Wu Mei Wan, Mume Pill, is a formula of ten herbs built on Wu Mei with Chuan Jiao, Xi Xin, Huang Lian, Huang Bai, Gan Jiang, Zhi Fu Zi, Gui Zhi, Ren Shen and Dang Gui. The record credits it with warming the organs while clearing Heat — a formula built for the two together.

Herb

Amount

24 g

1.5 g

1.5 g

9 g

6 g

6 g

3 g

3 g

6 g

3 g

Actions and indications

Warms the organs and the Middle Jiao

Jue Yin pattern of mixed Cold and Heat: Heat in the Stomach above with Cold in the Intestines below
Collapse from roundworms: bouts of severe colicky pain in the upper abdomen that stop suddenly and return, restlessness during attacks, very cold hands and feet
Abdominal pain eased by warmth and pressure, rumbling intestines, pain below the Heart
Running piglet Qi

Clears Heat

Warmth, stuffiness and irritability in the chest and epigastrium; burning pain in the Stomach
Hunger without wanting to eat, bitter taste, dry throat and thirst that drinking does not satisfy
Stomach Heat with Kidney deficiency: frequent or turbid urination, anxiety

Calms roundworms and relieves pain

Vomiting soon after eating, sometimes bringing up roundworms; recurring nausea
Pain brought on or worsened by food

Tonifies Qi and Blood and astringes the Intestines

Chronic, recurrent diarrhea or dysentery, at times with a little pus, from Liver-Spleen disharmony where Cold and Heat are mixed
Tongue red, pale or geographic with a white coat, or not uniformly pale or red with a white or yellow-white coat; pulse hidden, wiry and tight, or wiry and possibly thin or weak

Modern uses

Ascariasis, including biliary, intestinal and childhood ascariasis
Roundworms lodged in the bile duct
Hookworms
Schistosomiasis
Chronic gastroenteritis
Gastritis
Gastric or peptic ulcer
Gastralgia
Functional gastric disorders
Post-gastrectomy syndrome
Indigestion
Anorexia
Nausea and vomiting
Neurogenic vomiting
Morning sickness
Recalcitrant hiccups
Colitis
Ulcerative colitis
Irritable bowel syndrome
Intestinal colic
Chronic diarrhea
Diarrhea complicating HIV/AIDS
Bacterial dysentery, including chronic bacillary dysentery
Abdominal pain
Cholecystitis
Cholelithiasis
Jaundice
Chyluria
Edema
Chronic pelvic inflammatory disease
Primary dysmenorrhea
Endometriosis
Uterine fibroids
Dysfunctional uterine bleeding
Corneal ulcers
Keratitis
Glaucoma
Meniere's disease
Chronic suppurative otitis media
Aphthous ulcers
Temporomandibular joint syndrome
Headache
Neurogenic headache
Autonomic dystonia
Neurosis
Hysterical psychosis
Insomnia
After-effects of meningitis or encephalitis
Asthma
Pneumonia
Fever
Hypertension
Sick sinus syndrome
Diabetes
Vitiligo

Modifications

Hands and feet not cold: − zhi fu zi, − gui zhi

Qi not Deficient: − ren shen, − dang gui

Severe abdominal pain: + chuan lian zi, + mu xiang

Constipation: + bing lang, + zhi shi

Severe vomiting: + wu zhu yu, + zhi ban xia

Severe vomiting, alternative: + da huang, + bing lang

Roundworms in bile duct: + shi jun zi, + ku lian pi

Chronic, unremitting dysentery-like diarrhea: + rou gui, − huang bai, − ren shen, − gui zhi

Stronger action against parasites: + shi jun zi, + bing lang, + ku lian pi, + fei zi

