HERB FORMULAS

WEN JING TANG - 溫經湯 - FLOW WARMING DECOCTION - DANG GUI AND EVODIA COMBINATION

English: Flow-Warming Decoction
Also Known As: Warm the Menses Decoction
Warm the Channels Decoction
The Collateral Warming Decoction
Dang Gui and Evodia Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Fr. Evodiae Wu Zhu Yu 3-10g Warms the Middle Jiao, disperses Cold,
expels Damp-Cold, promotes the movement of Qi, spreads the Liver, descends rebellious Qi, stops diarrhea and vomiting, and alleviates pain.
With Gui Zhi, warms the menses.
With Sheng Jiang, for vertex migraine headaches.
With Sheng Jiang and Ren Shen, for epigastric pain, vomiting, and headache associated with Jue Yin and Shao Yin Stage disorders.
With Gui Zhi, Dang Gui and Mu Dan Pi, for menstrual dysfunction and infertility due to Blood Stasis with Deficiency Cold of the Chong and Ren channels.
Ram. Cinnamomi Gui Zhi 2-6g Warms the channels and collaterals, disperses Cold, unblocks Yang, transforms the Qi, warms the Middle, directs Turbid Yin downward, assists the Heart Yang, warms and facilitates the flow of Yang Qi in the chest and warms and facilitates the flow of Blood through the vessels.
With Bai Shao, tonifies the Middle Jiao.
With Wu Zhu Yu, for abdominal pain, dysmenorrhea, and menstrual irregularity due to Cold from Deficiency in the Chong and Ren channels.
With Chuan Xiong, warms the channels and collaterals.
With Wu Zhu Yu, for abdominal pain, dysmenorrhea, and menstrual irregularity due to Cold from Deficiency in the Chong and Ren channels.
With Dang Gui and Chuan Xiong, for irregular menstruation due to Yang Deficiency with Cold Stagnation.
Rx. Angelicae Sinensis Dang Gui 2-12g Tonifies the Blood, regulates menstruation, invigorates and harmonizes the Blood, disperses Cold and alleviates pain.
With Bai Shao, regulates and harmonizes Qi and Blood.
with Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis to treat abdominal pain.
With Wu Zhu Yu, Gui Zhi, Bai Shao and Ren Shen, for amenorrhea or irregular menstruation due to Deficiency Cold.
Rx Chuanxiong Chuan Xiong 2-9g Invigorates the Blood and regulates Qi.
With Dang Gui, for Blood Deficiency causing menstrual problems including dysmenorrhea, scanty menses, and amenorrhea.
With Dang Gui, Gui Zhi and Wu Zhu Yu, for Cold due to Insufficiency of the Chong and Ren channels causing lower abdominal pain during menstruation.
With Wu Zhu Yu, Gui Zhi, Mu Dan Pi and Dang Gui, for dysmenorrhea with a scanty flow of Blood and cold sensations in the abdomen due to Deficiency Cold in the Chong and Ren Channels.
Rx. Paeoniae Alba Bai Shao 2-10g Alleviates pain, nourishes the Blood, softens the Liver and regulates menstruation.
With Gan Cao, regulates the relationship between the Liver and Spleen, nourishes sinews and treats abdominal pain due to disharmony between the Liver and Stomach, epigastric, hypochondriac or flank pain, muscle spasms and pain and numbness, especially in the calf, due to Blood Deficiency.
With Dang Gui, nourishes Yin and Blood.
Colla. Corii Asini E Jiao 2-10g Tonifies Blood and stops bleeding.
With Dang Shen and Dang Gui, for Blood Deficiency with dizziness and palpitations.
Rx. Ophiopogonis Mai Men Dong 4-9g Nourishes Stomach Yin.
Cx. Moutan Radicis Mu Dan Pi 2-9g Clears Heat, cools and harmonizes the Blood, clears Deficiency Fire, activates the Blood and dispels Blood Stasis.
With Gui Zhi, for abdominal pain due to Blood Stasis.
Rx. Ginseng Ren Shen 2-10g Tonifies Yuan Qi and Spleen and Stomach Qi.
(Rx. Codonopsis) (Dang Shen) (4-18g) (Tonifies the Middle Jiao and augments Qi - Substitutes for Ren Shen.)
Rx. Glycyrrhizae Gan Cao 2-6g Tonifies the Spleen, tonifies Qi, moderates spasms, alleviates pain and moderates and harmonizes the harsh properties of other herbs.
With Bai Shao, moderates spasms and relieves abdominal pain.
With Dang Shen, for anorexia, fatigue and loose stools due to Spleen Deficiency.
Rz. Zingiberis Recens Sheng Jiang 2-9g Disperses Cold, warms the Middle, stops vomiting and reduces the toxicity of the other herbs.
With Zhi Ban Xia, for vomiting due to many causes including Stomach Cold.
With Gui Zhi, warms and dispels thin mucus in the Stomach with nausea, hiccup, Stomach pain, acid reflux or vomiting of clear fluid.
Rz. Pinelliae Preparatum Zhi Ban Xia 2-10g Dries Dampness, transforms Phlegm, harmonizes the Stomach, descends Rebellious Qi, stops vomiting and reduces distention.
With Ren Shen, for vomiting due to Stomach Deficiency.

