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Sheng Mai San生脉散

Generate the Pulse Powder (Ginseng & Ophiopogon Formula)

Tonifying 补益剂Tonify Qi 补气

Indications

Augments qi and generates fluidsNourishes yin and preserves the LungAstringes leaking sweat and cough

Dual deficiency of qi and yin, whether from summer heat forcing out sweat or from prolonged illness draining the Lung. The design is a triangle: replace what has been spent, moisten what has been dried, and close the door so the leak stops.

Clinical Manifestations

  • Heat exhaustion with profuse sweating and thirst
  • Chronic dry cough with shortness of breath
  • Fatigue and spontaneous sweating after a febrile illness
  • Palpitations with a weak, faint pulse
  • Dry mouth and a low voice after long illness
TongueRed and dry, scant coating
PulseDeficient and rapid; faint and thin when depletion is severe

Health Categories

Respiratory HealthHeart & CirculationEnergy & FatigueCold & Flu Relief

Modern Applications

Common adjustments

  • Yin damage predominant — use Xi Yang Shen 西洋参 in place of Ren Shen 人参, or add Sha Shen
  • Qi deficiency predominant — add Huang Qi 黄芪
  • Sweating still profuse — add Mu Li 牡蛎, Fu Xiao Mai 浮小麦
  • Gentle or long courses — Dang Shen 党参 commonly replaces Ren Shen 人参 — the familiar Sheng Mai Yin form sold as a daily tonic

Contraindications

Not for an unresolved exterior pattern, nor for summer heat complicated by damp or by frank excess heat — Wu Wei Zi's astringency would hold the pathogen in. Cough with thick or copious sputum is a different pattern and needs a different strategy.

For licensed practitioners’ reference only — not a self-treatment guide.

Pregnancy

Generally compatible — practitioner judgment applies; ginseng-containing formulas are individualized in pregnancy rather than self-prescribed.

References

Source Yi Xue Qi Yuan 《医学启源》 · Jin dynasty

  1. 《医学启源》(classical source, public domain) — the formula's recorded origin; it is also transmitted through Li Dong-yuan's works.
    2. Scheid, Bensky, Ellis & Barolet. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. — composition & dosage cross-checked.
    3. 《方剂学》(全国中医药行业高等教育规划教材)— pattern analysis cross-checked.

Professional reference notice. Entries are scholarly references for licensed TCM practitioners and students — not medical advice, and not a recommendation to self-prescribe. Chinese herbal formulas should be used under the guidance of a qualified practitioner. Content is an original editorial compilation by Cura x Cura, cross-checked against the cited references.