Chronic dysentery: + mu xiang, + bai shao

Expelling worms with the stool: + da huang

More Heat: − zhi fu zi, − gan jiang

Show all 61 modifications

More Cold: − huang lian, − huang bai
Intestinal ascariasis: + shi jun zi, + chuan lian zi
Biliary ascariasis: + mu xiang, + bing lang
Roundworms in children, excess Heat: + huang qin, + huang lian, + gan jiang, + chuan jiao
Children's roundworms with Excess Heat, alternative: + wu zhu yu, + chuan lian zi, + zhi gan cao, − huang bai
Roundworms in children, excess Cold: + gan jiang, + chuan jiao, + huang lian
Roundworms in children, severe abdominal pain: + gan jiang, + chuan jiao, + yan hu suo, + wu zhu yu, + bai shao
Roundworms in children, severe nausea and vomiting: + wu mei, + zhi ban xia, + chuan jiao, + bai dou kou, + zhu ru
Schistosomiasis (combined with Da Chai Hu Tang)
Bacterial dysentery: + hua shi
Bacterial dysentery, aversion to Cold: + hua shi, + gui zhi, + xi xin
Bacterial dysentery, nausea and vomiting: + hua shi, + zhi ban xia
Bacterial dysentery, abdominal pain: + hua shi, + mu xiang, + chi shao
Bacterial dysentery, tenesmus: + hua shi, + da huang
Irritable bowel syndrome, abdominal pain: + ying su ke, + yan hu suo
Irritable bowel syndrome, diarrhea: + chao yi yi ren, + bu gu zhi
Irritable bowel syndrome, constipation: + bai shao, + huo ma ren
Irritable bowel syndrome, nausea and belching: + jiang zhi fu zi, + dai zhe shi
Cholecystitis: + jin qian cao, + dang shen
Cholelithiasis, excess Heat: + da huang, + pu gong ying
Cholelithiasis, excess Cold: + gan jiang, + zhi fu zi
Cholelithiasis, severe hypochondriac pain: + jiang huang, + chuan lian zi
Cholelithiasis, nausea and vomiting: + zhi ban xia, + ru xiang
Cholelithiasis, jaundice: + yin chen hao, + yu jin
Jaundice from obstruction of Gallbladder channel: + yin chen hao
Jaundice from obstruction of Gallbladder channel, severe fever: + chuan jiao, + gan jiang, + huang lian, + huang bai, + yin chen hao, − zhi fu zi, − gui zhi
Cholecystitis and cholelithiasis: + ku lian pi, + bing lang, + shi jun zi
Cholecystitis with cholelithiasis, no Cold signs: + ku lian pi, + bing lang, + shi jun zi, − zhi fu zi, − gui zhi
Cholecystitis with cholelithiasis, Qi not deficient: + ku lian pi, + bing lang, + shi jun zi, − ren shen, − dang gui
Cholecystitis and cholelithiasis, severe abdominal pain: + ku lian pi, + bing lang, + shi jun zi, + chuan lian zi, + yan hu suo, + yu jin, + mu xiang
Cholecystitis and cholelithiasis, constipation: + ku lian pi, + bing lang, + shi jun zi, + zhi shi
Roundworm headache: abdominal pain, gurgling bowels, cold limbs, loose stools, thin white coat: − huang lian, − huang bai
Roundworm headache with fever, dry mouth and a red tongue: + zhi zi, − zhi fu zi, − gui zhi
Endometriosis, no Cold symptoms: − gui zhi, − zhi fu zi
Endometriosis where Upright Qi is undamaged: − dang shen, − dang gui
Endometriosis, severe abdominal pain: + chuan lian zi, + mu xiang
Endometriosis, constipation: + bing lang, + zhi shi
Endometriosis, nausea and vomiting: + wu zhu yu, + zhi ban xia
Endometriosis, loose stools with periods: + mu xiang, + bai shao
TMJ syndrome with roundworms: + bing lang, + shi jun zi
TMJ syndrome with constipation: + da huang, + zhi shi
TMJ syndrome, Spleen deficiency: + bai zhu, + fu ling
TMJ syndrome, Blood deficiency: + bai shao
TMJ syndrome with Damp-Heat: + cang zhu, + huang qin
TMJ syndrome with food stagnation: + mai ya, + shen qu, + lai fu zi
Ulcerative colitis in Liver-Spleen disharmony, Yang deficient, with Damp-Heat: + bai shao, + chuan lian zi, + mu xiang, + zhi fu zi
Ulcerative colitis in Liver-Spleen disharmony, Yang deficient, with Damp-Heat; mucus in stool: + bai shao, + chuan lian zi, + mu xiang, + zhi fu zi, + yi yi ren, + che qian zi
Ulcerative colitis in Liver-Spleen disharmony, Yang deficient, with Damp-Heat; blood in stool: + bai shao, + chuan lian zi, + mu xiang, + zhi fu zi, + di yu, + xian he cao
Acute biliary colic from roundworms: + bing lang, + ku lian gen pi

Cautions

contraindication Explosive diarrhea

contraindication Dysentery from Damp-Heat, or any purely Heat or Damp-Heat excess pattern with no Cold component

pregnancy Holds Fu Zi together with warming and Blood-moving herbs; use with caution and only when a qualified practitioner directs it

caution Contains Fu Zi and Chuan Jiao: use only properly processed Fu Zi in a professionally prescribed formula, not for self-treatment; raw or excessive aconite can cause numbness and heart rhythm disturbance

caution Confirmed ascariasis with blockage of the bile or pancreatic ducts, cholangitis, pancreatitis or bowel obstruction needs conventional medical care; this formula does not replace it

caution Strong bitter-cold and acrid-hot herbs together can upset the epigastrium; watch for this and balance the clearing and warming herbs to the case

Pinyin

wu mei wan

English Name

Mume Pill

wu mei wan

About wu mei wan

Ingredients

Actions and indications

Warms the organs and the Middle Jiao

Clears Heat

Calms roundworms and relieves pain

Tonifies Qi and Blood and astringes the Intestines

Modern uses

Symptoms

Modifications

Cautions

Preparation

Names

Support