FORMULA ACTIONS

  • Warms the menses
  • Regulates menstruation
  • Dispels Cold
  • Warms the channels
  • Nourishes the Blood
  • Dispels Blood Stasis

SYNDROMES

  • Blood Stasis due to Cold with Deficiency Cold of the Chong and Ren channels

CLINICAL MANIFESTATIONS

  • Mild persistent uterine bleeding
  • Irregular menstruation (either early or late)
  • Prolonged menstruation
  • Skipped period
  • Metrorrhagia
  • Extended or continuous menstrual flow
  • Pain
  • Lower abdominal distention
  • Lower abdominal Cold
  • Lower abdominal pain
  • Infertility
  • Dry lips
  • Dry mouth
  • Spermatorrhea
  • Pale complexion
  • Leukorrhea
  • Amenorrhea
  • Bleeding between periods
  • Low grade fever at dusk
  • Irritability
  • Five Sole Heat
  • No desire to drink
  • Distending breast pain
  • Low back coldness and pain
  • Loose stools
  • Cold limbs
  • Aversion to Cold
  • T: Purple with petechiae
  • P: Thready and choppy

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for abdominal masses due to Blood Stasis from excess.
HERB/DRUG INTERACTIONS
  • This formula has shown to potentiate the effects of clomiphene citrate for the treatment of infertility.

