Wu Zhu Yu Tang - 吳茱萸湯 - Evodia Decoction

English:	Evodia Decoction
Also Known As:	Evodia Combination

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Fr. Evodiae	Wu Zhu Yu	4-12g	Warms the Middle Jiao, disperses Cold, spreads the Liver, promotes the movement of Qi, stops diarrhea, expels Damp-Cold alleviates pain, descends rebellious Qi and stops vomiting. With Sheng Jiang, for vertex migraine headaches. With Ren Shen and Sheng Jiang, for epigastric pain, vomiting, and headache associated with Jue Yin and Shao Yin Stage disorders.
Rz. Zingiberis Recens	Sheng Jiang	6-21g	Warms the Stomach, directs rebellious Qi downward and stops vomiting. With Da Zao, alleviates epigastric pain, nausea, and vomiting by strengthening the Spleen and protects the Stomach Qi and reduces irritation of the gastrointestinal. tract by other herbs.
Rx. Ginseng	Ren Shen	3-12g	Strengthens the Spleen, generates fluids and calms the Spirit.
Fr. Jujube	Da Zao	3-12g	Tonifies the Spleen and Stomach, augments Qi, nourishes the Blood, calms the Spirit and moderates and harmonizes the harsh properties of other herbs.

Formula Actions

• Warms and tonifies the Spleen, Stomach, Liver and Kidneys
• Descends Rebellious Qi
• Stops vomiting

Syndromes

• Stomach Deficiency Cold
• Deficiency Cold of Stomach and Liver
• Cold Attacking the Middle Jiao
• Shao Yin Cold
• Jue Yin Cold in the Liver
• Deficiency-Cold of the Stomach (Yangming), Liver (Jueyin), and Kidney (Shaoyin) (Secondary source)

Clinical Manifestations

Vomiting immediately after eating Indeterminate gnawing hunger Acid regurgitation Belching May be epigastric pain Dry heaves or spitting of clear fluids with vertex headache Vomiting and diarrhea with cold hands and feet Restlessness Severe fidgeting

Irritability Pain in the groin and testicles So agitated, the patient wants to die Habitual headache Subcardiac distention A feeling of fullness and distention in the chest and diaphragm T: Pale C: White and slippery P: Slow and weak or Sinking or slow and thin or Slow and wiry

Treats

Chronic gastritis Acute gastritis Acute gastroenteritis Cholecystitis Morning sickness Neurogenic headache Migraine headache Recalcitrant perimenopausal vomiting Eye fatigue Corneal ulcers Recalcitrant hordeolum Chronic hepatitis Colitis Renal failure Kehsan's syndrome Thrombocytopenic purpura Food poisoning Withdrawal from drug addiction Obstruction of the nasolacrymal canal with Lacrimation of cold tears Dysmenorrhea Amenorrhea Common cold Cough Irritable bowel syndrome Nausea/Vomiting Palpitations Chronic bronchitis Congestive Heart failure Nephrotic syndrome Chronic prostatitis Ulcerative colitis

Glaucoma Abdominal migraine Orchitis Conjunctivitis Acute congestive glaucoma Hypertension Trigeminal neuralgia Meniere’s disease Eclampsia Pyloric spasm Headaches due to increased intracranial pressure Peptic ulcer Bacillary dysentery Chronic nephritis Infertility Urticaria Gastroptosis Hiccup Acid reflux Vertigo with vomiting Parietal headache Gastralgia Influenza Hypothyroidism Stomach cancer Diarrhea Edema Chronic enteritis Prostatic hypertrophy Chronic glomerulonephritis Indigestion

Contraindications And Herb/Drug Interactions

Notes

• Three levels of Cold: Yangming Cold shows as rebellious Qi (vomiting), Jueyin Cold as vertex headache, Shaoyin Cold as vomiting with diarrhea.
• Wu Zhu Yu Tang vs Si Ni Tang: both can show cold limbs, vomiting and diarrhea; Wu Zhu Yu Tang has irritability and severe agitation, whereas Si Ni Tang has a constant desire to sleep.

