Wen Jing Tang - 溫經湯 - Flow Warming Decoction - Dang Gui And Evodia Combination

English:	Flow-Warming Decoction
Also Known As:	Warm the Menses Decoction Warm the Channels Decoction The Collateral Warming Decoction Dang Gui and Evodia Combination

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Fr. Evodiae	Wu Zhu Yu	3-10g	Alleviates pain, Descends rebellious Qi, Disperses Cold, Expels Damp-Cold, Promotes the movement of Qi, Spreads the Liver, Stops diarrhea and vomiting, Warms the Middle Jiao. With Gui Zhi, warms the menses. With Sheng Jiang, for vertex migraine headaches. With Sheng Jiang and Ren Shen, for epigastric pain, vomiting, and headache associated with Jue Yin and Shao Yin Stage disorders. With Gui Zhi, Dang Gui and Mu Dan Pi, for menstrual dysfunction and infertility due to Blood Stasis with Deficiency Cold of the Chong and Ren channels.
Ram. Cinnamomi	Gui Zhi	2-6g	Warms the channels and collaterals, disperses Cold, unblocks Yang, transforms the Qi, warms the Middle, directs Turbid Yin downward, assists the Heart Yang, warms and facilitates the flow of Yang Qi in the chest and warms and facilitates the flow of Blood through the vessels. With Bai Shao, tonifies the Middle Jiao. With Wu Zhu Yu, for abdominal pain, dysmenorrhea, and menstrual irregularity due to Cold from Deficiency in the Chong and Ren channels. With Chuan Xiong, warms the channels and collaterals. With Wu Zhu Yu, for abdominal pain, dysmenorrhea, and menstrual irregularity due to Cold from Deficiency in the Chong and Ren channels. With Dang Gui and Chuan Xiong, for irregular menstruation due to Yang Deficiency with Cold Stagnation.
Rx. Angelicae Sinensis	Dang Gui	2-12g	Tonifies the Blood, regulates menstruation, invigorates and harmonizes the Blood, disperses Cold and alleviates pain. With Bai Shao, regulates and harmonizes Qi and Blood. With Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis to treat abdominal pain. With Wu Zhu Yu, Gui Zhi, Bai Shao and Ren Shen, for amenorrhea or irregular menstruation due to Deficiency Cold.
Rx Chuanxiong	Chuan Xiong	2-9g	Invigorates the Blood and regulates Qi. With Dang Gui, for Blood Deficiency causing menstrual problems including dysmenorrhea, scanty menses, and amenorrhea. With Dang Gui, Gui Zhi and Wu Zhu Yu, for Cold due to Insufficiency of the Chong and Ren channels causing lower abdominal pain during menstruation. With Wu Zhu Yu, Gui Zhi, Mu Dan Pi and Dang Gui, for dysmenorrhea with a scanty flow of Blood and cold sensations in the abdomen due to Deficiency Cold in the Chong and Ren Channels.
Rx. Paeoniae Alba	Bai Shao	2-10g	Alleviates pain, nourishes the Blood, softens the Liver and regulates menstruation. With Gan Cao, regulates the relationship between the Liver and Spleen, nourishes sinews and treats abdominal pain due to disharmony between the Liver and Stomach, epigastric, hypochondriac or flank pain, muscle spasms and pain and numbness, especially in the calf, due to Blood Deficiency. With Dang Gui, nourishes Yin and Blood.
Colla. Corii Asini	E Jiao	2-10g	Tonifies Blood and stops bleeding. With Dang Shen and Dang Gui, for Blood Deficiency with dizziness and palpitations.
Rx. Ophiopogonis	Mai Men Dong	4-9g	Nourishes Stomach Yin.
Cx. Moutan Radicis	Mu Dan Pi	2-9g	Activates the Blood, Clears Deficiency Fire, Clears Heat, Cools and harmonizes the Blood, Dispels Blood Stasis. With Gui Zhi, for abdominal pain due to Blood Stasis.
Rx. Ginseng	Ren Shen	2-10g	Tonifies Yuan Qi and Spleen and Stomach Qi.
(Rx. Codonopsis)	(Dang Shen)	(4-18g)	(Tonifies the Middle Jiao and augments Qi - Substitutes for Ren Shen.)
Rx. Glycyrrhizae	Gan Cao	2-6g	Alleviates pain and moderates, Harmonizes the harsh properties of other herbs, Moderates spasms, Tonifies Qi, Tonifies the Spleen. With Bai Shao, moderates spasms and relieves abdominal pain. With Dang Shen, for anorexia, fatigue and loose stools due to Spleen Deficiency.
Rz. Zingiberis Recens	Sheng Jiang	2-9g	Disperses Cold, warms the Middle, stops vomiting and reduces the toxicity of the other herbs. With Zhi Ban Xia, for vomiting due to many causes including Stomach Cold. With Gui Zhi, warms and dispels thin mucus in the Stomach with nausea, hiccup, Stomach pain, acid reflux or vomiting of clear fluid.
Rz. Pinelliae Preparatum	Zhi Ban Xia	2-10g	Dries Dampness, transforms Phlegm, harmonizes the Stomach, descends Rebellious Qi, stops vomiting and reduces distention. With Ren Shen, for vomiting due to Stomach Deficiency.

