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AboutChinese MedicineCaution/Notes
| Health Benefits |
| For: |
| Atributes: |
| Products |
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Tablets |
Pills |
Capsules |
Granules |
| Other Names: |
| Category: Warm Interior Cold ⌕ |
| Subcategory: Warm the Middle and Dispel Cold Source: Shang Han Lun |
| Actions: Warm and tonify the Liver and Stomach directs rebellious qi downward, and stops vomiting [31] |
| Diagnosis |
| Tongue: pale, white, slippery coat Pulse: deep, wiry, slow Other: |
| Patterns: Liver Deficiency Cold, Stomach Deficiency Cold [31] • Kidney Channel Cold[35] |
| Indications: Deficiency-Cold of the ST (Yangming), LV (Jueyin), and KD (Shaoyin) [35] • Vertex headache worsen at midnight, better in the morning, with vomiting, cold limbs, vomit saliva, pale tongue with white slippery coating, wiry slow pulse. Vomiting immediately after eating food, vomit with saliva, afraid of cold, cold limbs, pale tongue with white slippery coating, deep wiry or slow pulse [31] • Intermediate gnawing hunger, acid regurgitation, vertex headaches, vomiting and diarrhea[35]
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| Contraindications: Stomach heat vomiting, Liver Yang Rising headaches |
| Description |
| Name Variations: Wu Zhu Yu Tang, 吴茱萸汤, Evodia Decoction, |
| Herb List: Wu Zhu Yu • Sheng Jiang • Ren Shen • Da Zao |
| Commentary: Liver and Stomach Deficiency Cold, turbid Yin flows upward. Yang deficiency fail to warm: afraid of cold, cold limbs; Stomach Qi rebellion: vomiting; Cold coagulation with Qi stagnation: epigastria and abdominal pain, prefer warmth and palpation; Yang deficiency fail to transform, water damp accumulation: – Turbid yin flow upward with ST Qi: vomit saliva – Obstructed in chest: oppressed chest – Turbid yin flow up through Liv channel: vertex headache; SP fail to lift clear essence: diarrhea; Pale tongue with white slippery coating, deep wiry or slow.[31] • Yang Ming syndrome with GI issues, Jue Yin with dry fluids, Shao Yin with vomiting and diarrhea cold hands and feet. Not commonly used. For extreme Stomach cold with vomiting and diarrhea. Wu Zhu Yu – warm middle and lower jiao – for stomach cold, coldness in LV channel, hernia Sheng Jiang – warm stomach; Ren Shen – strengthen spleen, generate fluids, Qi collapse; Da Zao–tonify Spleen and Stomach.
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| Related Formulas: |
| NCCAOM: The 4 NCCAOM formulas for warming the Middle Jiao are Lǐ Zhōng Wán, Wú Zhū Yú Tāng, Xiǎo Jiàn Zhōng Tāng, and Dà Jiàn Zhōng Tāng. • Li Zhong Wan is for Spleen/Stomach deficiency cold with cold extremities, dull abdominal pain, poor appetite, loose stool. • Wu Zhu Yu Tang is for Deficiency Cold of the Stomach, Liver, and Kidney with vertex headaches, cold limbs, vomiting after eating food, intermediate gnawing hunger, or diarrhea. • Xiao Jian Zhong Tang is for deficiency cold due to Liver and Spleen disharmony leading to spasmodic abdominal pain and warmth makes it better. • Da Jian Zhong Tang is for Middle Burner Yang deficiency (root) + Vigorous Yin-cold (manifestation). For chronic gastritis, gastric ulcer, chronic cholecystitis, and duodenal ulcer. |
| Herbs |
Cat/Dosage |
Actions |
Attributes |
| Wu Zhu Yu • Evodia • 吳茱萸 |
Warm Interior Expel Cold |
Heats middle burner • Disperse cold • Dry dampness • Warm liver • Relieve nausea • Stop vomiting • Push heat downward • Reduce chest pain • Reduce abdominal pain • Warm Liver channel • Lead fire downPrimarily a Liver warming herb and is very drying. |
analgesic, antiemetic, antidiarrheal, anti-inflammatory, anticancer, antibacterial, antibiotic, antiallergic, antidementia, astringent, stomachic [18] |
| Sheng Jiang • Ginger (Raw) • 生姜 |
Release Exterior Wind Cold |
Release exterior • Stops vomiting • Relieve Nausea • Stops cough • Reduce herb toxicity • Regulate central flow of Qi |
Expectorant • Cough Suppressant • Digestive • Hypotensive • Antiplatelet • Stimulant • Analgesic • Anti-inflammatory • Antipyretic • Cholagogic • Antiemetic • Antimutagenic |
| Ren Shen • Ginseng • 人参 |
Tonify Qi |
Tonify yuan qi • Tonify lung qi • Tonify heart qi • Calms Shen • Stop thirst • Helps impotence • Treats qi collapse • Tonify Spleen • Generate fluid • Stop thirst • Strengthen anti-pathogenic qi • Can go to all 5 zang organsUnlike Huang Qi, Ren Shen is adaptogenic and may be used by people with autoimmune disorders. |
adaptogen • anti-aging • anticoagulant • antiplatelet • antioxidant • adrenalcortical • immunity booster • anti-inflammatory • antidepressant • hepatoprotective • stimulant |
| Da Zao • Jujube • 大枣 |
Tonify Qi |
Tonify spleen • Tonify qi • Calm the spirit • Harmonize other herb's properties • Nourish blood |
antibaterial • antidepressant • anti-inflammatory • anodyne • antifungal • hepatoprotective • hypotensive • sedative |
| ♠ King/Chief ♥ Minister/Deputy ♣ Assistant ♦ Envoy |
| Directions: |
| Modifications |
For |
| + Ban Xia + Chen Pi + Sha Ren |
Severe vomiting 31 |
| + Chuan Xiong |
Severe headache 31 |
| + Gan Jiang + Xiao Hui Xiang |
Severe deficient cold 31 |
| Caution |
|
ALERT: Contraindications of each herb - use with caution under these conditions:
Wu Zhu Yu: Long term use may cause liver damage • Pregnancy • Vomiting from stomach fire • Abdominal pain from blood deficiency with fire • Yin deficiency and heat
Sheng Jiang: Lung heat • Dry cough • Phlegm heat • Full heat • Yin deficiency with heat • Vomiting from stomach heat • Gallstones • Exterior deficiency with unexplained sweating • Horse meat
Ren Shen: Blood thinner medication • Diabetes medication • Blood pressure medication • Caffeine • Yin deficiency • Stagnant fire • Hypertension • Bleeding disorders • Pain in chest • Excess heat • food: onion, garlic, radishes, tea, turnips
Da Zao: Epigastric discomfort and bloating • Food stagnation • Damp excess • Damp Phlegm • Intestinal worms |
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