Modifications

For severe vomiting or morning sickness :		For severe headaches:
+ Rz. Pinellia Preparatum	Zhi Ban Xia	+ Rx. Chuanxiong	Chuan Xiong
+ Fr. Amomi	Sha Ren	+ Rx. Angelica Sinensis	Dang Gui
Or		Or
+ Rz. Pinellia Preparatum	Zhi Ban Xia	+ Rz. and Rx. Ligustici	Gao Ben
+ Fr. Amomi	Sha Ren	+ Rx. Angelicae Dahuricae	Bai Zhi
+ Per. Citri Reticulatae	Chen Pi	+ Rx. Chuanxiong	Chuan Xiong
Or		+ Rx. Angelica Sinensis	Dang Gui
+ Rz. Pinellia Preparatum	Zhi Ban Xia	Or
+ Fr. Amomi	Sha Ren	+ Rx. Chuanxiong	Chuan Xiong
+Poria	Fu Ling	+ Fr. Toosendan	Chuan Lian Zi
For severe Cold:		For hernial disorders due to Cold:
+ Per. Zanthoxyli	Chuan Jiao	+ Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
+ Rz. Zingiberis	Gan Jiang	For Cold Qi generating turbidity with distention:
For acid reflux:		- Rz. Zingiberis Recens	Sheng Jiang
+ Concha Arecae	Wa Leng Zi	- Rx. Ginseng	Ren Shen
+ Endoconcha Sepiae	Hai Piao Xiao	- Fr. Jujube	Da Zao
For palpitations and insomnia:		+ Cx. Cinnamomi	Rou Gui
+ Rx. Angelica Sinensis	Dang Gui	+ Ginger-juice- prepared Rx. Magnoliae Officinalis	Hou Po
+ Poria	Fu Ling	+ Rz. Zingiberis Preparata	Pao Jiang
For vomiting without cold extremities:		+ Per. Zanthoxyli	Chuan Jiao
- Rx Ginseng	Ren Shen	+ Per. Citri Reticulatae	Chen Pi
+ Rx. Codonopsis	Dang Shen	+ Rz. Atractylodis Macrocephalae	Bai Zhu
For abdominal pain:		For abdominal pain with extreme Cold:
+ Rx. Paeoniae Alba	Bai Shao	+ Frigid Extremities Decoction Si Ni Tang
For fullness and distention in the abdomen:		For involuntary salivation, nausea or dry heaves:
+ Fr. Amomi	Sha Ren	+ Rz. Zingiberis	Gan Jiang
+ Rx. Magnoliae Officinalis	Hou Po	+ Cx. Cinnamomi	Rou Gui
For headache::		For irritability with extreme coldness:
+ Fr. Viticis	Man Jing Zi	+ Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
+ Rx. Chuanxiong	Chuan Xiong	+ Hb. Asari	Xi Xin
+ Rx. Angelica Sinensis	Dang Gui	For Lacrimation of cold tears due to Liver and Kidney Cold:
+ Fr. Tribuli	Bai Ji Li	+ Rx. Angelica Sinensis	Dang Gui
For severe epigastric pain:		+ Hb. Asari	Xi Xin
+ Rx. Salviae Miltiorrhizae	Dan Shen	+ Hb. Equiseti Hiemalis	Mu Zei
+ Rx. Aucklandiae	Mu Xiang	For amenorrhea with Wind-Cold Invasion:
For harmonizing the Liver and Spleen:		+ Fol. Perillae	Zi Su Ye
+ Rx. Saposhnikoviae	Fang Feng	+ Hb. Asari	Xi Xin
+ Rx. Aucklandia	Mu Xiang	For vomiting with Dampness:
For vomiting with chest and hypochondriac fullness and pain:		+ Hb. Agastaches	Huo Xiang
+ Hb. Eupatorii	Pei Lan
+ Lignum Aquilariae Resinatum	Chen Xiang	For vomiting with a red tongue and irritability:
+ Rz. Coptidis	Huang Lian
+ Per. Citri Reticulatae Viride	Qing Pi	+ Caulis Bambusae in Taeniam	Zhu Ru
For chronic vomiting with Stomach Yin Deficiency:		For nausea:
+ Calyx Kaki	Shi Di
+ Fr. Amomi	Sha Ren	+ Fr. Aurantii	Zhi Ke
+ Rx. Ophiopogonis	Mai Men Dong	+ Fol. Eriobotryae	Pi Pa Ye
For Meniere's syndrome:		For Meniere's syndrome with cold extremities:
+ Ram. Cinnamomi	Gui Zhi	+ Ram. Cinnamomi	Gui Zhi
For Meniere's syndrome with nausea and vomiting:		+ Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
+ Ram. Cinnamomi	Gui Zhi	For Meniere's syndrome with Qi Deficiency:
+ Rz. Pinelliae Preparatum	Zhi Ban Xia	+ Ram. Cinnamomi	Gui Zhi
+ Rx. Astragali	Huang Qi
For ulcerative colitis with Liver Attacking the Spleen:		For ulcerative colitis with a purple tongue with petechiae and abdominal pain that is worse with pressure:
+ Rx. Bupleuri	Chai Hu
+ Endothelium Corneum Gigeriae Galli	Ji Nei Jin	+ Rz. Chuanxiong	Chuan Xiong