NOTES

MODIFICATIONS

For more severe lower abdominal pain: For more severe Qi Stagnation:
- Rx. Ophiopogonis Mai Men Dong + Rz. Cyperi Xiang Fu
- Cx. Moutan Mu Dan Pi + Rx. Linderae Wu Yao
+ Fr. Foeniculi Xiao Hui Xiang
For mild, persistent uterine bleeding of pale blood:
+ Fol. Artemisiae Argyi Ai Ye - Cx. Moutan Radicis Mu Dan Pi
- Ram. Cinnamomi Gui Zhi + Quick-fried Rz. Zingiberis Pao Jiang
+ Cx. Cinnamomi Rou Gui + Fol. Artemisiae Argyi Ai Ye
For persistent bleeding after miscarriage:
 + Rx. Rehmanniae Preparata Shu Di Huang
- Rx. Glycyrrhizae Gan Cao
For chronic endometriosis:
+ Rx. Salviae Miltiorrhizae Dan Shen + Olibanum Ru Xiang
+ Hb. Leonuri Yi Mu Cao + Rx. Notoginseng San Qi
+ Rx. Achyranthis Bidentatae Niu Xi
For delayed menstruation:
For lumbar soreness:
- Ram. Cinnamomi Gui Zhi
+ Cx. Eucommiae Du Zhong + Cx. Cinnamomi Rou Gui
+ Rx. Dipsaci Xu Duan
For profuse leukorrhea:
or
 + 9g. Sm. Cuscutae Tu Si Zi
+ 9g. Rx. Dipsaci Xu Duan + 9g. Poria Fu Ling
+ 9g. Fr. Psoraliae Bu Gu Zhi
For anorexia:
For severe Blood Stasis:
 + 4.5g. Per. Citri Reticulatae Chen Pi
+ 9g. Sm. Persicae Tao Ren + 9g. Fr. Crataegi Shan Zha
+ 9g. Flos Carthami Hong Hua
For infertility due to Blood Deficiency and Cold (Take during menstrual flow only):
+15g. Hb, Leonuri Yi Mu Cao + Per. Citri Reticulate Viride Qing Pi
For Qi Deficiency:
 + Rz. Cyperi Xiang Fu
+ Rx. Astragali Huang Qi
For flooding and spotting:
or
+ Fol. Artemisiae Argyi Ai Ye
- Cx. Moutan Mu Dan Pi + Colla Corii Asini E Jiao
- Rz. Chuanxiong Chuan Xiong
For leukorrhea with itching:
- Fr. Evodiae Wu Zhu Yu + Flos Lonicerae Jin Yin Hua
+ Rx. Astragali Huang Qi + Fr. Forsythiae Lian Qiao
For painful menstruation:
 + Sm. Plantaginis Che Qian Zi
+ Per. Citri Reticulatae Chen Pi
For a feeling of coldness and pain in the lower abdomen:
+ Rz. Cyperi Xiang Fu - Cx. Moutan Mu Dan Pi
For uterine bleeding with increased blood flow and a light color:
- Rx. Ophiopogonis Mai Men Dong
- Cx. Moutan Mu Dan Pi + Fol. Artemisiae Argyi Ai Ye
+ Fol. Artemisiae Argyi Ai Ye + Cx. Cinnamomi Rou Gui
+ Rx. Rehmanniae Preparata Shu Di Huang
For severe Heat do to Yin Deficiency:
For metrorrhagia and leukorrhagia due to Deficiency Cold and Blood Stasis:
 + Rx. Rehmanniae Sheng Di Huang
- Cx. Moutan Mu Dan Pi
For Cold-type Blood Stasis with more severe pain:
+ Fr. Corni Shan Zhu Yu - Fr. Evodiae Wu Zhu Yu
For Cold extremities:
- Ram. Cinnamomi Gui Zhi
+ 10g Rx. Aconiti Lateralis Preparata Zhi Fu Zi - Rx. Paeoniae Alba Bai Shao
+ 10g Rx. Morindae Officinalis Ba Ji Tian - Colla Corii Asini E Jiao
During dysmenorrhea:
- Rx. Ophiopogonis Mai Men Dong
+ 15g Rz. Corydalis Yan Hu Suo - Rz. Zingiberis Recens Sheng Jiang
+ 6g Fr. Foeniculi Xiao Hui Xiang - Rz. Pinelliae Preparatum Zhi Ban Xia
or
 + Cx. Cinnamomi Rou Gui
+ 12g Rz. Corydalis Yan Hu Suo + Vinegar-fried Rz. Curcumae Cu Chao E Zhu
+ 8g Fr. Foeniculi Xiao Hui Xiang + Rx. Achyranthis Bidentatae Niu Xi
+ 10g Rz. Cyperi Xiang Fu
For very pale, cold hands and feet:
For dysmenorrhea with concurrent headaches:
+ Rx. Ophiopogonis Mai Men Dong
+ Fr. Leonuri Yi Mu Cao + Colla Corii Asini E Jiao
