tian ma gou teng yin

Gastrodia and Uncaria Decoction

About tian ma gou teng yin

Tian Ma Gou Teng Yin, Gastrodia and Uncaria Decoction, is built on Tian Ma and Gou Teng with Shi Jue Ming, Zhi Zi, Huang Qin, Yi Mu Cao, Chuan Niu Xi, Du Zhong, Sang Ji Sheng, Ye Jiao Teng and Fu Shen. The catalogue classes it among the formulas that extinguish internal Wind.

Ingredients

Herb	Amount
tian ma	9 g
gou teng	12 g
shi jue ming	18 g
zhi zi	9 g
huang qin	9 g
yi mu cao	9 g
chuan niu xi	12 g
du zhong	9 g
sang ji sheng	9 g
ye jiao teng	9 g
fu shen	9 g

Actions and indications

Calms the Liver and extinguishes Wind

Liver Yang rising and stirring internal Wind, often with Liver Yin deficient beneath it
Headache, often on one side or at the vertex, brought on or made worse by stress, frustration or anger
Dizziness, vertigo, tinnitus and blurred or dim vision
A feeling of heat rushing up to the head or face
Numbness or tingling, twitching, spasm or mild tremor of the limbs; a trembling tongue
Deviation of the mouth and eyes, convulsions, hemiplegia or paralysis, and in severe cases coma

Clears Heat and invigorates the Blood

Heat driving Liver Yang upward, with irritability and a short temper
Tongue red, perhaps with a yellow coat; pulse wiry and often rapid, or wiry, tight and rapid

Tonifies the Liver and Kidneys and calms the spirit

Insomnia, restless sleep and vivid or disturbing dreams

Modern uses

Essential hypertension
Renal hypertension
Hypertensive encephalopathy
Arteriosclerosis
Cerebrovascular disease
Stroke
Ischemic stroke
Apoplexy
Cerebral hemorrhage
Cerebral embolism
Cerebral infarction
Transient ischemic attacks
Hemiplegia
Paralysis
Facial paralysis
Facial spasm
Eyelid twitch
Aphasia
Apraxia
Headache
Migraine
Trigeminal neuralgia
Eye pain
Red eyes
Dizziness
Vertigo
Meniere's disease
Tinnitus
Otitis media
Otorrhea
Ear pain
Parkinson's disease
Alzheimer's disease
Multiple sclerosis
Epilepsy
Paresthesia
Numbness
Neurasthenia
Neurosis
Stress
Insomnia
Palpitations
Puerperal eclampsia
Puerperal fever
Dysmenorrhea
Menopausal syndrome
Alopecia
HIV/AIDS

Symptoms

Blurred vision
Coma
Convulsions
Deviated mouth and eyes
Dizziness
Dream-disturbed sleep
Feeling of heat
Headache
Hemiplegia
Hot flashes
Insomnia
Irritability
Muscle spasms
Muscle twitching
Numbness
Paralysis
Restless sleep
Tingling
Tinnitus
Tremor

Modifications

More severe symptoms: + ling yang jiao
Coronary heart disease: + sheng di huang, + pu huang
Coronary heart disease: mild Qi stagnation: + chen pi, + zhi ke, + gan cao, + gan jiang, + dan shen
Coronary heart disease: Blood stagnation, mild: + dang gui, + ji xue teng, + chi shao
Coronary heart disease: moderate Blood stagnation: + hong hua, + chuan xiong, + pu huang, + wu ling zhi, + san qi, + da huang, + yi mu cao, + ru xiang, + mo yao, + su mu
Coronary heart disease: severe Blood stagnation: + chen pi, + zhi ke, + gan cao, + gan jiang, + dan shen, + san leng, + e zhu, + xue jie, + tao ren, + shui zhi
Coronary heart disease: Qi deficiency: + ren shen, + dang shen, + huang qi, + tai zi shen, + huang jing
Coronary heart disease: Qi stagnation: + chen pi, + zhi ke, + gan cao, + gan jiang, + dan shen, + yan hu suo, + yu jin, + xiang fu, + hou po
Coronary heart disease: Yang deficiency: + xi xin, + gan jiang, + bi ba, + rou gui, + wu zhu yu
Coronary heart disease: sputum: + dan nan xing, + chen pi, + zhi ban xia, + fu ling, + gua lou
Hair loss: + sheng di huang, + xuan shen, + dai zhe shi
Marked rising of Liver Yang: + dai zhe shi, + long gu, + mu li

