Formula

Sha Shen Mai Dong Tang

Glehnia & Ophiopogon Combination | 沙参麦门冬汤

Also known as:

Sha Shen Mai Men Tang , Glehnia and Ophiopogonis Decoction , Sha Shen Mai Men Dong Tang

Properties

Dryness-treating formulas · Slightly Cool

Key Ingredients

Bei Sha Shen, Mai Dong

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

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About This Formula*

Traditional Chinese Medicine background and properties

Formula Description*

A gentle, cooling formula used to restore moisture and fluids to the Lungs and Stomach when they have become dried out. It is commonly used for persistent dry cough, dry throat, thirst, and other symptoms of dryness, particularly during autumn or following a feverish illness. The formula nourishes without being heavy, making it well-suited for conditions where the body's natural moistening fluids have been depleted.

Formula Category*

Main Actions*

  • Nourishes Lung and Stomach Yin
  • Generates Fluids
  • Moistens Dryness
  • Clears Residual Heat from the Lungs
  • Stops Cough

TCM Patterns*

In TCM, symptoms don't appear randomly — they cluster into recognizable patterns of disharmony that reveal what's out of balance in the body. Sha Shen Mai Men Dong Tang is traditionally associated with these specific patterns.

The following describes this formula's classification within Traditional Chinese Medicine theory and is provided for educational purposes only.

Why Sha Shen Mai Men Dong Tang addresses this pattern

This is the primary pattern addressed by the formula. When dryness (whether from autumn climate, lingering warm-disease, or chronic depletion) damages the Yin fluids of the Lungs and Stomach, the body loses its ability to moisten the respiratory tract and digestive system. The Lungs, which prefer moisture and are easily injured by dryness, develop dry cough and a parched throat. The Stomach, deprived of its lubricating fluids, fails to properly receive food and transport nutrients, causing thirst and poor appetite. Bei Sha Shen and Mai Men Dong directly nourish the Yin of both organs, while Yu Zhu and Tian Hua Fen generate fresh fluids. Sang Ye gently clears residual dryness-heat from the Lung surface, and Sheng Bian Dou protects the Spleen from being overwhelmed by the moistening herbs. The overall effect is a gentle, thorough restoration of fluid balance in the upper and middle parts of the body.

A practitioner would look for one or more of these signs

Dry Cough

Dry cough with little or no phlegm, or phlegm that is scanty and sticky

Dry Throat

Dry, parched throat and mouth

Thirst

Persistent thirst with desire to drink

Low Grade Fever

Low-grade fever or mild heat sensation, especially in the afternoon

Hoarseness

Hoarse or weakened voice

Dark Skin

Dry skin or dry nose

How It Addresses the Root Cause*

This formula addresses a situation in which the Lungs and Stomach have been depleted of their vital moisture. In TCM, the Lungs are called the "tender organ" (娇脏) because they are particularly vulnerable to external drying forces. The Stomach similarly depends on a steady supply of fluids to carry out its digestive functions. When a warm-dryness pathogen (温燥) invades during autumn, or when lingering Heat from a febrile illness has consumed the body's Yin fluids, both organs are left parched.

Without adequate moisture, the Lungs cannot perform their normal function of dispersing and descending Qi. This causes Lung Qi to rebel upward, producing a dry, hacking cough with little or no phlegm. The throat and nose become dry and irritated. When the Stomach is also affected, its fluids are depleted, leading to thirst, a dry mouth, and poor appetite. The tongue typically appears red with little coating or a bare, shiny surface, reflecting the loss of nourishing fluids.

The key insight of Wu Jutong's approach is that this condition sits at a specific severity level: the external pathogen has largely been dealt with, but the damage it caused to the body's fluids remains. It is deeper than a simple Wind-Dryness invasion (which would be treated with Sang Xing Tang) but less severe than extreme fluid depletion with intense residual Heat (treated with Qing Zao Jiu Fei Tang). The formula's gentle, sweet, and cool nature is perfectly calibrated for this middle ground, restoring lost fluids without being too heavy or stagnating.

Formula Properties*

Temperature

Slightly Cool

Taste Profile

Predominantly sweet with mild bitter undertones. The sweet taste nourishes Yin and generates fluids, while the slight bitterness gently clears residual Heat without drying.