Formula Actions

• Warms the menses
• Regulates menstruation
• Dispels Cold
• Warms the channels
• Nourishes the Blood
• Dispels Blood Stasis

Syndromes

• Blood Stasis due to Cold with Deficiency Cold of the Chong and Ren channels
• Chong & Ren Deficiency-Cold with Blood stasis causing irregular menstruation (Secondary source)

Clinical Manifestations

Mild persistent uterine bleeding Irregular menstruation (either early or late) Prolonged menstruation Skipped period Metrorrhagia Extended or continuous menstrual flow Pain Lower abdominal distention Lower abdominal Cold Lower abdominal pain Infertility Dry lips Dry mouth Spermatorrhea

Pale complexion Leukorrhea Amenorrhea Bleeding between periods Low grade fever at dusk Irritability Five Sole Heat No desire to drink Distending breast pain Low back coldness and pain Loose stools Cold limbs Aversion to Cold T: Purple with petechiae P: Thready and choppy T: Dusky (pale-purple) with a thin coat (Secondary source) P: Deep, slow, thin, choppy and wiry (Secondary source)

Treats

Aftermath of miscarriage Irregular menstruation Delayed menstruation Impotence Spermatorrhea Dysfunctional uterine bleeding Dysmenorrhea Infertility Polycystic ovaries Chronic pelvic inflammatory disease Endometrial hyperplasia Leiomyoma Amenorrhea Threatened abortion Vaginitis Oligospermia Hernia Chilblains Sciatica Chronic gastritis Anovulation Abdominal masses Scanty menstruation Postpartum pain Hypothyroidism Low-grade fever at dusk Abdominal Cold Urticaria Pelvic inflammatory disease

Uterine maldevelopment Menopause syndrome Endometriosis Leukorrhea Emotional disorders Frostbite Eczema Calluses Corns Psoriasis (particularly of the hands) Uterine hypoplasia Dysmenorrhea Habitual miscarriage Perimenopausal syndrome Erectile dysfunction Benign prostatic hypertrophy Schistosomiasis Coronary artery disease Rheumatoid arthritis Chronic cholecystitis Luteal phase defects Hysteromyoma Abdominal pain Raynaud's disease Gastric or duodenal ulcers Dermatitis Low back pain Menorrhagia

Contraindications And Herb/Drug Interactions

Notes

• Regarded as one of the most important formulas for female infertility; today it is also used for impotence and low sperm (seminal insufficiency).
• Blood stasis comparison (purple tongue, choppy pulse; points UB-17 and SP-10): Tao He Cheng Qi Tang adds Heat accumulation in the Lower Jiao (lower abdominal pain); Xue Fu Zhu Yu Tang adds Qi stagnation in the chest (chest pain, palpitations); Gui Zhi Fu Ling Wan is for stasis in the uterus (masses, bleeding in pregnancy); Wen Jing Tang adds Deficiency-Cold of the Chong and Ren (irregular menses, infertility).

