HERB FORMULAS

WU JI SAN - 五积散 - FIVE-ACCUMULATION POWDER

English: Five-Accumulation Powder
Also Known As: Dang Gui and Magnolia Formula

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Hb. Ephedrae Ma Huang 1.5-18g Induces sweating, releases the exterior, disseminates and facilitates Lung Qi, calms wheezing, stops coughing, promotes urination and reduces edema.
Rx. Angelicae Dahuricae Bai Zhi 1.5-9g Expels Wind, eliminates Dampness, unblocks the nasal passages, dispels Cold and alleviates pain.
With Chuan Xiong, for headache. With Gan Cao, for ulcer pain and Stomach ache.
Rz. Zingiberis Gan Jiang 1.5-12g Warms the Middle, expels Cold, dispels Wind-Dampness seeping into the Lower Jiao, warms the Lungs and transforms thin mucus.
With Zhi Ban Xia, for vomiting of saliva or dry heaves due to Cold-induced congested fluids.
With Gan Cao, for epigastric pain and vomiting due to Spleen and Stomach Deficiency Cold.
With Hou Po, for epigastric distention and pain due to Cold-induced congested fluids.
Cx. Cinnamomi Rou Gui 1.5-9g Warms the Kidneys, Spleen and Heart, strengthens the Yang and Ming Men Fire, disperses deep Cold, warms and unblocks the channels and vessels and alleviates pain.
Rz. Atractylodis Cang Zhu 3-60g Strongly dries Dampness, tonifies the Spleen, induces sweating, expels Wind-Dampness and clears Dampness from the Lower Jiao.
With Hou Po, for Dampness obstructing Spleen Yang with epigastric fullness, abdominal and epigastric distention, nausea, vomiting, anorexia, loss of taste and a thick, greasy tongue coat.
With Hou Po and Chen Pi, for epigastric fullness, fatigue and discomfort, anorexia, vomiting and/or diarrhea with a turbid, greasy tongue due to Dampness Obstructing the Middle Jiao.
With Xiang Fu, for chest, epigastric and abdominal pain, distention and discomfort due to Dampness and Qi Obstruction.
With Da Zao, for chronic accumulation of Dampness in the Spleen with hypochondriac pain, acid reflux and anorexia.
Cx. Magnoliae Officinalis Hou Po 1.5-12g Promotes the movement of Qi in the Middle Jiao, resolves Stagnation, resolves Food Stagnation, promotes the movement of Qi downward, dries Dampness, transforms Phlegm, descends Rebellious Qi and calms wheezing.
With Zhi Ke, for abdominal distention due to Qi and Food Stagnation.
With Xiang Fu and Chen Pi, for epigastric and abdominal bloating due to Dampness Obstructing the Qi.
With Cang Zhu, for dampness obstructing Spleen Yang with epigastric fullness, abdominal and epigastric distention, nausea, vomiting, anorexia, loss of taste and a thick, greasy tongue coat.
With Cang Zhu and Chen Pi, for Stomach Excess with epigastric fullness and distention, acid regurgitation, distasteful belching, and nausea and vomiting and Dampness Accumulation with Qi Stagnation.
With Gan Jiang, for acute diarrhea from Cold attacking the Middle.
Per. Citri Reticulatae Chen Pi 3-18g Regulates Qi, adjusts the Middle, relieves the diaphragm, dries Dampness, transforms Phlegm and Descends Qi.
With Sheng Jiang, for vomiting and hiccups due to Disharmony of the Stomach Qi and Cold-Dampness Obstructing the Middle with nausea and hiccup.
With Zhi Ban Xia, for a stifling sensation in the chest and cough with excessive white, viscous sputum due to Phlegm-Damp Obstruction.
With Zhi Ban Xia, Fu ling and Hou Po, enhances the Phlegm transforming, Spleen strengthening properties.
With Cang Zhu and Fu Ling, for a thick white tongue coat with no desire to drinks.
With Zhi Ban Xia and Fu Ling, for cough due to accumulation of Dampness and Phlegm.
Rz. Pinelliae Preparatum Zhi Ban Xia 3-9g Dries Dampness, transforms Phlegm, descends Rebellious Qi, stops vomiting, dissipates nodules and reduces Stagnation.
With Chen Pi, for epigastric and abdominal distention or pain due to disharmony of the Stomach Qi.
With Fu Ling,expels Phlegm and stops nausea and vomiting, hiccups, coughs with clear, profuse Phlegm and loose and watery stools.
With Sheng Jiang, for vomiting due to Cold, thin mucus.