Target Organs
Lungs Stomach
Channels Entered
Lung Stomach Spleen

Formula Origin

Wen Bing Tiao Bian (温病条辨, Systematic Differentiation of Warm Diseases) by Wu Jutong (吴鞠通)

This is just partial information on the formula's TCM properties. More detailed information is available on the formula's dedicated page

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

Product Details

Manufacturing, supplier, and product specifications

Product Type

Granules

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Supplier Information

Treasure of the East

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Ingredients in Sha Shen Mai Dong Tang

Detailed information about each herb in Sha Shen Mai Dong Tang and their roles

Kings
Deputies
Assistants
Envoys
Bei Sha Shen
Bei Sha Shen

Coastal Glehnia Root

Dosage: 9 - 15g

Temperature Slightly Cool
Taste Sweet (甘 gān), Bitter (苦 kǔ)
Organ Affinity Lungs, Stomach
Parts Used Root (根 gēn)
Role in Sha Shen Mai Dong Tang

Clears and nourishes Lung Yin, generates fluids, and moistens dryness. As one of the two King herbs, it directly addresses the core pathomechanism of Lung and Stomach Yin depletion caused by dryness.

Mai Dong
Mai Dong

Ophiopogon root

Dosage: 9 - 15g

Temperature Slightly Cool
Taste Sweet (甘 gān), Bitter (苦 kǔ)
Organ Affinity Heart, Lungs, Stomach
Parts Used Tuber (块茎 kuài jīng / 块根 kuài gēn)
Role in Sha Shen Mai Dong Tang

Nourishes Yin and moistens the Lungs, clears Heat from the Heart and Stomach, and generates fluids. Paired with Bei Sha Shen, it forms the core nourishing axis of the formula, targeting both Lung and Stomach Yin deficiency.

Yu zhu
Yu zhu

Solomon's seal rhizome

Dosage: 6 - 10g

Temperature Slightly Cool
Taste Sweet (甘 gān)
Organ Affinity Lungs, Stomach
Parts Used Rhizome (根茎 gēn jīng)
Role in Sha Shen Mai Dong Tang

Nourishes Yin and moistens dryness without being cloying or stagnating. It reinforces the King herbs by generating fluids in the Stomach and Lung, helping to restore depleted body fluids.

Tian Hua Fen
Tian Hua Fen

Trichosanthes root

Dosage: 4.5 - 10g

Temperature Cool
Taste Sweet (甘 gān), Bitter (苦 kǔ)
Organ Affinity Lungs, Stomach
Parts Used Root (根 gēn)
Role in Sha Shen Mai Dong Tang

Clears Heat, generates fluids, and relieves thirst. It supplements the King herbs by directly addressing the dry-heat component of the pathomechanism and strongly promotes fluid production.

Sang Ye
Sang Ye

Mulberry leaf

Dosage: 4.5 - 10g

Temperature Cold
Taste Sweet (甘 gān), Bitter (苦 kǔ)
Organ Affinity Lungs, Liver
Parts Used Leaf (叶 yè)
Role in Sha Shen Mai Dong Tang

Gently clears and disperses dryness-heat from the Lungs without being harsh or overly drying. It helps to vent residual pathogenic factors from the Lung system and supports cough relief.

Bai Bian Dou
Bai Bian Dou

White hyacinth bean

Dosage: 4.5 - 10g

Temperature Slightly Warm
Taste Sweet (甘 gān)
Organ Affinity Spleen, Stomach
Parts Used Seed (种子 zhǒng zǐ / 子 zǐ / 仁 rén)
Role in Sha Shen Mai Dong Tang

Strengthens the Spleen and supports its transformation and transportation function. When Stomach Yin is depleted, Spleen function is inevitably affected. This herb protects the middle and ensures the rich Yin-nourishing herbs do not cause stagnation.

Gan Cao
Gan Cao

Licorice root

Dosage: 3 - 6g

Temperature Neutral
Taste Sweet (甘 gān)
Organ Affinity Heart, Lungs, Spleen, Stomach
Parts Used Root (根 gēn)
Role in Sha Shen Mai Dong Tang

Clears Heat, harmonizes the Middle Burner, generates fluids to relieve thirst, and harmonizes all other herbs in the formula.

