Tian Tai Wu Yao San, Top-Quality Lindera Powder, is Wu Yao, Mu Xiang, Xiao Hui Xiang, Qing Pi, Gao Liang Jiang, Bing Lang, Jin Ling Zi and Ba Dou. The catalogue classes it among the formulas that promote the movement of Qi.

Herb

Amount

15 g

15 g

15 g

15 g

15 g

12 g

12 g

15 g

Actions and indications

Moves Qi and spreads Liver Qi

Hernial (shan) disorder from Cold stagnating in the Liver channel, or Qi pain of the Small Intestine; an excess pattern
Lower abdominal pain that spreads to the testicle, or a swollen, distended, hard and painful testicle
Pain under the ribs and in the flanks, abdominal pain and masses in the abdomen that move

Scatters Cold and stops pain

Pain brought on or worsened by cold and eased by warmth, perhaps with a local feeling of cold, or a dull, dragging pain
Cold-type painful periods with hardness, lower abdominal cramping, and vaginal discharge
Tongue pale with a white coat; pulse deep and slow, or wiry and tight

Modern uses

Hernia
Inguinal hernia
Scrotal hernia
Vaginal or testicular hernia
Small intestine hernia
Pain linked with inguinal hernia
Orchitis
Epididymitis
Heaviness from hydrocele
Prostatitis
Dysmenorrhea
Primary dysmenorrhea
Endometriosis
Pelvic inflammatory disease
Infertility
Vaginal discharge
Irritable bowel syndrome
Colitis
Gastritis
Peptic ulcer
Intestinal obstruction
Constipation
Abdominal pain
Hypochondriac pain
Low back pain

Modifications

Stronger effect: + ju he, + li zhi he

More severe Cold: + wu zhu yu, + rou gui

Blood stasis: + hong hua, + tao ren

More severe symptoms: take warm, with wine: + sheng jiang

Menstrual pain: + dang gui, + chuan xiong, + xiang fu

Abdominal masses that move: + zhi shi, + hou po, + e zhu, + san leng

Severe pain: + chen xiang

Stronger effect on hernia: + ju he, + li zhi he, + chai hu, + xiang fu, + yan hu suo

Dragging, prolapsed feeling with swelling (combined with Ju He Wan, as an alternative): + ju he, + li zhi he

Cold and Qi stagnation with period pain eased by warmth: + dang gui, − chuan lian zi

Liver-channel Cold invading the Stomach, with stagnant Qi: + xiang fu, − chuan lian zi

Low back pain: Damp: + cang zhu, + yi yi ren

Show all 19 modifications

Low back pain: Damp-Heat: + cang zhu, + huang bai
Low back pain: Spleen deficiency: + dang shen, + bai zhu, + gan cao
Low back pain: Yin deficiency: + bai shao, + gou qi zi
Qi hernia (Qi Shan): + li zhi he, + ju he, − ba dou
Combined with Liu Wei Di Huang Wan (condition not clear in the source)
Qi hernia with Cold: + li zhi he, + ju he, + rou gui, + wu zhu yu, − ba dou
Low back pain: Liver and Kidney deficiency: + gou qi zi, + nu zhen zi, + han lian cao, + sang shen

Cautions

contraindication Unsuitable where there is Heat or Damp-Heat

contraindication Do not combine with Qi tonics

caution Stop once the acute pain has settled; its dispersing, Qi-breaking herbs can wear down Qi and Yin with prolonged use

caution Ba Dou is a toxic, drastic purgative: it is only fried with Chuan Lian Zi and then thrown away, and that step belongs to a trained pharmacist or practitioner, not home preparation

caution Chuan Lian Zi is mildly toxic; its compound toosendanin has harmed the liver in animal studies and overdose can bring nausea and vomiting. Keep to standard doses, avoid long or high-dose use, and take care with existing liver disease

caution Bing Lang is avoided in loose stools from Spleen deficiency

pregnancy Bing Lang and Chuan Lian Zi direct downward and break Qi; seek professional guidance before use in pregnancy

caution Shan disorder is a TCM pain pattern rather than a diagnosis of surgical hernia; any possible hernia, testicular lump, torsion or sudden scrotal pain should be assessed by a doctor promptly

Pinyin

tian tai wu yao san

English Name

Top-Quality Lindera Powder

tian tai wu yao san

About tian tai wu yao san

Ingredients

Actions and indications

Moves Qi and spreads Liver Qi

Scatters Cold and stops pain

Modern uses

Symptoms

Modifications

Cautions

Preparation

Names

Classification