+ Rz. Corydalis	Yan Hu Suo
For ulcerative colitis with Damp-Heat:		For ulcerative colitis with Cold-Damp:
+ Rx. Pulsatillae	Bai Tou Weng	+ Fr. Foeniculi	Xiao Hui Xiang
+ Cx. Fraxini	Qin Pi	+ Poria	Fu Ling
For ulcerative colitis with Spleen and Stomach Deficiency:		For ulcerative colitis with Food Stagnation:
+ Massa Medicata Fermentata	Shen Qu
+ Rz. Dioscoreae	Shan Yao
+ Dry-fried Sm. Lablab	Chao Bai Bian Dou	+ Fr. Crataegi	Shan Zha
For ulcerative colitis with Spleen and Kidney Yang Deficiency:		For ulcerative colitis with Blood Stagnation due to chronic illness:
+ Rx. Morindae Officinalis	Ba Ji Tian	+ Rx. Salviae Miltiorrhizae	Dan Shen
+ Fr. Psoraliae	Bu Gu Zhi	+ Sm. Myristicae	Rou Dou Kou
For hypertension:		+ Charred Rx. Rubiae	Qian Cao Gen
+ 8g Rz. Pinelliae Preparatum	Zhi Ban Xia	+ Charred Pollen Typhae	Pu Huang Tan
+ 10g Poria	Fu Ling	For hypertension with a purple tongue:
+ 10g Poria Pararadicis	Fu Shen	+ 8g Rz. Pinelliae Preparatum	Zhi Ban Xia
+ 10g Rx. Angelicae Dahuricae	Bai Zhi
+ 10g Poria	Fu Ling
+ 10g Pheretima	Di Long	+ 10g Poria Pararadicis	Fu Shen
+ 10g Bombyx Batryticatus	Jiang Can	+ 10g Rx. Angelicae Dahuricae	Bai Zhi
+ 6g Rx. Bupleuri	Chai Hu	+ 10g Pheretima	Di Long
+ 6g Per. Citri Reticulatae Viride	Qing Pi	+ 10g Bombyx Batryticatus	Jiang Can
+ 6g Per. Citri Reticulatae	Chen Pi	+ 6g Rx. Bupleuri	Chai Hu
+ 30g Ram. cum Uncis Uncariae	Gou Teng	+ 6g Per. Citri Reticulatae Viride	Qing Pi
+ 4g Rx. Glycyrrhizae Preparata	Zhi Gan Cao	+ 6g Per. Citri Reticulatae	Chen Pi
For hypertension with tinnitus:		+ 30g Ram. cum Uncis Uncariae	Gou Teng
+ 8g Rz. Pinelliae Preparatum	Zhi Ban Xia
+ 4g Rx. Glycyrrhizae Preparata	Zhi Gan Cao
+ 10g Poria	Fu Ling
+ 10g Poria Pararadicis	Fu Shen	+ 6g Rz. Chuanxiong	Chuan Xiong
+ 10g Rx. Angelicae Dahuricae	Bai Zhi	For hypertension with a greasy tongue coat:
+ 8g Rz. Pinelliae Preparatum	Zhi Ban Xia
+ 10g Pheretima	Di Long
+ 10g Bombyx Batryticatus	Jiang Can	+ 10g Poria	Fu Ling
+ 10g Poria Pararadicis	Fu Shen
+ 6g Rx. Bupleuri	Chai Hu	+ 10g Rx. Angelicae Dahuricae	Bai Zhi
+ 6g Per. Citri Reticulatae Viride	Qing Pi	+ 10g Pheretima	Di Long
+ 10g Bombyx Batryticatus	Jiang Can
+ 6g Per. Citri Reticulatae	Chen Pi
+ 6g Rx. Bupleuri	Chai Hu
+ 30g Ram. cum Uncis Uncariae	Gou Teng	+ 6g Per. Citri Reticulatae Viride	Qing Pi
+ 6g Per. Citri Reticulatae	Chen Pi
+ 4g Rx. Glycyrrhizae Preparata	Zhi Gan Cao
+ 30g Ram. cum Uncis Uncariae	Gou Teng
+ 6g Rz. Chuanxiong	Chuan Xiong
+ 5g Periostracum Cicadae	Chan Tui	+ 4g Rx. Glycyrrhizae Preparata	Zhi Gan Cao
For severe Kidney Yang Deficiency with "Water Toxin":		+ 6g Rz. Chuanxiong	Chuan Xiong
+ 3g. Fr. Amomi	Sha Ren
+ Prepared Aconite Pill to Regulate the Middle Fu Zi Li Zhong Wan		+ 3g Fr. Amomi Rotundus	Bai Dou Kou
+ 15g Sm. Plantaginis	Che Qian Zi	- Fr. Jujube	Da Zao
+ 6g Caulis Akebiae	Mu Tong	For migraine headaches with severe vomiting:
+ 6g Rx. et Rz. Rhei	Da Huang	+ 15g Rz. Pinelliae Preparatum	Zhi Ban Xia
For severe migraine headaches:
+ 15g Rx. et Rz. Ligustici	Gao Ben	+ 15g Per. Citri Reticulatae	Chen Pi
+ 15g Rz. Chuanxiong	Chuan Xiong
+ 15g Rx. Angelicae Dahuricae	Bai Zhi	+ 15g Fr. Amomi	Sha Ren
For one-sided headaches:
+ 9g Rx. Angelicae Sinensis	Dang Gui	- Fr. Jujube	Da Zao
+ 9g Rz. Pinelliae Preparatum	Zhi Ban Xia
+ 6g Per. Citri Reticulatae	Chen Pi
+9g Rz. Atractylodis Macrocephalae	Bai Zhu
+ 6g Poria	Fu Ling
+ 3g Rz. Typhonii Preparatum	Zhi Bai Fu Zi
+ 3g Rx. Glycyrrhizae	Gan Cao