Glehnia roots (Bei Sha Shen) Dwarf lilyturf roots (Mai Dong) Mulberry leaves (Sang Ye) Angular solomon's seal roots (Yu Zhu)

Chinese: 沙参麦门冬汤

Pinyin: Shā Shēn Mài Mén Dōng Tāng

Other names: Sha Shen Mai Men Tang, Glehnia and Ophiopogonis Decoction

Number of ingredients: 7 herbs

Formula category: Formulas that disperse Dryness and moisten

Conditions for which it may be prescribed: DiabetesPneumoniaBronchitis and two other conditions

  1. Clears and nourishes the Lungs and Stomach
  2. Generates Body Fluids and moistens Dryness

Contraindications: This formula exemplifies the approach of fortifying while simultaneously... This formula exemplifies the approach of fortifying while simultaneously purifying and nurturing the Lungs and Stomach. However, it is not suitable for conditions marked by excessive heat that harms the body fluids. see more

Source date: 1798 AD

Source book: Systematic Differentiation of Warm Pathogen Diseases

Sha Shen Mai Men Dong Tang is a 7-ingredient Chinese Medicine formula with Glehnia Roots (Bei Sha Shen), Dwarf Lilyturf Roots (Mai Dong) and Mulberry Leaves (Sang Ye) as principal ingredients.

Invented in 1798 AD, it belongs to the category of formulas that disperse Dryness and moisten. Its main actions are: 1) clears and nourishes the Lungs and Stomach and 2) generates Body Fluids and moistens Dryness.

In Chinese Medicine health conditions are thought to arise due to "disharmonies" in the body as a system. These disharmonies are called "patterns" and the very purpose of herbal formulas is to fight them in order to restore the body's harmony.

In this case Sha Shen Mai Men Dong Tang is used by TCM practitioners to fight patterns like Stomach and Lung Yin Deficiency. From a Western Medicine standpoint, such patterns can give rise to a range of conditions such as pneumonia, bronchitis or pulmonary tuberculosis for instance.

On this page, after a detailed description of each of the seven ingredients in Sha Shen Mai Men Dong Tang, we review the patterns and conditions that Sha Shen Mai Men Dong Tang helps treat.

The seven ingredients in Sha Shen Mai Men Dong Tang

Bei Sha Shen is a king ingredient in Sha Shen Mai Men Dong Tang. Like the name indicates, it means it has more power than other ingredients in the formula.

1. Glehnia Roots (Bei Sha Shen)

Part used: Dried root

Nature: Cool

Taste(s): BitterSweet

Meridian affinity: LungStomach

Category: Tonic herbs for Yin Deficiency

Bei Sha Shen is cooling, sweet, and slightly bitter. Despite its moistening nature,
it is thought to dredge the Lungs. It is thus ideally suited for
conditions where the tonification of Lung Yin must be combined with the venting of pathogens to the Exterior.

Learn more about Glehnia Roots (Bei Sha Shen)

Mai Dong is a king ingredient in Sha Shen Mai Men Dong Tang. Like the name indicates, it means it has more power than other ingredients in the formula.

2. Dwarf Lilyturf Roots (Mai Dong)

Part used: Dried root tuber

Nature: Cool

Taste(s): BitterSweet

Meridian affinity: HeartLungStomach

Category: Tonic herbs for Yin Deficiency

Mai Dong is sweet and cooling and it enters both the Lungs and Stomach.
It nourishes the Yin by generating Body Fluids by combining with Bai Sha Shen.

Learn more about Dwarf Lilyturf Roots (Mai Dong)

Sang Ye is a king ingredient in Sha Shen Mai Men Dong Tang. Like the name indicates, it means it has more power than other ingredients in the formula.

3. Mulberry Leaves (Sang Ye)

Part used: Dried leaves

Nature: Cold

Taste(s): BitterSweet

Meridian affinity: LiverLung

Category: Cool/Acrid herbs that release the Exterior

Sang Ye clears Dry-Heat because of its acrid, cooling nature. In combination with Sha Shen and Mai Men Dong, it vents the pathogenic Heat and expels the Dryness while enriching and nourishing the Body Fluids of the Lungs and Stomach.

Learn more about Mulberry Leaves (Sang Ye)

Yu Zhu is a deputy ingredient in Sha Shen Mai Men Dong Tang. This means it helps the king ingredient(s) treat the main pattern or it serves to treat a coexisting pattern.

4. Angular Solomon's Seal Roots (Yu Zhu)

Part used: Dried rhizome

Nature: Cold

Taste(s): Sweet

Meridian affinity: LungStomach

Category: Tonic herbs for Yin Deficiency

Yu Zhu nourishes the Yin and moistens Dryness. It enriches without causing any Stagnation. When Yu Zhu and Tian Hua Feng are used together, they support the chief herbs in generating Body Fluids and clearing internal Heat.

