WEN JING TANG (BP091) Dang Gui & Evodia Combination Complex

Indication

This formula was originally recorded in the ‘Synopsis of Prescriptions of the Golden Cabinet’ (jin gui yao lue fang lun) by Zhang Zhong-jing (circa 150 – 219 CE). It was specifically indicated for the treatment of conditions due to pathogenic Cold in the Chong and Ren Channels that affects the uterus, resulting in continual uterine bleeding with a light flow.

The underlying pathodynamic is Blood stasis induced by Cold. This generally occurred after a miscarriage. As with many of Zhang’s ingenious formulations, the clinical applications of this formula have been expanded to include a wide variety of menstrual disorders (including menopausal syndrome) as well as infertility.

The key clinical features include a combination of Cold and Heat signs; specifically, Cold in the lower body and Heat in the upper. Thus, the clinical presentation is significantly different from pure Kidney Yin deficiency or Kidney Yang deficiency.

The synergistic actions of the herbs are as follows:

Angelica root (dang-gui); Tetradium fruit (wu zhu yu); Cinnamomum twig (gui zhi): move the Qi, activate the Blood, dispel Cold and alleviate pain.

Rehmannia root (shu di huang); Paeonia root (bai shao); Ophiopogon tuber (mai dong): nourish the Blood and Yin.

Codonopsis pilosula, root (dang shen); Glycyrrhiza root (gan cao); Zingiber rhizome (sheng jiang); Pinellia tuber (ban xia): tonify the Qi, harmonize and warm the Stomach-Spleen to promote production of Qi and Blood.

Ligusticum rhizome (chuan xiong); Paeonia stem bark (mu dan pi): activate the Blood and dispel stasis.

Cinnamomum twig (gui zhi); Paeonia stem bark (mu dan pi): warm the lower Jiao and clear deficiency Heat, respectively. This combination of herbs alleviates the cold pain in the lower abdomen and afternoon fever due to Blood deficiency.

Indications:

Amenorrhea

Dysmenorrhea

Infertility

Maldevelopment of the uterus

Ovarian cysts

Functional uterine bleeding

Menopausal flushing

Leukorrhea

Signs & Symptoms:

Irregular menstruation

Prolonged uterine bleeding or bleeding between periods

Lower abdominal pain (with cold sensation)

Lower body cold

Afternoon fever

Hot hands

Dry mouth and lips

Tongue may be dark or purple

Pulse is thready and choppy

Combinations –

Amenorrhea:

BA JI YIN YANG WAN

QI BAO MEI RAN DAN (Jia Wei)

TAO HONG SI WU WAN

Dysfunctional uterine bleeding:

GUI PI WAN

ZUO GUI WAN

Infertility, uterus Cold and deficient:

ZUO GUI WAN

ZI SHEN YU TAI WAN

Irregular menstruation:

XIAO YAO SAN

ZUO GUI WAN

TAO HONG SI WU WAN

STRESS RELIEF 1 Formula

STRESS RELIEF 2 Formula

Vaginal infection or vulvar itching:

SI MIAO YONG AN WAN (Jia Wei)

TCM Syndromes: Blood stasis in the uterus (Chong and Ren Channels).

TCM Actions: Warms the uterus and dispels Cold, nourishes and activates the Blood to dispel stasis.