For dysmenorrhea with tension in the lower abdomen:
For dysmenorrhea with very severe pain:
+ Rx. Linderae Wu Yao
+ Sudden Smile Powder
Shi Xiao San
+ Fr. Foeniculi Xiao Hui Xiang
For dysmenorrhea with pain in the back:
For dysmenorrhea with dizziness and palpitations:
+ Cx. Eucommiae Du Zhong + Cx. Lycii Gou Qi Zi
+ Hb. Taxilli Sang Ji Sheng + Caul. Polygoni Multiflori Ye Jiao Teng
+ Rx. Dipsaci Xu Duan
For Qi and Blood Stagnation due to Yang Deficiency Cold:
+ Sm. Cuscutae Tu Si Zi + Rx. Aconiti Lateralis Preparata Zhi Fu Zi
For decreased menstruation:
+ Hb. Artemisiae Argyi Ai Ye
+ 12g Rx. Salviae Miltiorrhizae Dan Shen + Fr. Foeniculi Xiao Hui Xiang
+ 12g Hb. Leonuri Yi Mu Cao
For more severe Cold pain in the lower abdomen:
+ 12g Caulis Spatholobi Ji Xue Teng
For Cold limbs:
+ 8g Fr. Foeniculi Xiao Hui Xiang
+ 10g Rx. Aconiti Lateralis Preparata Zhi Fu Zi + 10g Rx. Artemisiae Argyi Ai Ye
+ 12g Hb. Epimedii Yin Yang Huo + 10g Rx. Curcumae Longae Jiang Huang
For amenorrhea due to Cold-Damp Stagnation:
- Colla Corii Asini E Jiao
For infertility due to Cold-Damp Accumulation with severe cold pain in the lower abdomen:
- Rx. Ophiopogonis Mai Men Dong
- Cx. Moutan Mu Dan Pi - Rx. Ophiopogonis Mai Men Dong
- Rx. Ginseng Ren Shen - Cx. Moutan Mu Dan Pi
- Rx. Glycyrrhizae Gan Cao - Ram. Cinnamomi Gui Zhi
- Rz. Zingiberis Recens Sheng Jiang + Fr. Foeniculi Xiao Hui Xiang
- Rz. Pinelliae Preparatum Zhi Ban Xia + Fol. Artemisiae Argyi Ai Ye
+ Cx. Cinnamomi Rou Gui
+ 3-15g Fol. Artemisiae Argyi Ai Ye
For infertility due to Cold-Damp Accumulation with prominent Qi Stagnation:
+ 9-15g Rx. Paeoniae Rubra Chi Shao + Rz. Cyperi Xiang Fu
+ Rx. Linderae Wu Yao
+ 9-15g Rx. Salviae Miltiorrhizae Dan Shen
For infertility due to Cold-Damp Accumulation with more severe Qi Deficiency:
+ 0g Rz. Cyperi Xiang Fu + Rx. Astragali Huang Qi
+ 9g Fol Perillae Zi Su Ye
For infertility due to Blood Deficiency with Cold:
For endometriosis with severe abdominal pain due to Deficiency Cold of the Chong and Ren with Blood Stasis:
+ Per. Citri Reticulatae Viride Qing Pi
+ Rz. Cyperi Xiang Fu
- Rx. Ophiopogonis Mai Men Dong
For endometriosis due to Deficiency Cold of the Chong and Ren with Blood Stasis and pronounced Qi Stagnation:
- Cx. Moutan Mu Dan Pi
- Ram. Cinnamomi Gui Zhi + Rz. Cyperi Xiang Fu
+ Cx. Cinnamomi Rou Gui + Rx. Linderae Wu Yao
+ Fr. Foeniculi Xiao Hui Xiang
For endometriosis due to Deficiency Cold of the Chong and Ren with Blood Stasis and Qi Deficiency:
+ fol. Artemisiae Argyi Ai Ye
For chronic endometriosis:
+ Rx. Astragali Huang Qi
+ Olibanum Ru Xiang
For dysmenorrhea due to Cold-Damp Accumulation:
+ Myrrh Mo Yao
For secondary dysmenorrhea:
+ Rx. Ophiopogonis Mai Men Dong
+ Frigid Extremities Decoction
Si Ni Tang
+ quick-fried Rz. Zingiberis Pao Jiang
+ Fol. Artemisiae Argyi Ai Ye + Sm. Coicis Yi Yi Ren
+ Fr. Foeniculi Xiao Hui Xiang
For secondary dysmenorrhea with cold limbs and a pale face:
   
   
+ Flow-Warming Decoction
Si Ni Tang
   
    + Fol. Artemisiae Argyi Ai Ye
    + Fr. Foeniculi Xiao Hui Xiang
    + Rx. Ophiopogonis Mai Men Dong
    + Colla Corii Asini E Jiao