Modifications

For more severe lower abdominal pain:		For more severe Qi Stagnation:
- Rx. Ophiopogonis	Mai Men Dong	+ Rz. Cyperi	Xiang Fu
- Cx. Moutan	Mu Dan Pi	+ Rx. Linderae	Wu Yao
+ Fr. Foeniculi	Xiao Hui Xiang	For mild, persistent uterine bleeding of pale blood:
+ Fol. Artemisiae Argyi	Ai Ye	- Cx. Moutan Radicis	Mu Dan Pi
- Ram. Cinnamomi	Gui Zhi	+ Quick-fried Rz. Zingiberis	Pao Jiang
+ Cx. Cinnamomi	Rou Gui	+ Fol. Artemisiae Argyi	Ai Ye
For persistent bleeding after miscarriage:		+ Rx. Rehmanniae Preparata	Shu Di Huang
- Rx. Glycyrrhizae	Gan Cao	For chronic endometriosis:
+ Rx. Salviae Miltiorrhizae	Dan Shen	+ Olibanum	Ru Xiang
+ Hb. Leonuri	Yi Mu Cao	+ Rx. Notoginseng	San Qi
+ Rx. Achyranthis Bidentatae	Niu Xi	For delayed menstruation:
For lumbar soreness:		- Ram. Cinnamomi	Gui Zhi
+ Cx. Eucommiae	Du Zhong	+ Cx. Cinnamomi	Rou Gui
+ Rx. Dipsaci	Xu Duan	For profuse leukorrhea:
Or		+ 9g. Sm. Cuscutae	Tu Si Zi
+ 9g. Rx. Dipsaci	Xu Duan	+ 9g. Poria	Fu Ling
+ 9g. Fr. Psoraliae	Bu Gu Zhi	For anorexia:
For severe Blood Stasis:		+ 4.5g. Per. Citri Reticulatae	Chen Pi
+ 9g. Sm. Persicae	Tao Ren	+ 9g. Fr. Crataegi	Shan Zha
+ 9g. Flos Carthami	Hong Hua	For infertility due to Blood Deficiency and Cold (Take during menstrual flow only):
+15g. Hb, Leonuri	Yi Mu Cao	+ Per. Citri Reticulate Viride	Qing Pi
For Qi Deficiency:		+ Rz. Cyperi	Xiang Fu
+ Rx. Astragali	Huang Qi	For flooding and spotting:
Or		+ Fol. Artemisiae Argyi	Ai Ye
- Cx. Moutan	Mu Dan Pi	+ Colla Corii Asini	E Jiao
- Rz. Chuanxiong	Chuan Xiong	For leukorrhea with itching:
- Fr. Evodiae	Wu Zhu Yu	+ Flos Lonicerae	Jin Yin Hua
+ Rx. Astragali	Huang Qi	+ Fr. Forsythiae	Lian Qiao
For painful menstruation:		+ Sm. Plantaginis	Che Qian Zi
+ Per. Citri Reticulatae	Chen Pi	For a feeling of coldness and pain in the lower abdomen:
+ Rz. Cyperi	Xiang Fu	- Cx. Moutan	Mu Dan Pi
For uterine bleeding with increased blood flow and a light color:		- Rx. Ophiopogonis	Mai Men Dong
- Cx. Moutan	Mu Dan Pi	+ Fol. Artemisiae Argyi	Ai Ye
+ Fol. Artemisiae Argyi	Ai Ye	+ Cx. Cinnamomi	Rou Gui
+ Rx. Rehmanniae Preparata	Shu Di Huang	For severe Heat do to Yin Deficiency:
For metrorrhagia and leukorrhagia due to Deficiency Cold and Blood Stasis:		+ Rx. Rehmanniae	Sheng Di Huang
- Cx. Moutan	Mu Dan Pi	For Cold-type Blood Stasis with more severe pain:
+ Fr. Corni	Shan Zhu Yu	- Fr. Evodiae	Wu Zhu Yu
For Cold extremities:		- Ram. Cinnamomi	Gui Zhi
+ 10g Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	- Rx. Paeoniae Alba	Bai Shao
+ 10g Rx. Morindae Officinalis	Ba Ji Tian	- Colla Corii Asini	E Jiao
During dysmenorrhea:		- Rx. Ophiopogonis	Mai Men Dong
+ 15g Rz. Corydalis	Yan Hu Suo	- Rz. Zingiberis Recens	Sheng Jiang
+ 6g Fr. Foeniculi	Xiao Hui Xiang	- Rz. Pinelliae Preparatum	Zhi Ban Xia
Or		+ Cx. Cinnamomi	Rou Gui
+ 12g Rz. Corydalis	Yan Hu Suo	+ Vinegar-fried Rz. Curcumae	Cu Chao E Zhu
+ 8g Fr. Foeniculi	Xiao Hui Xiang	+ Rx. Achyranthis Bidentatae	Niu Xi
+ 10g Rz. Cyperi	Xiang Fu	For very pale, cold hands and feet:
For dysmenorrhea with concurrent headaches:		+ Rx. Ophiopogonis	Mai Men Dong
+ Fr. Leonuri	Yi Mu Cao	+ Colla Corii Asini	E Jiao