Show all 106 modifications

Deficient Liver Yin: + bai shao, + gui ban
Complications after a stroke: + chi shao, + tao ren, + hong hua
Thirst with Phlegm accumulating: + zhe bei mu, + zhu ru
Hardening of the arteries with high blood pressure: + huai hua mi, + hai zao
High blood pressure: + xia ku cao, + jue ming zi, + zhen zhu mu
Ischemic stroke from Liver Fire blocking the channels (combined with Bu Yang Huan Wu Tang)
Dizziness (combined with Wen Dan Tang)
Combined with Zhen Gan Xi Feng Tang (condition not clear in the source)
Alternative additions following the entry above (condition not clear in the source): + zhi mu, + ju hua, − yi mu cao
Facial spasm: + bai shao, + dang gui, + gui zhi, − shi jue ming, − zhi zi, − ye jiao teng
Facial spasm: long-standing deficiency: + bai shao, + dang gui, + gui zhi, + dang shen, − shi jue ming, − zhi zi, − ye jiao teng
Facial spasm: deficient fluids: + bai shao, + dang gui, + gui zhi, + sheng di huang, + mai men dong, − shi jue ming, − zhi zi, − ye jiao teng
Facial spasm: tinnitus and a stuffy head from Liver Yang rising: + bai shao, + dang gui, + gui zhi, + jue ming zi, + ju hua, − shi jue ming, − zhi zi, − ye jiao teng
Facial spasm: painful urination: + bai shao, + dang gui, + gui zhi, + mu tong, + che qian cao, − shi jue ming, − zhi zi, − ye jiao teng
Facial spasm: constipation: + bai shao, + dang gui, + gui zhi, + da huang, + feng mi, − shi jue ming, − zhi zi, − ye jiao teng
Neurasthenia with Heart and Liver Fire (combined with Huang Lian Jie Du Tang)
Neurasthenia with hot Phlegm (combined with Wen Dan Tang): + huang lian
Neurasthenia with Yin deficiency: + tian men dong, + gui ban
Severe dizziness: + dai zhe shi, + long gu, + mu li
Constipation: + da huang, + mang xiao
Constipation, alternative additions: + dai zhe shi, + long gu, + ci shi
Constipation, or combined with Dang Gui Long Hui Wan
Liver Fire: + long dan cao, + xia ku cao, + mu dan pi
Liver and Kidney Yin both deficient: + nu zhen zi, + gou qi zi, + bai shao, + sheng di huang, + he shou wu
Trigeminal neuralgia: + bai shao, + chuan niu xi, + bai ji li, + shan zhu yu
Parkinson's disease: + huai niu xi, + fu ling, + zhi ban xia, + dan nan xing, + zhi shi, + chen pi, + jiang can, + zhu li, + gan cao, − zhi zi, − yi mu cao, − du zhong, − ye jiao teng, − chuan niu xi, − fu shen
Parkinson's disease: twitching or marked tremor: + huai niu xi, + fu ling, + zhi ban xia, + dan nan xing, + zhi shi, + chen pi, + jiang can, + zhu li, + gan cao, + bai ji li, + chan tui, − zhi zi, − yi mu cao, − du zhong, − ye jiao teng, − chuan niu xi, − fu shen
Parkinson's disease: difficulty bending and stretching: + huai niu xi, + fu ling, + zhi ban xia, + dan nan xing, + zhi shi, + chen pi, + jiang can, + zhu li, + gan cao, + ge gen, + bai hua she, − zhi zi, − yi mu cao, − du zhong, − ye jiao teng, − chuan niu xi, − fu shen
Parkinson's disease: pain and numbness in the arm: + huai niu xi, + fu ling, + zhi ban xia, + dan nan xing, + zhi shi, + chen pi, + jiang can, + zhu li, + gan cao, + jiang huang, − zhi zi, − yi mu cao, − du zhong, − ye jiao teng, − chuan niu xi, − fu shen