With Hou Po, for Phlegm-induced cough, vomiting, and epigastric and abdominal distention, Phlegm-Dampness with Qi Stagnation to open Phlegm and Qi Obstruction with a sensation of fullness in the chest with coughing and wheezing, nausea, vomiting and a sensation of distention in the hypochondrium and Plum-pit Qi Stagnation.
Poria Fu Ling 3-9g Promotes urination, leaches out Dampness, strengthens the Spleen and transforms Phlegm.
With Zhi Ban Xia and Chen Pi, for nausea, vomiting, chest fullness and distention and anorexia due to congested fluids.
With Zhi Ban Xia, Chen Pi and Fu Ling, for congested fluids in the Stomach causing nausea and vomiting.
With Gan Cao, for Spleen and Heart Deficiency causing facial edema, palpitations, and shortness of breath.
Rx. Platycodi Jie Geng 3-60g Opens the Lungs, spreads Lung Qi, expels Phlegm, benefits the throat and expels pus.
With Gan Cao, disseminates Lung Qi, expels Phlegm, resolves toxicity, and expels pus for productive cough with hoarseness, pain and swelling of the throat due to Wind-Heat and Lung abscess with expectoration of pus and pain in the chest and flanks.
With Zhi Ban Xia, for cough due to Wind-Cold Invasion or long-standing Phlegm-Dampness.
With Bai Zhi, for ulcerated abscess where pus is being discharged slowly.
Fr. Aurantii Zhi Ke 1.5-9g Promotes the movement of Qi, reduces distention and pressure, resolves hardenings and removes stagnated food.
With Jie Geng, regulates the flow of Qi in the chest and aids in the transformation of Phlegm for chest congestion.
Rx. Paeoniae Alba Bai Shao 1.5-9g Nourishes the Blood, regulates menstruation, astringes Yin, adjusts the Ying and Wei, calms Liver Yang and Liver Wind, alleviates pain softens the Liver and relieves pain.
With Dang Gui, nourishes Yin and Blood.
Rx. Angelicae Sinensis Dang Gui 1.5-9g Tonifies Blood, regulates the menses, invigorates and harmonizes the Blood, disperses Cold, stops pain due to Blood Stasis, moistens the Intestines, unblocks the bowels, reduces swelling, expels pus, generates flesh and alleviates pain.
With Chen Pi, Zhi Ban Xia, Fu Ling and Gan Cao, for coughing during the night, dyspnea, profuse and salty-tasting sputum due to Kidney and Lung Yin Deficiency.
With Chen Pi and Zhi Ban Xia, for Lung and Kidney Yin Deficiency with overflowing water turning to Phlegm, with cough, wheezing, nausea marked by profuse, salty sputum.
With Chen Pi, Zhi Ban Xia and Fu Ling, for coughing attacks at night.
With Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis for abdominal pain.
With Xiang Fu, tonifies Blood and moves Qi, for premenstrual symptoms, menstrual pain and irregular menstruation.
Rz. Chuanxiong Chuan Xiong 1.5-9g Invigorates the Blood, promotes the movement of Qi, expels Wind and alleviates pain.
With Xiang Fu, for Qi Stagnation combined with Blood Stasis.
With Dang Gui, for Blood Deficiency causing menstrual problems including dysmenorrhea, scanty menses, and amenorrhea and Wind-Damp Invasion blocking the Blood vessels causing pain, numbness, and paralysis.
With Rou Gui, for irregular menstruation with Cold in the Blood.
Rz. Cyperi Xiang Fu 1.5-6g Spreads and regulates Liver Qi, regulates menstruation and alleviates pain.
With Cang Zhu, for indigestion, pain and distention in the flanks and abdomen, nausea, vomiting, and acid regurgitation.
With Dang Gui and Xiang Fu, for irregular menses and dysmenorrhea due to Qi and Blood Stasis.
Rx. Glycyrrhizae Gan Cao 1.5-9g Moderates and harmonizes the harsh properties of other herbs.
Rz. Zingiberis Recens Sheng Jiang 1.5-3g Releases the Exterior, induces perspiration, disperses Cold, warms the Middle, stops vomiting, warms the Lungs, stops cough, adjusts the Ying and Wei, normalizes the flow of Qi at the center and reduces the toxicity of other herbs.
With Da Zao, for External Wind-Cold. Alleviates epigastric pain, nausea, and vomiting by strengthening the Spleen, adjusts the Ying and Wei for treatment of Tai Yang Zhong Feng and prevents Phlegm accumulation.
Fr. Jujube Da Zao 1.5-3g Moderates and harmonizes the harsh properties of other herbs.

