HERB FORMULAS

WU MEI WAN - 鳥梅丸 - MUME PILL

English:	Mume Pill
Also Known As:	Mume Formula Mume Elixir, Wu Mei Dan Mume Stomach Pacifying Pill Wu Mei An Wei Wan Anti-parasitic Mume Pill Sha Chong Wu Mei Wan Stomach Pacifying Pill An Wei Wan

HERBS AND ACTIONS

Pharmaceutical Latin	*Pin Yin*	Dosage	Actions
Fr. Mume	*Wu Mei*	3-30g	Eliminates roundworms and alleviates pain. With Chuan Jiao, Xi Xin and Gan Jing, for roundworms causing abdominal pain, irritability, and vomiting after eating. With Huang Lian, for Internal Heat with thirst, Dryness, cough and irritability.
Per. Zanthoxyli	*Chuan Jiao*	1-12g	*Warms the Middle Jiao, disperses Cold, relieves diarrhea,* kills parasites and alleviates abdominal pain. With Xi Xin, expels parasites, Warms the organs. with Wu Mei and Huang Lian, for abdominal pain and vomiting due to roundworms, especially in cases of Deficiency Cold.
Hb. cum Rx. Asari	*Xi Xin*	1-28g	Disperses Wind-Cold and Internal Cold and alleviates pain. With Gui Zhi, facilitates the flow of Yang Qi.
Rz. Coptidis	*Huang Lian*	3-48g	Clears Heat and drains Dampness. With Huang Bai, attacks worms.
Cx. Phellodendri	*Huang Bai*	3-18g	Drains Damp-Heat especially from the Lower Jiao.
Rz. Zingiberis	*Gan Jiang*	5-30g	Warms the Middle and expels Cold. With Zhi Fu Zi and Gui Zhi, warms the interior and disperses Internal Cold. With Huang Lian, for epigastric pain and distention, dysentery, indeterminate gnawing hunger, vague abdominal pain or discomfort, belching, and nausea.
Rx. Aconiti Lateralis Preparata	*Zhi Fu Zi*	3-18g	Disperses Cold and Dampness, warms the channels and stops pain. With Ren Shen, for severe Deficiency of the Source Qi and Collapse of Yang with cold extremities, sweating, weak breathing, dizziness, and an extremely pale complexion. With Xi Xin, for Cold damage both Internal and External with aversion to Cold, headache and generalized body aches with aching joints.
Ram. Cinnamomi	*Gui Zhi*	3-18g	*Releases the exterior, assists the Yang,* a*djusts the Ying* and Wei, releases the muscle layer, warms the channels and collaterals to relieve pain.
Rx. Ginseng	*Ren Shen*	3-18g	*Powerfully tonifies Yuan Qi* and Spleen and Stomach Qi*. With Dang Gui*, tonifies Qi and nourishes Blood, preventing injury to normal Qi.
(Rx. Codonopsis)	*(Dang Shen)*	(6-54g)	*(Substitutes for Ren Shen.)*
Rx. Angelicae Sinensis	*Dang Gui*	2-12g	Tonifies Blood, regulates the menses, invigorates and harmonizes the Blood and disperses Cold. With Gui Zhi and Xi Xin, for patients with Blood Deficiency who experience cold extremities due to Cold entering the channels.

FORMULA ACTIONS

Warms the Internal organs
Warms the Middle Jiao
Warms the Intestines
Drains Heat
Replenishes Qi
Dispels parasites
Calms roundworms
Drains the Liver
Calms the Stomach
Promotes Blood circulation
Relieves pain

SYNDROMES

Collapse from roundworms
Jue Yin Stage Cold and Heat
Chronic diarrhea or dysentery
Stomach Heat with Kidney Deficiency

CLINICAL MANIFESTATIONS

Intermittent attacks of abdominal pain
Stifling sensation in the chest and epigastrium
A sensation of warmth in the chest and epigastrium
Irritability in the chest and epigastrium
Vomiting after eating
Extremely Cold extremities
Vomiting of roundworms
Incessant diarrhea
Hunger with no desire to eat
Vomiting immediately after eating
Heat in the Stomach with Cold in the Intestines
Bitter taste in the mouth
Frequent urination
Anxiety

Abdominal pain (better with warmth and pressure)
Pain beneath the Heart
Borborygmus
Unquenchable thirst
Running piglet Qi
Pain and Heat in the Stomach
Discharge of small amounts of pus
Irritability
Recurrent nausea and vomiting
Diarrhea
Dry throat
Turbid urine
Polydipsia
T: Red or geographic or pale
C: White
P: Hidden or Wiry and tight