Parkinson's disease: pain and numbness in the legs: + huai niu xi, + fu ling, + zhi ban xia, + dan nan xing, + zhi shi, + chen pi, + jiang can, + zhu li, + gan cao, + ge gen, + bai hua she, + mu gua, − zhi zi, − yi mu cao, − du zhong, − ye jiao teng, − chuan niu xi, − fu shen
Stroke: + huai niu xi
Alzheimer's disease: + suan zao ren, + shi chang pu, + bai shao, + gou qi zi
Alzheimer's disease: red urine and constipation: + suan zao ren, + shi chang pu, + bai shao, + gou qi zi, + da huang, + qing meng shi
Alzheimer's disease: pain in both flanks and ribs: + suan zao ren, + shi chang pu, + bai shao, + gou qi zi, + qing pi, + yan hu suo
Alzheimer's disease: restless and agitated: + suan zao ren, + shi chang pu, + bai shao, + gou qi zi, + mu li, + long gu
Dizziness and vertigo from Liver Yang rising: + huai niu xi, + xia ku cao, + ju hua, + huang qin, − yi mu cao, − chuan niu xi
Dizziness and vertigo from Liver Fire: + huai niu xi, + xia ku cao, + ju hua, + huang qin, + long dan cao, + mu dan pi, − yi mu cao, − chuan niu xi
Dizziness and vertigo from Liver Yang rising, with constipation: + huai niu xi, + xia ku cao, + ju hua, + huang qin, + da huang, + mang xiao, − yi mu cao, − chuan niu xi
Dizziness and vertigo from Liver Yang rising, with mild Yin deficiency, choosing two or three of Mu Li, Gui Ban, Bie Jia, He Shou Wu and Sheng Di Huang: + huai niu xi, + xia ku cao, + ju hua, + huang qin, + mu li, + gui ban, + bie jia, + he shou wu, + sheng di huang, − yi mu cao, − chuan niu xi
Dizziness and vertigo from Liver Yang rising, with Liver Wind (combined with Dang Gui Long Hui Wan): + huai niu xi, + xia ku cao, + ju hua, + huang qin, + long gu, + mu li, + zhen zhu mu, − yi mu cao, − chuan niu xi
Migraine: Blood stasis: + dan shen, + tao ren, + hong hua
Migraine: long-standing, having entered the collaterals: + quan xie, + wu gong
Migraine: Yin deficiency: + shu di huang, + gui ban, + bie jia, + gou qi zi
Migraine: Qi deficiency: + huang qi, + dang shen, + shan yao
Migraine: hot flushes: + sheng di huang, + ju hua
Migraine: Yin of Liver and Kidney markedly deficient: + zhi mu, + shu di huang, + gou qi zi
Headache: + huai niu xi, + ju hua, + bai ji li, − yi mu cao, − chuan niu xi, − du zhong, − sang ji sheng
Stubborn headache: + huai niu xi, + ju hua, + bai ji li, + jiang can, + quan xie, − yi mu cao, − chuan niu xi, − du zhong, − sang ji sheng
Headache: deficient Liver Blood: + huai niu xi, + ju hua, + bai ji li, + jiu chao dang gui, + bai shao, + ji xue teng, − yi mu cao, − chuan niu xi, − du zhong, − sang ji sheng
Headache: Yin of Liver and Kidney severely deficient: + huai niu xi, + ju hua, + bai ji li, + shu di huang, + jiu shan zhu yu, + gou qi zi, − yi mu cao, − chuan niu xi, − du zhong, − sang ji sheng
Headache: dizziness: + huai niu xi, + ju hua, − yi mu cao, − chuan niu xi
Meniere's disease: Liver Fire: + long dan cao, + mu dan pi, + ju hua, + xia ku cao, − du zhong, − sang ji sheng
Meniere's disease: constipation, reddish-yellow urine, a wiry rapid pulse (combined with Dang Gui Long Hui Wan)
Meniere's disease: marked dizziness, vomiting again and again, very numb hands and feet: + zhen zhu mu, + long gu, + mu li, + ling yang jiao
