, resembling millet spikes, white in color.
Seeds mature in June and July, black in color. The roots resemble mugwort roots, purple-black in color, with many rootlets. Harvested in February or August.
Epidemic macular toxin: During the reign of Emperor Yuan of Jin, this condition spread from the west, named "Barbarian Sore" (Lu Chuang). Macules appeared on the body and face, spreading rapidly over the whole body within moments. The lesions resembled burns, topped with white pustules. They ruptured and regenerated continuously. Without treatment, death would occur within days. After recovery, the spots persisted for over a year. This was caused by malignant toxic qi. Boiled Shengma (Rhizoma Cimicifugae) with honey should be consumed frequently, and the area should be washed with cotton soaked in boiled Shengma decoction. (Verified Formula No. 1.)
Sudden onset of swelling and toxicity: Grind Shengma with vinegar and apply externally. (No. 2.)
Throat obstruction with pain: Hold in the mouth and swallow the juice. (No. 3.)
Stomach fire toothache: Decoct and use for gargling before swallowing. (No. 4.)
Oral and lingual ulcers: Use one qian of Shengma and three fen of Huanglian, grind into powder, wrap in cotton, hold in the mouth, and swallow. (No. 5.)
Heat miliaria with itching: Take internally and wash externally. (No. 6.)
Hematuria in infants: Decoct in water and take orally. (No. 7.)
Persistent lochia: Whether lasting a month or half a year, decoct three liang with wine and take. It induces vomiting and purging of evil substances, which is highly effective. (No. 8.)
Resolve Datura toxicity: Decoct in water and take in large amounts. (No. 9.)
Shexiang stream toxicity: Decoct together with Shegan (Radix Belamcandae) and take. (No. 10.)
Shengma Biejia Tang (Cimicifuga and Turtle Shell Decoction): Shengma (Rhizoma Cimicifugae), Biejia (Carapax et Plastrum Testudinis), Gancao (Radix Glycyrrhizae), Danggui (Radix Angelicae Sinensis), Xionghuang (Realgar), Shujiao (Fructus Zanthoxyli).
Decoct in water and take orally. Treats red face, macules appearing like brocade patterns, sore throat, and expectoration of pus and blood; this is Yang Du (Yang Toxicity). (Formulas No. 1.)
Another formula: Shengma, Biejia, Gancao, Danggui. Treats blue-green complexion, body pain as if beaten by a staff, and sore throat; this is Yin Du (Yin Toxicity). (No. 2.)