Herb Formulas Notebook

Wu Mei Wan

(Mume Pill)

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Source: Discussion of Cold Damage (c. 220)
Author: Zhang Ji (Zhong-Jing)

Category: Formulas that Expel Parasites

Pattern: Heat in the Stomach and Cold in the Intestines, inversion due to Roundworms

Key Symptoms: Intermittent attacks of abdominal pain, a stifling sensation with irritability and warmth in the chest and epigastrium, vomiting after eating, cold hands and feet
Secondary Symptoms: Unquenchable thirst, Qi rushing upwards to the chest, pain and heat in the epigastrium, incessant diarrhoea, discharge of small amounts of pus, abdominal pain that responds favourably to heat and pressure, borborygmus, roundworms

Tongue: Red body, white coat
Pulse: Frail
Abdomen: Tight in lower abdomen that responds favourably to pressure

Wu Mei 24-30g
Hua Jiao 1.5-3g
Xi Xin 1.5-3g
Huang Lian 9-12g
Huang Bai 6-9g
Gan Jiang 6-9g
Zhi Fu Zi 3-6g
Gui Zhi 3-6g
Ren Shen 6-9g
Dang Gui 3-9g

In the UK Xi Xin and Fu Zi have to be substituted. Standard suggestions for do not seem to fit very well and are often already in the formula (e.g. Gan Jiang and Gui Zhi) making the best solution to increase the dosages of these up to the maximum and adding Zi Su Ye for its actions on vomiting, fullness the middle Jiao and releasing the exterior.

Preparation: Originally Wu Mei is steeped in vinegar, pit and mash and cook with rice until the rice is done, add the remaining the ingredients and grind into a powder, then form into small pills with honey. Take 10 pills 3x a day before meals.
At present Wu Mei is soaked in a 50/50 vinegar water mixture, pitted, mashed and mixed with the other ingredients, dried, ground into powder and formed into pills with honey. 9g are taken with warm water 1-3 times per day on an empty stomach.

Actions: Warms the Yin organs, drains Heat, calms roundworms, drains the Liver, calms the Stomach

Contraindications: Explosive diarrhoea, Damp-Heat dysenteric disorders

Reference Notes: (click to display)

These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.