Modern Research (4 studies)

  • Systematic Review and Meta-Analysis: Clinical Efficacy and Safety of Shashen Maidong Decoction in the Treatment of Pediatric Mycoplasma Pneumonia (2021)
  • Clinical Trial: Changes in Urinary Cu, Zn, and Se Levels in Cancer Patients After Treatment with Sha Shen Mai Men Dong Tang (2015)
See all research on the formula page

Usage & Safety

How to use this formula and important safety information

Important Medical Disclaimer

The information provided here is for educational purposes only and is not intended as medical advice or to replace consultation with a qualified healthcare professional. This formula is a dietary supplement and has not been evaluated by the FDA. It is not intended to diagnose, treat, cure, or prevent any disease.

Always consult with a qualified healthcare provider, particularly if you are pregnant, nursing, have a medical condition, or are taking other medications. Discontinue use and consult your healthcare provider if you experience any adverse reactions.

Recommended Dosage

Instructions for safe storage and consumption

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Best Time to Take

30 minutes before meals or 1 hour after meals, twice daily (morning and evening), for optimal absorption of Yin-nourishing herbs.

Typical Duration

Typically taken for 1 to 4 weeks for acute dryness conditions; may be used for several weeks to months for chronic Yin deficiency, with periodic reassessment by a practitioner.

Dietary Advice

Favor foods that moisten and nourish: pears, white fungus (yin er/tremella), lily bulb (bai he), congee, honey, tofu, and sesame. Drink plenty of warm fluids. Avoid spicy, pungent, greasy, and fried foods, which generate Heat and further consume fluids. Limit alcohol, coffee, and strong tea, as these are drying. Raw and cold foods should be consumed in moderation to protect Stomach function. Dry roasted nuts and heavily salted snacks should also be minimized as they contribute to internal dryness.

Modern Usage*

This formula treats Dryness that depletes the Yin Body Fluids of the Lungs and Stomach, manifesting as dry throat and thirst, dry cough with little phlegm, or accompanied by fever, and a red, dry tongue with a glossy appearance.

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

Special Populations

Pregnancy

Generally considered safe in pregnancy based on its composition of mild, nourishing herbs. The formula contains no known abortifacient, blood-moving, or strongly descending herbs. Tian Hua Fen (Trichosanthes root) warrants attention because related Trichosanthes preparations (particularly trichosanthin protein) have documented abortifacient properties. However, the root as used in standard decoction dosages is not the same as concentrated trichosanthin and has traditionally been used without specific pregnancy prohibitions in this context. Some commercial formulations list pregnancy as a contraindication out of caution. Pregnant individuals should consult a qualified practitioner before use.

Breastfeeding

No specific safety concerns have been identified for breastfeeding. The formula consists of mild, nourishing herbs that do not contain known toxic compounds likely to transfer into breast milk in harmful concentrations. The cool nature of the formula is theoretically appropriate for a nursing parent experiencing Yin deficiency with dryness symptoms. However, the formula's cool and moistening character could potentially affect milk quality in individuals with underlying Spleen-Stomach weakness. A qualified practitioner should be consulted for individual guidance.

Pediatric Use

This formula is suitable for pediatric use and has been widely applied in children's clinical practice, particularly for chronic cough with Yin deficiency and mycoplasma pneumonia during recovery. Dosages should be reduced according to age: roughly one-third of the adult dose for children under 6, and one-half to two-thirds for children aged 6 to 12. The sweet taste profile makes it relatively palatable for children. Because children's digestive systems are more delicate, practitioners should monitor for any signs of loose stools or appetite reduction, which may indicate the formula's cool, moistening nature is too heavy for the child's Spleen function. Adding a small amount of a Spleen-supporting herb may be appropriate in such cases.

Cautions & Warnings

Although this formula is typically safe for most individuals, it may cause side effects in some people. Pregnant women, nursing mothers, postpartum women, and those with liver disease should use the formula with caution.

As with any Chinese herbal remedy, it is advisable to seek guidance from a qualified TCM practitioner before beginning treatment.