Jia Wei Sheng Mai San - 加味生脈散 - Modified Generate The Pulse Powder

English:	Modified Generate the Pulse Powder
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Codonopsis	Dang Shen	12g	Tonifies the Middle Jiao, augments Qi, tonifies the Lungs, nourishes the Blood and promotes the generation of Body Fluids. With Wu Wei Zi and Mai Men Dong, for injury to Qi and fluids with shortness of breath and thirst.
Tub. Ophiopogonis	Mai Men Dong	12g	Nourishes Yin, moistens the Lungs, generates Fluids, stops cough, clears Heat from the Heart and eliminates irritability. With Sheng Di Huang, for hematemesis or epistaxis due to Yin Deficiency with Excess Heat.
Fr. Schisandrae	Wu Wei Zi	12g	Astringes Lung Qi, Generates Fluids, Tonifies Qi and nourishes Kidney Yin.
Rx. Rehmanniae	Sheng Di Huang	12g	Clears Heat, Cools the Blood, Generates fluids and increases saliva, Nourishes Yin.
Fr. Corni	Shan Zhu Yu	12g	Stabilizes the Kidneys, astringes Jing and Body Fluids, stops excessive sweating, supports that which has collapsed, tonifies Liver and Kidney Yin and strengthens Kidney Yang. With Wu Wei Zi, for spermatorrhea, abnormal sweating, palpitations and shortness of breath due to Yin and Yang Deficiency of the Liver and Kidneys.
Fr. Lycii	Gou Qi Zi	12g	Tonifies the Liver and Kidneys, warms and stabilizes the Kidneys and prevents leakage.
Rx. Glycyrrhizae	Gan Cao	12g	Tonifies the Spleen, augments Qi, moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels. With Dang Shen, for anorexia, fatigue and loose stools due to Spleen Deficiency.

Formula Actions

• Augments Qi
• Generates Fluids
• Clears Heat
• Preserves Yin
• Stops Excess perspiration

Syndromes

• Qi and Yin Deficiency

Clinical Manifestations

Dizziness which is worse on exertion Lack of strength Sweating on slight exertion Night sweats Chronic cough with sparse sputum Sputum difficult to expectorate Shortness of breath on slight exertion Spontaneous perspiration Dry mouth and tongue Palpitations with a stifling sensation in chest Fatigue Irritability

Thirst Dry throat Insomnia Listless speech Palpitations Constipation T: Red and dry or Pink and dry or Pale with teethmarks on its edges and a red tip C: Thin and dry or Little or None P: Deficient and rapid or Irregular and slow or Thready and deficient or Consistently irregular

Treats

Hypotension Night sweats Dyspnea

Palpitations Spontaneous perspiration Constipation

Contraindications And Herb/Drug Interactions

Notes

Modifications

With Yang Deficiency:		For predominant Qi Deficiency:
+2g Cx. Cinnamomi	Rou Gui	+ 20g Rx. Astragali	Huang Qi
For spontaneous perspiration:		+ 15g Rz. Polygonati	Huang Jing
+ 20g Fr. Tritici Levis	Fu Xiao Mai	For night sweats:
+ 20g Rx. Astragali	Huang Qi	+ 12g Rx. Paeoniae Alba	Bai Shao
For a dry mouth and throat:		+ 12g Sm. Zizyphi Spinosae	Suan Zao Ren
+ 9g Rz. Anemarrhenae	Zhi Mu
+ 9g Rz. Polygonati Odorati	Yu Zhu	For Heart palpitations:
+ 12g Poria Pararadicis	Fu Shen
With Liver Qi Stagnation:		+ 12g Sm. Zizyphi Spinosae	Suan Zao Ren
+ 9g Rx. Bupleuri	Chai Hu
+ 9g Rx. Paeoniae Alba	Bai Shao	+ 12g Rx. Salviae Miltiorrhizae	Dan Shen
+ 9g Cx. Albizziae	He Huan Pi