Multiple sclerosis: + sheng di huang, + gou qi zi, + bai ji li, + bai shao, + dang gui, + ju hua, + gui ban, + bai zi ren, − zhi zi, − huang qin, − yi mu cao, − chuan niu xi, − du zhong, − ye jiao teng, − fu shen
Multiple sclerosis: very weak eyesight: + sheng di huang, + gou qi zi, + bai ji li, + bai shao, + dang gui, + ju hua, + gui ban, + bai zi ren, + sang shen, + he shou wu, + nu zhen zi, − zhi zi, − huang qin, − yi mu cao, − chuan niu xi, − du zhong, − ye jiao teng, − fu shen
Multiple sclerosis: severe insomnia: + sheng di huang, + gou qi zi, + bai ji li, + bai shao, + dang gui, + ju hua, + gui ban, + bai zi ren, + suan zao ren, − zhi zi, − huang qin, − yi mu cao, − chuan niu xi, − du zhong, − fu shen
Multiple sclerosis: weak limbs and unsteadiness when standing or walking: + sheng di huang, + gou qi zi, + bai ji li, + bai shao, + dang gui, + ju hua, + gui ban, + bai zi ren, + wu jia pi, + huai niu xi, − zhi zi, − huang qin, − yi mu cao, − chuan niu xi, − ye jiao teng, − fu shen
Multiple sclerosis: pale lips, nails and face: + sheng di huang, + gou qi zi, + bai ji li, + bai shao, + dang gui, + ju hua, + gui ban, + bai zi ren, + he shou wu, + sang shen, + huai niu xi, − zhi zi, − huang qin, − yi mu cao, − chuan niu xi, − du zhong, − ye jiao teng, − fu shen
Multiple sclerosis: deficient Spleen Qi: + sheng di huang, + gou qi zi, + bai ji li, + bai shao, + dang gui, + ju hua, + gui ban, + bai zi ren, + huang qi, + dang shen, + bai zhu, + gan cao, − zhi zi, − huang qin, − yi mu cao, − chuan niu xi, − du zhong, − fu shen
Multiple sclerosis: Liver Qi stagnation: + sheng di huang, + gou qi zi, + bai ji li, + bai shao, + dang gui, + ju hua, + gui ban, + bai zi ren, + chai hu, + chuan lian zi, − zhi zi, − huang qin, − yi mu cao, − chuan niu xi, − du zhong, − ye jiao teng, − fu shen
Hemiplegia or aphasia after stroke: + ju hua, + jiang can, + quan xie, + bai ji li, + gan cao, − yi mu cao, − ye jiao teng, − fu shen
Hemiplegia or aphasia after a severe stroke: + ju hua, + jiang can, + quan xie, + bai ji li, + gan cao, + dai zhe shi, − yi mu cao, − ye jiao teng, − fu shen
Hemiplegia or aphasia after stroke: night sweats: + ju hua, + jiang can, + quan xie, + bai ji li, + gan cao, + bai shao, − yi mu cao, − ye jiao teng, − fu shen
Hemiplegia or aphasia after stroke: numb limbs: + ju hua, + jiang can, + quan xie, + bai ji li, + gan cao, + zhi tian nan xing, + zhi bai fu zi, − yi mu cao, − ye jiao teng, − fu shen
Hemiplegia or aphasia after stroke: Liver Qi stagnation: + ju hua, + jiang can, + quan xie, + bai ji li, + gan cao, + chuan lian zi, − yi mu cao, − ye jiao teng, − fu shen
Neck pain: + ge gen, − yi mu cao
Neck pain: irritability: + ge gen, + chai hu, + bai shao, − yi mu cao
Neck pain: headache: + ge gen, + chuan xiong, + xiang fu, − yi mu cao
Neck pain: poor appetite: + ge gen, + yu jin, + mai ya, − yi mu cao
Neck pain: insomnia: + ge gen, + suan zao ren, + bai zi ren, − yi mu cao
Neck pain: dizziness: + ge gen, + ju hua, + nu zhen zi, + han lian cao, − yi mu cao
Neck pain: constipation: + ge gen, + gua lou ren, + huo ma ren, − yi mu cao
Essential hypertension: + xia ku cao, + long gu, + mu li, − zhi zi, − yi mu cao, − ye jiao teng, − fu shen
Essential hypertension: constipation: + xia ku cao, + long gu, + mu li, + da huang, − zhi zi, − yi mu cao, − ye jiao teng, − fu shen