Learn more about Angular Solomon's Seal Roots (Yu Zhu)

Tian Hua Fen is a deputy ingredient in Sha Shen Mai Men Dong Tang. This means it helps the king ingredient(s) treat the main pattern or it serves to treat a coexisting pattern.

5. Snake Gourd Roots (Tian Hua Fen)

Part used: Dried root

Nature: Cold

Taste(s): BitterSourSweet

Meridian affinity: StomachLung

Category: Cool herbs that transform Phlegm and stop Cough

Tian Hua Fen clears Heat and generates Yang Body Fluids. When Yu Zhu and Tian Hua Feng are used together, they support the chief herbs in generating Body Fluids and clearing internal Heat.

Learn more about Snake Gourd Roots (Tian Hua Fen)

Bai Bian Dou is an assistant ingredient in Sha Shen Mai Men Dong Tang. This means that it either serves to reinforces the effect of other ingredients or it moderates their toxicity.

6. Hyacinth Beans (Bai Bian Dou)

Part used: Dried ripe seeds

Nature: Warm

Taste(s): Sweet

Meridian affinity: SpleenStomach

Category: Tonic herbs for Qi Deficiency

Bai Bian Dou builds the Spleen and Stomach to assist the transportation and transformation. This herb is used here because damage to the Stomach Yin invariably affects the transportive and transforming functions of the Middle Burner and eventually damages the Spleen.

Learn more about Hyacinth Beans (Bai Bian Dou)

Gan Cao is an envoy ingredient in Sha Shen Mai Men Dong Tang. This means that it directs the formula towards certain area of the body and/or harmonizes the actions of other ingredients.

7. Liquorice (Gan Cao)

Part used: Dried root and rhizome

Nature: Neutral

Taste(s): Sweet

Meridian affinity: HeartLungSpleenStomach

Category: Tonic herbs for Qi Deficiency

In general Gan Cao's main actions are as follows: "Tonifies the Basal Qi and nourishes the Spleen Qi. Clears Heat and dispels toxicity. Moistens the Lungsexpel phlegm and stop coughing. Relieves spasms and alleviates pain. Harmonizes and moderates the effects of other herbs."

In the context of Sha Shen Mai Men Dong Tang, it is used because it clears Heat and harmonizes the Middle Burner. It also regulates the functions of the other herbs.

Learn more about Liquorice (Gan Cao)

Sha Shen Mai Men Dong Tang is used to treat Stomach and Lung Yin Deficiency

It's important to remember that herbal formulas are meant to treat patterns, not "diseases" as understood in Western Medicine. According to Chinese Medicine patterns, which are disruptions to the body as a system, are the underlying root cause for diseases and conditions.

As such Sha Shen Mai Men Dong Tang is mostly used to treat the pattern "Stomach and Lung Yin Deficiency" which we describe below.

But before we delve into Stomach and Lung Yin Deficiency here is an overview of the Western conditions it is commonly associated with:

Pneumonia Bronchitis Pulmonary tuberculosis Chronic gastritis Diabetes

Again it wouldn't be correct to say "Sha Shen Mai Men Dong Tang treats pneumonia" for instance. Rather, Sha Shen Mai Men Dong Tang is used to treat Stomach and Lung Yin Deficiency, which is sometimes the root cause behind pneumonia.

Now let's look at Stomach and Lung Yin Deficiency, a pattern that TCM practitioners commonly treat with Sha Shen Mai Men Dong Tang.

The Lungs is a so-called "Zang" Organ. Learn more about the Lungs in Chinese Medicine

Stomach and Lung Yin Deficiency

Pulse type(s): Fine (Xi), Rapid (Shu)

Tongue coating: Sticky coating

Tongue color: Red

Symptoms: Fever Thirst Dry throat Red tongue Scanty sputum Hacking cough

Sha Shen Mai Men Dong Tang is sometimes prescribed by TCM practitioners to treat Stomach and Lung Yin Deficiency. This pattern leads to symptoms such as dry throat, thirst, fever and scanty sputum. Patients with Stomach and Lung Yin Deficiency typically exhibit fine (Xi) or rapid (Shu) pulses as well as a red tongue with sticky coating.

This pattern occurs in individuals with inherent Yin Deficiency who are exposed to external cool-Dryness, particularly during autumn. In this pattern, the Lungs and Stomach, both crucial for fluid regulation, are adversely affected.

The Lungs, associated with the metal element and... read more about Stomach and Lung Yin Deficiency

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