Wu Mo Yin Zi - 五磨饮子 - Five Milled-Herb Drink

English:	Five Milled-Herb Decoction
Also Known As:	Aromatic Formula with Five Herbs

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Aucklandiae	Mu Xiang	6-9g	Promotes the movement of Qi, alleviates pain, adjusts and regulates stagnant Qi in the Intestines, dispels Damp-Heat and harmonizes the Liver and Spleen. With Bing Lang, for Qi Stagnation in the Stomach and Intestines due to Food Stagnation with abdominal distention, and fullness and distention, anorexia, aversion to the smell of food, nausea without the ability to vomit and an uncomfortable urge to defecate which is often unsuccessful. With Wu Yao, for lower abdominal Coldness and pain.
Lignum Aquilariae Resinatum	Chen Xiang	6-9g	Promotes movement of Qi, alleviates pain, descends Qi, regulates the Middle, dispels Cold, warms the Spleen and Stomach, stops vomiting, warms the Kidneys and aids the Kidneys in grasping Qi. With Wu Yao, for a stifling sensation in the chest and diaphragm with wheezing, distention, and anorexia. With Mu Xiang, for rebellious Middle Jiao Qi with belching, hiccup, nausea and vomiting, epigastric and abdominal distention stifling sensation in the epigastrium and diarrhea. With Mu Xiang, Zhi Shi and Bing Lang, for constipation due to Liver Qi Stagnation. With Wu Yao, Bing Lang and Mu Xiang, for chest and abdominal distention and pain due to Accumulation of Cold.
Sm. Arecae	Bing Lang	6-9g	Drains downward, Reduces accumulations, Regulates Qi, Unblocks the bowels.
Fr. Aurantii Immaturus	Zhi Shi	3-9g	Breaks up Stagnant Qi, Descends Qi, Reduces accumulation, Reduces distention, Removes Stagnant Food, Resolves hardenings, Transforms Phlegm, Unblocks the bowels.
Rx. Linderae	Wu Yao	6-9g	Promotes the movement of Qi and alleviates pain.

Formula Actions

• Promotes the movement of Qi
• Descends Rebellious Qi
• Relieves Stagnant Liver Qi in the Lung and chest

Syndromes

• Liver Qi Stagnation causing chest pain
• Liver Qi stagnation caused by instability of the seven emotions (stronger) (Secondary source)

Clinical Manifestations

Chest pain Epigastric and abdominal distention and pain Closed type coma (lockjaw and clenched fists) Cold extremities Wandering pain

Asthma Irritability in the throat Palpitations Insomnia T: Normal C: Thin and white P: Wiry

Treats

Chest pain due to Liver Qi Stagnation Chest pain with Phlegm Asthma Anxiety neurosis Stress-related breathing problems

Epigastric and abdominal distention and pain Coma Hysteria Palpitations

Contraindications And Herb/Drug Interactions

Notes

• This formula is used for a rather severe condition in people of robust health.

Modifications

For insomnia and palpitations:		For increased obstruction of Phlegm:
+ Sm. Zizyphi Spinosae	Suan Zao Ren	+ Arisaemae cum Bile	Dan Nan Xing
+ Rx. Polygalae	Yuan Zhi	+ Bul. Fritillariae Thunbergii	Zhe Bei Mu
+ Poria Pararadicis	Fu Shen	+ Exocarpium Citri Reticulatae Rubrum	Ju Hong
+ Caul Polygoni Multiflori	Ye Jiao Teng	+ Succus Bambusae	Zhu Li
For high Blood pressure and dizziness:		For asthma with Phlegm:
+ Ram. cum Uncis Uncariae	Gou Teng	+ Decoction of Two Old Drugs Er Chen Tang
+ Concha Haliotidis	Shi Jue Ming	- Rx. Linderae	Wu Yao
+ Magnetitum	Ci Shi	- Rz. Zingiberis Recens	Sheng Jiang
For asthma with Phlegm, chest distention, oppression and pain:		- Fr. Mume	Wu Mei
+ Rx Bupleurum	Chai Hu
+ Decoction of Two Old Drugs Er Chen Tang		+ Rx. Paeoniae Alba	Bai Shao
For asthma with Phlegm, Heart palpitations and insomnia:
- Rx. Linderae	Wu Yao
- Rz. Zingiberis Recens	Sheng Jiang	+ Decoction of Two Old Drugs Er Chen Tang
- Fr. Mume	Wu Mei
+ Rx Bupleurum	Chai Hu	- Rx. Linderae	Wu Yao
+ Rx. Paeoniae Alba	Bai Shao	- Rz. Zingiberis Recens	Sheng Jiang
+ 9g Rz. Cyperi	Xiang Fu	- Fr. Mume	Wu Mei
+ 9g Flos Inulae	Xuan Fu Hua	+ Rx Bupleurum	Chai Hu
For asthma with Phlegm, severe Plum Pit Qi Stagnation and/or severe hasty panting:		+ Rx. Paeoniae Alba	Bai Shao
+ 9g Bul. Lilii	Bai He
+ Decoction of Two Old Drugs Er Chen Tang		+ 9g Flos Albizziae	He Huan Pi
+ 9g Sm. Zizyphi Spinosae	Suan Zao Ren
- Rx. Linderae	Wu Yao
- Rz. Zingiberis Recens	Sheng Jiang	+ 9g Rx. Polygalae	Yuan Zhi
- Fr. Mume	Wu Mei	For asthma with a weak constitution:
+ Rx Bupleurum	Chai Hu	- Fr. Aurantii Immaturus	Zhi Shi
+ Rx. Paeoniae Alba	Bai Shao	- Rx. Aucklandiae	Mu Xiang
+ 9g Cx. Magnoliae Officinalis	Hou Po	+ 9g Rx. Ginseng	Ren Shen
For asthma with insomnia and palpitations:
+ 9g Fol. Perillae	Zi Su Ye	+ 15g Sm. Zizyphi Spinosae	Suan Zao Ren
For asthma with chest and hypochondriac fullness and distention or pain and aching:
+ 6g Rx. Polygalae	Yuan Zhi
+ 10g Rx. Bupleuri	Chai Hu	+ 12g Sm. Platycladi	Bai Zi Ren
+ 10g Rz. Cyperi Preparata	Zhi Xiang Fu	For asthma with hysterical wheezing:
+ Licorice, Wheat and Jujube Combination Gan Mai Da Zao Tang