For dysmenorrhea with tension in the lower abdomen:		For dysmenorrhea with very severe pain:
+ Rx. Linderae	Wu Yao	+ Sudden Smile Powder Shi Xiao San
+ Fr. Foeniculi	Xiao Hui Xiang
For dysmenorrhea with pain in the back:		For dysmenorrhea with dizziness and palpitations:
+ Cx. Eucommiae	Du Zhong	+ Cx. Lycii	Gou Qi Zi
+ Hb. Taxilli	Sang Ji Sheng	+ Caul. Polygoni Multiflori	Ye Jiao Teng
+ Rx. Dipsaci	Xu Duan	For Qi and Blood Stagnation due to Yang Deficiency Cold:
+ Sm. Cuscutae	Tu Si Zi	+ Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
For decreased menstruation:		+ Hb. Artemisiae Argyi	Ai Ye
+ 12g Rx. Salviae Miltiorrhizae	Dan Shen	+ Fr. Foeniculi	Xiao Hui Xiang
+ 12g Hb. Leonuri	Yi Mu Cao	For more severe Cold pain in the lower abdomen:
+ 12g Caulis Spatholobi	Ji Xue Teng
For Cold limbs:		+ 8g Fr. Foeniculi	Xiao Hui Xiang
+ 10g Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	+ 10g Rx. Artemisiae Argyi	Ai Ye
+ 12g Hb. Epimedii	Yin Yang Huo	+ 10g Rx. Curcumae Longae	Jiang Huang
For amenorrhea due to Cold-Damp Stagnation:
- Colla Corii Asini	E Jiao	For infertility due to Cold-Damp Accumulation with severe cold pain in the lower abdomen:
- Rx. Ophiopogonis	Mai Men Dong
- Cx. Moutan	Mu Dan Pi	- Rx. Ophiopogonis	Mai Men Dong
- Rx. Ginseng	Ren Shen	- Cx. Moutan	Mu Dan Pi
- Rx. Glycyrrhizae	Gan Cao	- Ram. Cinnamomi	Gui Zhi
- Rz. Zingiberis Recens	Sheng Jiang	+ Fr. Foeniculi	Xiao Hui Xiang
- Rz. Pinelliae Preparatum	Zhi Ban Xia	+ Fol. Artemisiae Argyi	Ai Ye
+ Cx. Cinnamomi	Rou Gui
+ 3-15g Fol. Artemisiae Argyi	Ai Ye	For infertility due to Cold-Damp Accumulation with prominent Qi Stagnation:
+ 9-15g Rx. Paeoniae Rubra	Chi Shao	+ Rz. Cyperi	Xiang Fu
+ Rx. Linderae	Wu Yao
+ 9-15g Rx. Salviae Miltiorrhizae	Dan Shen	For infertility due to Cold-Damp Accumulation with more severe Qi Deficiency:
+ 0g Rz. Cyperi	Xiang Fu	+ Rx. Astragali	Huang Qi
+ 9g Fol Perillae	Zi Su Ye	For infertility due to Blood Deficiency with Cold:
For endometriosis with severe abdominal pain due to Deficiency Cold of the Chong and Ren with Blood Stasis:		+ Per. Citri Reticulatae Viride	Qing Pi
+ Rz. Cyperi	Xiang Fu
- Rx. Ophiopogonis	Mai Men Dong	For endometriosis due to Deficiency Cold of the Chong and Ren with Blood Stasis and pronounced Qi Stagnation:
- Cx. Moutan	Mu Dan Pi
- Ram. Cinnamomi	Gui Zhi	+ Rz. Cyperi	Xiang Fu
+ Cx. Cinnamomi	Rou Gui	+ Rx. Linderae	Wu Yao
+ Fr. Foeniculi	Xiao Hui Xiang	For endometriosis due to Deficiency Cold of the Chong and Ren with Blood Stasis and Qi Deficiency:
+ Fol. Artemisiae Argyi	Ai Ye
For chronic endometriosis:		+ Rx. Astragali	Huang Qi
+ Olibanum	Ru Xiang	For dysmenorrhea due to Cold-Damp Accumulation:
+ Myrrh	Mo Yao
For secondary dysmenorrhea:		+ Rx. Ophiopogonis	Mai Men Dong
+ Frigid Extremities Decoction Si Ni Tang		+ Quick-fried Rz. Zingiberis	Pao Jiang
+ Fol. Artemisiae Argyi	Ai Ye	+ Sm. Coicis	Yi Yi Ren
+ Fr. Foeniculi	Xiao Hui Xiang	For secondary dysmenorrhea with cold limbs and a pale face:
+ Flow-Warming Decoction Si Ni Tang
+ Fol. Artemisiae Argyi	Ai Ye
+ Fr. Foeniculi	Xiao Hui Xiang
+ Rx. Ophiopogonis	Mai Men Dong
+ Colla Corii Asini	E Jiao