TREATS

Chyluria
Gastritis
Schistosomiasis
Chronic diarrhea
Indigestion
Gastric or peptic ulcer
Irritable bowel syndrome
Intestinal colic
Neurosis
Insomnia
Cholelithiasis
Cholecystitis
Keratitis
Aphthous ulcers
Chronic suppurative otitis media
Morning sickness
Dysfunctional uterine bleeding
Hypertension
The sequelae of meningitis or encephalitis
Vitiligo
Sick sinus syndrome
Diabetes
Recalcitrant hiccups
Gastralgia
Uterine fibroids
Diarrhea as a complication of AIDS/HIV
Nausea/Vomiting
Anorexia
Temporomandibular joint syndrome (TMJ)

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS

Contraindicated for those with explosive diarrhea.
Contraindicated for those with Damp-Heat dysentery.
Use with caution during pregnancy.

HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For absence of Cold in the hands and feet:		For Qi not Deficient:
- Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	- Rx. Ginseng	Ren Shen
- Ram. Cinnamomi	Gui Zhi	- Rx. Angelicae Sinensis	Dang Gui
For severe abdominal pain:		For constipation:
+ Fr. Toosendan	Chuan Lian Zi	+ Sm. Arecae	Bing Lang
+ Rx. Aucklandiae	Mu Xiang	+ Fr. Aurantii Immaturus	Zhi Shi
For severe vomiting:		or
+ Fr. Evodiae	Wu Zhu Yu	+ Rx. et Rz. Rhei	Da Huang
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	+ Sm. Arecae	Bing Lang
For roundworms in the bile duct:		For chronic, unremitting dysenteric diarrhea:
+ Fr. Quisqualis	Shi Jun Zi	- Cx. Phellodendri	Huang Bai
+ Cx. Meliae	Ku Lian Pi	- Rx. Ginseng	Ren Shen
For increasing the anti-parasitic effect:		- Ram. Cinnamomi	Gui Zhi
+ Fr. Quisqualis	Shi Jun Zi	+ Cx. Cinnamomi	Rou Gui
+ Sm. Arecae	Bing Lang	For chronic dysentery:
+ Cx. Meliae	Ku Lian Pi	+ Rx. Aucklandiae	Mu Xiang
+ Sm. Torreyae	Fei Zi	+ Rx. Paeoniae Alba	Bai Shao
To excrete the parasites through the stool:		For more Heat:
+ Rx. et Rz. Rhei	Da Huang	- Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
For more Cold:		- Rz. Zingiberis	Gan Jiang
- Rz. Coptidis	Huang Lian	For Intestinal ascariasis:
- Cx. Phellodendri	Huang Bai	+ Fr. Quisqualis	Shi Jun Zi
For biliary ascariasis:		+ Fr. Toosendan	Chuan Lian Zi
+ Rx. Aucklandiae	Mu Xiang	For roundworms in children with Excess Heat:
+ Sm. Arecae	Bing Lang	+ Rx. Scutellariae	Huang Qin
or		+ More Rz. Coptidis	Huang Lian
- Cx. Phellodendri	Huang Bai	+ Less Rz. Zingiberis	Gan Jiang
+ Fr. Evodiae	Wu Zhu Yu	+ Less Per. Zanthoxyli	Chuan Jiao
+ Fr. Toosendan	Chuan Lian Zi	For roundworms in children with Excess Cold:
+ Rx. Glycyrrhizae Preparata	Zhi Gan Cao	+ More Rz. Zingiberis	Gan Jiang
+ Rx. Glycyrrhizae Preparata	Zhi Gan Cao	+ More Per. Zanthoxyli	Chuan Jiao
For roundworms in children with severe abdominal pain:		+ Less Rz. Coptidis	Huang Lian
For roundworms in children with severe abdominal pain:		For roundworms in children with severe nausea and vomiting:
+ More Rz. Zingiberis	Gan Jiang
+ More Per. Zanthoxyli	Chuan Jiao	+ More Fr. Mume	Wu Mei
+ Rz. Corydalis	Yan Hu Suo	+ Rz. Pinelliae Preparatum	Zhi Ban Xia
+ Fr. Evodiae	Wu Zhu Yu	+ Rz. Pinelliae Preparatum	Zhi Ban Xia
+ Rx. Paeoniae Alba	Bai Shao	+ More Per. Zanthoxyli	Chuan Jiao
For schistosomiasis:		+ Fr. Amomi Rotundus	Bai Dou Kou
+ Major Bupleurum Decoction Da Chai Hu Tang		+ Caulis Bambusae in Taeniam	Zhu Ru