FORMULA ACTIONS

  • Releases the Exterior
  • Warms the Interior
  • Smooths the flow of Qi
  • Transforms Phlegm
  • Invigorates the Blood
  • Reduces Accumulations
  • Regulates Qi and Blood

SYNDROMES

  • Wind-Cold Invasion with Internal injury due to Cold
  • Menstrual irregularity and painful menstruation due to Cold congealing the vessels and collaterals
  • Qi Stagnation
  • Blood Stagnation
  • Cold Stagnation
  • Phlegm Stagnation
  • Food Stagnation
  • Phlegm-Damp Retention

CLINICAL MANIFESTATIONS

  • Fever and chills without sweat
  • Headache
  • Body aches
  • Stiff neck and back
  • Abdominal pain and Cold
  • Diarrhea with borborygmus
  • A sensation of fullness in the chest and abdomen
  • May be Cold in the lower body with Heat in the upper body
  • Aching at the waist
  • Anhidrosis
  • Loose stools
  • Sciatica
  • Nausea
  • Abdominal distention
  • Borborygmus
  • An aversion to food
  • Vomiting
  • Cold-type epigastric and abdominal pain
  • Menstrual irregularity
  • Dysmenorrhea
  • T: Normal
  • C: White and greasy
  • P: Deep and wiry or Superficial and slow

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Damp-Heat.
  • Contraindicated for those with Yin Deficiency.
HERB/DRUG INTERACTIONS

NOTES

  • This formula treats disorders associated with the five types of accumulations: Cold, Dampness, Qi, Blood and Phlegm.

