Sheng Mai San 生脉散
Generate the Pulse Powder

Tradition:


TCM

Source / Author:


Craft of Medicines and Patterns for Children; 1119

Herb Name

Ren Shen (Ginseng)
Mai Men Dong
(Ophiopogon)
Wu Wei Zi (Schisandra)

Latin


Panax ginseng
Ophiopogon japonicus
Schisandra chinensis

Amount


9–15 grams
9–12 grams
3–6 grams


Preparation:


Powder, which is to be prepared as a decoction. The source text listed 1.5 grams of Ginseng and Ophiopogon, and 7 Schisandra fruit.
Today, it is often prepared as a decoction with the doses above.


Function:


Tonify Qi, Nourish Yin, Astringes and Stops Sweating

Use:


Fatigue, short of Breath, spontaneous Sweating, dry mouth and tongue, red tongue with a dry coat, weak, then pulse; or rapid and weak
1. Chronic Bronchitis
2. Coronary Heart disease, Cardiomyopathy
3. Cardiac failure, Myocardial Infarction
4. Rheumatic Heart Disease
5. Supraventricular Arrhythmias
6. Cardiac Shock
7. Pulmonary Tuberculosis
8. Emphysema
9. Heat Stroke
10. Neurasthenia, Anxiety
11. Cardio-pulmonary symptoms associated with COVID-19 (see research below)


Dose:


3–6 grams two or three times daily

Cautions:


1. Not used for cases with external pathogen (acute Cold or Flu).

Modifications:


1. Unless the Qi is markedly weak, Codonopsis Dang Shen is substituted using 2–3 times the dose of Ginseng.
2. If there is marked Yin deficiency or Heat, American or White Ginseng Xi Yang Shen is used.
3. Irritability, Insomnia, Neurasthenia, add Ziziphus Suan Zao Ren and Platycladus Bai Zi Ren.
4. Very weak pulse, risk of Shock, increase the dose of Ginseng.
5. Chronic Heart disease with Yin and Yang de
ficiency, add Astragalus Huang Qi and Licorice.
6. Yin de
ficiency due to Febrile disease, add Scrophularia Xuan Shen and Rehmannia Sheng Di Huang.
7. Chronic Lung diseases with Cough and excess Phlegm, add Bitter Almond (Bitter Apricot) kernel.


GENERAL / REVIEW
Effect of Saengmaeksan on Fatigue, Liver Function, and Immunity Combined with High-Intensity Training

CARDIOMYOPATHY
The Protective Effect of Sheng Mai Yin on Diabetic Cardiomyopathy via NLRP3/Caspase-1 Pathway
Mechanism of new optimized Sheng-Mai-San Formula to regulate cardiomyocyte apoptosis through NMDAR pathway
The Protective Effect of Sheng Mai Yin on Diabetic Cardiomyopathy via NLRP3/Caspase-1 Pathway

HEART FAILURE
The traditional Chinese medicines treat chronic heart failure and their main bioactive constituents and mechanisms

COVID
Effects of Shengmai Yin (生脉饮) on pulmonary and cardiac function in coronavirus disease 2019 convalescent patients with cardiopulmonary symptoms: a randomized, double blind, multicenter control trial

DEPRESSION
Combination of Shengmai San and Radix puerariae ameliorates depression‐like symptoms in diabetic rats at the nexus of PI3K/BDNF/SYN protein expression
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