Essential hypertension: vertigo: + xia ku cao, + long gu, + mu li, + zhen zhu mu, − zhi zi, − yi mu cao, − ye jiao teng, − fu shen
Essential hypertension: dry mouth and tongue: + xia ku cao, + long gu, + mu li, + sheng di huang, + xuan shen, − zhi zi, − yi mu cao, − ye jiao teng, − fu shen
Essential hypertension: numb limbs: + xia ku cao, + long gu, + mu li, + di long, + xi xian cao, − zhi zi, − yi mu cao, − ye jiao teng, − fu shen
Eye pain: + chuan xiong, + ju hua, − zhi zi, − yi mu cao, − du zhong, − fu shen
Eye pain: severe headache: + chuan xiong, + ju hua, + quan xie, + jiang can, − zhi zi, − yi mu cao, − du zhong, − fu shen
Eye pain: irritability: + chuan xiong, + ju hua, + huang lian, − zhi zi, − yi mu cao, − du zhong, − fu shen
Eye pain: pain under the ribs: + chuan xiong, + ju hua, + qing pi, + chuan lian zi, − zhi zi, − yi mu cao, − du zhong, − fu shen
Eye pain: insomnia: + chuan xiong, + ju hua, + suan zao ren, − zhi zi, − yi mu cao, − du zhong, − fu shen
Eye pain: a bitter taste: + chuan xiong, + ju hua, − yi mu cao, − du zhong, − fu shen
Eye pain: abdominal pain: + chuan xiong, + ju hua, + yan hu suo, + bai shao, − zhi zi, − yi mu cao, − du zhong, − fu shen
Eye pain: warmth felt in the head: + chuan xiong, + ju hua, + mu dan pi, − zhi zi, − yi mu cao, − du zhong, − fu shen
Headache, second set of changes: + chuan xiong, + ju hua, − zhi zi, − yi mu cao, − du zhong, − fu shen
Severe headache: + chuan xiong, + ju hua, + quan xie, + jiang can, − zhi zi, − yi mu cao, − du zhong, − fu shen
Headache: irritability: + chuan xiong, + ju hua, + huang lian, − zhi zi, − yi mu cao, − du zhong, − fu shen
Headache: irritability, second set of changes: + chuan xiong, + ju hua, + qing pi, + chuan lian zi, − zhi zi, − yi mu cao, − du zhong, − fu shen
Headache: insomnia: + chuan xiong, + ju hua, + suan zao ren, − zhi zi, − yi mu cao, − du zhong, − fu shen
Headache: a bitter taste: + chuan xiong, + ju hua, − yi mu cao, − du zhong, − fu shen
Headache: abdominal pain: + chuan xiong, + ju hua, + yan hu suo, + bai shao, − yi mu cao, − du zhong, − fu shen
Headache: warmth felt in the head: + chuan xiong, + ju hua, + mu dan pi, − yi mu cao, − du zhong, − fu shen

Cautions

contraindication Meant for Wind from excess Liver Yang and Heat; not for internal Wind arising mainly from deficient Blood or Yin (for example a pale tongue and thin pulse without Heat signs), which needs direct tonifying instead
pregnancy Holds Blood-moving herbs (Yi Mu Cao, Chuan Niu Xi); use with care in pregnancy
caution Eclampsia and hemiplegia are emergencies (seizures in pregnancy, stroke) needing immediate medical care, and hypertension and trigeminal neuralgia need medical diagnosis and management; the formula is used only alongside that care, never in place of it
caution Long-term use, or changing and choosing the herbs oneself, should be left to a qualified practitioner

Preparation

Water decoction; Shi Jue Ming is simmered on its own first, and Gou Teng goes in only for the last few minutes

Names

Pinyin	tian ma gou teng yin
English Name	Gastrodia and Uncaria Decoction

Classification

Category: Extinguish Internal Wind