Sheng Mai San

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生脉散 (Generate the Pulse Powder)

Source: Yi Xue Qi Yuan (Origins of Medicine) — Zhang Yuansu (Jin, 1186)

Last updated July 22, 2026

Qi and Yin deficiency of Heart and LungPalpitations with shortness of breathProfuse sweatingDry mouth and parched throatFaint pulse from deficiencyPost-illness recoveryCardiac arrhythmia

Description

Sheng Mai San (Generate the Pulse Powder) tonifies Qi, nourishes Yin, and astringes sweating to restore pulse strength. The name refers to its ability to 'generate the pulse' in cases of profound Qi and Yin deficiency causing faint pulse and imminent collapse. It is widely used for heart failure, arrhythmia, and post-illness Qi-Yin deficiency.

Composition

Herb Amount % Role Function
Ren Shen 9g 37.5% Jun (Chief) Tonifies Lung and Heart Qi, generates fluids.
Mai Dong 9g 37.5% Chen (Deputy) Nourishes Yin, moistens Lung, clears heat.
Wu Wei Zi 6g 25% Zuo (Assistant) Astringes Lung Qi, stops sweating, generates fluids.

Total weight: 24g

Preparation

Decoct in water 20–25 minutes. Take warm in 2 divided doses. Discontinue if condition worsens acutely.

Dosage

Decoction: 1 dose/day in 2 doses. Granules: follow package instructions. IV preparation used in acute cardiac settings.

Conditions Addressed

Traditional formula information is for educational purposes only. Herbal formulas should be prescribed by a qualified practitioner — dosages and combinations are individualized and can interact with medications.

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