MODIFICATIONS

For more acute Exterior Cold: For Deficiency Exterior disorders with sweating:
- Cx. Cinnamomi Rou Gui - Rx. Ephedrae Ma Huang
+ Ram. Cinnamomi Gui Zhi - Rz. Atractylodis Cang Zhu
For Qi Deficiency with weakness:
For severe Cold with intense abdominal pain:
- Fr. Aurantii Zhi Ke + Fr. Evodiae Wu Zhu Yu
- Per. Citri Reticulatae Chen Pi
For irregular menstruation with epigastric and abdominal pain due to Cold:
+ Rx. Ginseng Ren Shen - Rx. Ephedrae Ma Huang
+ Rz. Atractylodis Macrocephalae Bai Zhu - Rx. Angelicae Dahuricae Bai Zhi
For abdominal pain due to food Stagnation after meals:
+ Rz. Cyperi Xiang Fu
+ Fr. Crataegi Shan Zha + Rz. Corydalis Yan Hu Suo
+ Fr. Hordei Germinatus Mai Ya + Fol. Artemisiae Argyi Ai Ye
For numbness and pain:
For headache due to wind-Cold:
+ Rz. et Rx. Notopterygii Qiang Huo + Rz. Cimicifugae Sheng Ma
+ Rx. Angelicae Pubescentis Bai Zhi + Rx. Puerariae Ge Gen
+ Rx. Saposhnikoviae Fang Feng
For pain in the entire body:
For cough:
+ Olibanum Ru Xiang
+ Cx. Mori Sang Bai Pi + Myrrh Mo Yao
+ Sm. Armeniacae Xing Ren + Rx. Hb. cum Rx. Asari Xi Xin
For low back pain:
For edema of the legs:
+ Rx. Achyranthis Bidentatae Niu Xi + Cx. Acanthopanacis Wu Jia Pi
+ Cx. Eucommiae Du Zhong + Per. Arecae Da Fu Pi
+ Fr. Foeniculi Xiao Hui Xiang
For spasms of the hands and feet:
For painful menstruation:
+ Fr. Chaenomelis Mu Gua
+ Rz. Cyperi Xiang Fu + Rx. Achyranthis Bidentatae Niu Xi
+ Rz. Corydalis Yan Hu Suo
For dry heaves from Stomach Qi Rebellion:
+ Rx. Salviae Miltiorrhizae Dan Shen + Fr. Evodiae Wu Zhu Yu
For Lin syndrome in women:
+ Rx. Ginseng Ren Shen
+ Caul. Akebiae Mu Tong + Rz. Atractylodis Macrocephalae Bai Zhu
+ Sm. Plantaginis Che Qian Zi + Rz. Cyperi Xiang Fu
For soft, localized masses in the abdomen due to a Wind-Cold Invasion with Qi and Blood Stagnation:
+ Fr. Amomi Sha Ren
+ Sm. Arecae Bing Lang
For a lack of Wind-Cold Invasion:
For Blood Stasis: - Rx. Ephedrae Ma Huang
+ Sm. Persicae Tao Ren - Rx. Angelicae Dahuricae Bai Zhi
+ Flos Carthami Hong Hua
For abdominal distention:
+ Rx. Paeoniae Rubra Chi Shao - Rx. Angelicae Dahuricae Bai Zhi
+ Squama Manitis Chuan Shan Jia
+ Sp. Gleditsiae Zao Jiao Ci - Cx. Cinnamomi Rou Gui
+ Major Invigorate the Collaterals Special Pill
Da Hu Luo Dan
 + 9-12g Ram. Cinnamomi Gui Zhi
For abdominal distention with Wind-Cold:
- Rz. Pinelliae Preparatum Zhi Ban Xia
- Rx. Angelicae Dahuricae Bai Zhi
- Rx. Angelicae Sinensis Dang Gui
- Cx. Cinnamomi Rou Gui - Rz. Chuanxiong Chuan Xiong
+ 9-12g Ram. Cinnamomi Gui Zhi - Rx. Glycyrrhizae Gan Cao
+ 18-30g Rx. Astragali Huang Qi
- Rz. Pinelliae Preparatum Zhi Ban Xia + 9-12g Sm. Armeniacae Xing Ren
For abdominal distention with severe dizziness:
- Rx. Angelicae Sinensis Dang Gui - Rx. Angelicae Dahuricae Bai Zhi
- Rz. Chuanxiong Chuan Xiong
- Rx. Glycyrrhizae Gan Cao - Cx. Cinnamomi Rou Gui
+ 18-30g Rx. Astragali Huang Qi + 9-12g Ram. Cinnamomi Gui Zhi
+ 9-12g Sm. Armeniacae Xing Ren
+ Hb. cum Radice Hb. cum Rx. Asari Xi Xin - Rz. Pinelliae Preparatum Zhi Ban Xia
For abdominal distention with copious Phlegm:
- Rx. Angelicae Dahuricae Bai Zhi - Rx. Angelicae Sinensis Dang Gui
- Rz. Chuanxiong Chuan Xiong
- Cx. Cinnamomi Rou Gui - Rx. Glycyrrhizae Gan Cao
+ 9-12g Ram. Cinnamomi Gui Zhi + 18-30g Rx. Astragali Huang Qi
+ 9-12g Sm. Armeniacae Xing Ren
- Rx. Angelicae Sinensis Dang Gui + 6-9g Sm. Sinapis Bai Jie Zi
- Rz. Chuanxiong Chuan Xiong + 6-9g Fr. Perillae Zi Su Zi
- Rx. Glycyrrhizae Gan Cao + 6-9g Sm. Raphani Lai Fu Zi
+ 18-30g Rx. Astragali Huang Qi
For abdominal distention with fullness in the chest and nausea:
+ 9-12g Sm. Armeniacae Xing Ren
+ 9g Fr. Perillae Zi Su Zi - Rx. Angelicae Dahuricae Bai Zhi
For abdominal distention with severe Lung Qi Deficiency:
- Cx. Cinnamomi Rou Gui
- Rx. Angelicae Dahuricae Bai Zhi + 9-12g Ram. Cinnamomi Gui Zhi
- Cx. Cinnamomi Rou Gui - Rx. Angelicae Sinensis Dang Gui
+ 9-12g Ram. Cinnamomi Gui Zhi - Rz. Chuanxiong Chuan Xiong
- Rx. Glycyrrhizae Gan Cao
- Rz. Pinelliae Preparatum Zhi Ban Xia + 18-30g Rx. Astragali Huang Qi
+ 9-12g Sm. Armeniacae Xing Ren
- Rx. Angelicae Sinensis Dang Gui + 9-12g Fol. Perillae Zi Su Ye
- Rz. Chuanxiong Chuan Xiong
For abdominal distention with sluggish stools:
- Rx. Glycyrrhizae Gan Cao - Rx. Angelicae Dahuricae Bai Zhi
+ 18-30g Rx. Astragali Huang Qi
+ 9-12g Sm. Armeniacae Xing Ren - Cx. Cinnamomi Rou Gui
+ 15-24g Rx. Codonopsis Dang Shen + 9-12g Ram. Cinnamomi Gui Zhi
For low back pain:
- Rz. Pinelliae Preparatum Zhi Ban Xia
- Rz. Zingiberis Gan Jiang
- Cx. Cinnamomi Rou Gui - Rx. Angelicae Sinensis Dang Gui
- Per. Citri Reticulatae Chen Pi - Rz. Chuanxiong Chuan Xiong
- Rz. Pinelliae Preparatum Zhi Ban Xia - Rx. Glycyrrhizae Gan Cao
+ 18-30g Rx. Astragali Huang Qi
- Rx. Platycodi Jie Geng + 9-12g Sm. Armeniacae Xing Ren
- Rz. Cyperi Xiang Fu + 9-12g Sm. Arecae Bing Lang
- Rx. Glycyrrhizae Gan Cao
For candidiasis:
- Fr. Jujube Da Zao + Fr. Foeniculi Xiao Hi Xiang
or
 + Fr. Corni Shan Zhu Yu
+ 1.5g Fr. Evodiae Wu Zhu Yu    
+ 3g Cx. Eucommiae Du Zhong