For bacterial dysentery:		For bacterial dysentery with aversion to Cold:
+ Talcum	Hua Shi	+ Talcum	Hua Shi
For bacterial dysentery with nausea and vomiting:		+ Ram. Cinnamomi	Gui Zhi
+ Talcum	Hua Shi	+ Hb. cum Rx. Asari	Xi Xin
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	For bacterial dysentery with abdominal pain:
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	+ Talcum	Hua Shi
For bacterial dysentery with tenesmus:		+ Rx. Aucklandiae	Mu Xiang
+ Talcum	Hua Shi	+ Rx. Paeoniae Rubra	Chi Shao
+ Rx. et Rz. Rhei	Da Huang	For irritable bowel syndrome with abdominal pain:
For irritable bowel syndrome with diarrhea:		For irritable bowel syndrome with abdominal pain:
+ Dry-fried Sm. Coicis	Chao Yi Yi Ren	+ Per. Papaveris	Ying Su Ke
+ Fr. Psoraliae	Bu Gu Zhi	+ Rz. Corydalis	Yan Hu Suo
For irritable bowel syndrome with constipation:		For irritable bowel syndrome with nausea and belching:
+ Rx. Paeoniae Alba	Bai Shao	For irritable bowel syndrome with nausea and belching:
+ Sm Cannabis	Huo Ma Ren	+ Ginger-fried Rz. Pinelliae Preparatum	Jiang Zhi Fu Zi
For cholecystitis:		+ Ginger-fried Rz. Pinelliae Preparatum	Jiang Zhi Fu Zi
+ Hb. Lysimachiae	Jin Qian Cao	+ Haematitum	Dai Zhe Shi
+ Rx. Codonopsis	Dang Shen	For cholelithiasis with Excess Heat:
For cholelithiasis with Excess Cold:		+ Rx. et Rz. Rhei	Da Huang
+ More Rz. Zingiberis	Gan Jiang	+ Hb. Taraxaci	Pu Gong Ying
+ More Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	For cholelithiasis with severe hypochondriac pain:
For cholelithiasis with nausea and vomiting:		+ Rz. Curcumae Longae	Jiang Huang
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	+ Fr. Toosendan	Chuan Lian Zi
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	For cholelithiasis with jaundice:
+ Olibanum	Ru Xiang	+ Hb. Artemisiae Scopariae	Yin Chen Hao
For jaundice due to obstruction of the Gallbladder channel:		+ Hb. Artemisiae Scopariae	Yin Chen Hao
		+ Rx. Curcumae	Yu Jin
+ 30g Hb. Artemisiae Scopariae	Yin Chen Hao	For jaundice due to obstruction of the Gallbladder channel with severe fever:
For cholecystitis and cholelithiasis:		- Rz. Aconiti Lateralis Preparata	Zhi Fu Zi
+ 9g Cx. Meliae	Ku Lian Pi	- Rz. Aconiti Lateralis Preparata	Zhi Fu Zi
+ 9g Sm. Arecae	Bing Lang	- Ram. Cinnamomi	Gui Zhi
+ 6g Fr. Quisqualis	Shi Jun Zi	+ Less Per. Zanthoxyli	Chuan Jiao
For cholecystitis and cholelithiasis without Cold symptoms:		+ Less Rz. Zingiberis	Gan Jiang
		+ More Rz. Coptidis	Huang Lian
- Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	+ More Cx. Phellodendri	Huang Bai
- Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	+ 30g Hb. Artemisiae Scopariae	Yin Chen Hao
- Ram. Cinnamomi	Gui Zhi	+ 30g Hb. Artemisiae Scopariae	Yin Chen Hao
+ 9g Cx. Meliae	Ku Lian Pi	For cholecystitis and cholelithiasis without Qi Deficiency:
+ 9g Sm. Arecae	Bing Lang
+ 6g Fr. Quisqualis	Shi Jun Zi	- Rx. Ginseng	Ren Shen
For cholecystitis and cholelithiasis with severe abdominal pain:		- Rx. Angelicae Sinensis	Dang Gui
		+ 9g Cx. Meliae	Ku Lian Pi
+ 9g Cx. Meliae	Ku Lian Pi	+ 9g Sm. Arecae	Bing Lang
+ 9g Sm. Arecae	Bing Lang	+ 6g Fr. Quisqualis	Shi Jun Zi
+ 6g Fr. Quisqualis	Shi Jun Zi	For cholecystitis and cholelithiasis with constipation:
+ 15g Fr. Toosendan	Chuan Lian Zi	For cholecystitis and cholelithiasis with constipation:
+ 15g Rz. Corydalis	Yan Hu Suo	+ 9g Cx. Meliae	Ku Lian Pi
+ 9g Rx. Curcumae	Yu Jin	+ 9g Sm. Arecae	Bing Lang
+ 9g Rx. Aucklandiae	Mu Xiang	+ 6g Fr. Quisqualis	Shi Jun Zi
For headaches due to roundworms with abdominal pain, borborygmus, cold limbs, loose stools and a thin white tongue coat:		+ 9g Fr. Aurantii Immaturus	Zhi Shi
		For headaches due to roundworms with a fever, dry mouth and red tongue:
- Rz. Coptidis	Huang Lian	- Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
- Cx. Phellodendri	Huang Bai	- Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
For endometriosis with no Cold symptoms:		- Ram. Cinnamomi	Gui Zhi
- Ram. Cinnamomi	Gui Zhi	+ 9g Fr. Gardeniae	Zhi Zi
- Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	For endometriosis with no damage to Righteous Qi:
For endometriosis with severe abdominal pain:		- Rx. Codonopsis	Dang Shen
+ Fr. Toosendan	Chuan Lian Zi	- Rx. Angelicae Sinensis	Dang Gui
+ Rx. Aucklandiae	Mu Xiang	For endometriosis with constipation:
For endometriosis with nausea and vomiting:		+ Sm. Arecae	Bing Lang
+ Fr. Evodiae	Wu Zhu Yu	+ Fr. Aurantii Immaturus	Zhi Shi
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	For endometriosis with loose stools during menstruation:
For temporomandibular joint syndrome (TMJ) with roundworms:		+ Rx. Aucklandiae	Mu Xiang
		+ Rx. Paeoniae Alba	Bai Shao
+ 9g Sm. Arecae	Bing Lang	For temporomandibular joint syndrome (TMJ) with constipation:
+ 9g Fr. Quisqualis	Shi Jun Zi
For temporomandibular joint syndrome (TMJ) with Spleen Deficiency:		+ 6g Rx. et Rz. Rhei	Da Huang
		+ 9g Fr. Aurantii Immaturus	Zhi Shi
+ 12g Rz. Atractylodis Macrocephalae	Bai Zhu	+ 9g Fr. Aurantii Immaturus	Zhi Shi
+ 12g Rz. Atractylodis Macrocephalae	Bai Zhu	For temporomandibular joint syndrome (TMJ) with Blood Deficiency:
+ 9g Poria	Fu Ling
For temporomandibular joint syndrome (TMJ) with Damp-Heat:		+ 12g Rx. Paeoniae Alba	Bai Shao
+ 9g Rz. Atractylodis	Cang Zhu	For temporomandibular joint syndrome (TMJ) with Food Stagnation:
+ 9g Rx. Scutellariae	Huang Qin
*For ulcerative colitis due to Liver/Spleen Disharmony with Yang* Deficiency and Damp-Heat:**		+ 9g Fr. Hordei Germinatus	Mai Ya
		+ 9g Massa Medicata Fermentata	Shen Qu
+ 18g Rx. Paeoniae Alba	Bai Shao	+ 9g Massa Medicata Fermentata	Shen Qu
+ 12g Fr. Toosendan	Chuan Lian Zi	+ 9g Sm. Raphani	Lai Fu Zi
+ 9g Rx. Aucklandiae	Mu Xiang	*For ulcerative colitis due to Liver/Spleen Disharmony with Yang* Deficiency and Damp-Heat and mucus in the stool:**
+ 6g Rz. Aconiti Lateralis Preparata	Zhi Fu Zi
+ 6g Rz. Aconiti Lateralis Preparata	Zhi Fu Zi	+ 18g Rx. Paeoniae Alba	Bai Shao
*For ulcerative colitis due to Liver/Spleen Disharmony with Yang* Deficiency and Damp-Heat and hemafecia:**		+ 12g Fr. Toosendan	Chuan Lian Zi
		+ 9g Rx. Aucklandiae	Mu Xiang
+ 18g Rx. Paeoniae Alba	Bai Shao	+ 6g Rz. Aconiti Lateralis Preparata	Zhi Fu Zi
+ 12g Fr. Toosendan	Chuan Lian Zi	+ 6g Rz. Aconiti Lateralis Preparata	Zhi Fu Zi
+ 9g Rx. Aucklandiae	Mu Xiang	+ 21g Sm. Coicis	Yi Yi Ren
+ 6g Rz. Aconiti Lateralis Preparata	Zhi Fu Zi	+ 9g Sm. Plantaginis	Che Qian Zi
+ 6g Rz. Aconiti Lateralis Preparata	Zhi Fu Zi
+ 15g Rx. Sanguisorbae	Di Yu
+ 15g Hb. Agrimoniae	Xian He Cao