top of page

Wu Zhu Yu Tang: a traditional Chinese medicine prescription that warms the middle and replenishes deficiency, relieves adverse reactions and stops vomiting

Writer's picture: Hongji MedicalHongji Medical

Wu Zhu Yu Tang, also known as Evodia Decoction, is a traditional Chinese medicine prescription from Shanghan Lun, which belongs to the category of warming internal organs. This prescription is mainly used to treat various symptoms caused by liver and stomach deficiency and cold, and turbid yin upward reversal. It has the effects of warming the middle and replenishing deficiency, lowering reversal and stopping vomiting. This article will introduce in detail the composition, usage, efficacy, main symptoms and modern application of Wuzhuyu Tang, and explore its method of combining diet therapy with auxiliary treatment.


Prescription composition and usage


The composition of Wuzhuyu Soup is as follows:

  • 1 liter of Cornus officinalis washed (9g)

  • Three ounces of ginseng

  • 60g ginger

  • 12 jujubes


Usage: Boil the above four herbs with seven liters of water and take out two liters, remove the residue, take seven he of the warm liquid three times a day (modern usage: decocted in water).


Dogwood Soup
吳茱萸湯

Efficacy and Indications


The main effects of Wu Zhu Yu Tang are to warm the middle and replenish deficiency, relieve nausea and stop vomiting. Its main symptoms include:

  • Deficiency and coldness of the liver and stomach, turbid yin rising syndrome

  • Feeling nauseous after eating, or vomiting acid, or dry vomiting, or vomiting clear saliva and cold foam

  • Chest fullness, abdominal pain, headache, chills and cold limbs

  • In severe cases, the patient may experience cold hands and feet, loose stools, and irritability.

  • Pale tongue with white and slippery coating, deep and stringy or slow pulse



Pathogenesis Analysis


Wu Zhu Yu Tang is mainly used to treat liver and stomach deficiency and coldness and turbid yin. When the liver and stomach are deficient and cold, the function of the stomach will be affected, making it difficult to digest food normally, causing nausea, vomiting acid, dry belching or spitting out cold saliva.


The liver meridian is connected to the stomach meridian. The liver meridian goes up to the top of the head. When the turbid qi in the stomach goes up to the head along the liver meridian, it will cause pain in the top of the head. When the turbid qi is blocked in the body, it will affect the flow of qi and cause bloating and pain in the chest and stomach.


Deficiency of the liver and stomach can also lead to insufficient yang energy, making people feel cold and their limbs cold. The spleen and stomach are both in the middle part of the body, so stomach problems can affect the spleen, and dysfunction of the spleen can lead to diarrhea.


Pale tongue, white and slippery tongue coating, deep and slow pulse are all manifestations of deficiency and cold. Treatment requires warming the middle jiao, replenishing the deficiency, suppressing the reverse qi, and stopping vomiting.


Dogwood Soup
吳茱萸湯

Prescription explanation


The main ingredients of Wu Zhu Yu Tang are Wuzhuyu, ginseng, ginger and jujube. Each of these ingredients has its own unique effects, and they work together to achieve the effects of warming the middle and replenishing deficiency, and relieving nausea and vomiting.


  1. Cornus officinalis : Cornus officinalis is the main herb in this prescription. It is pungent and hot in nature, and mainly acts on the liver, kidney, spleen, and stomach meridians. It can warm the stomach and inhibit vomiting. It can also warm the liver to reduce reverse qi and warm the kidneys to stop diarrhea. These properties of Cornus officinalis make it an ideal choice for treating liver and stomach deficiency and cold, and turbid yin upward reversal.

  2. Ginseng : Ginseng plays a role in replenishing qi in this prescription. It can replenish the body's vital energy, balance the heat of dogwood, and has the effects of strengthening the spleen, promoting body fluid, and calming the mind. The addition of ginseng can not only enhance the body's positive energy, but also relieve the irritability caused by vomiting.

  3. Ginger : Ginger in Wuzhuyu Decoction has a warming and relieving effect. It warms the stomach, inhibits vomiting, and helps Wuzhuyu dispel cold and reduce adverse effects. The spicy properties of ginger make it a powerful warming and cold-relieving herb, especially suitable for vomiting caused by stomach cold.

  4. Jujube : Jujube plays a role in moderating the medicinal properties of this prescription. It can moderate the pungent and dry properties of dogwood and ginger, while helping ginseng to exert its nourishing and invigorating effects. The sweet and mild properties of jujube make it an ideal blending herb that can balance the medicinal properties of the entire prescription.


Dogwood Soup
吳茱萸湯

Modern Applications


Wu Zhu Yu Tang has a wide range of applications in modern medicine, and is particularly suitable for treating various stomach problems and nervous system disorders. For example, it can effectively relieve the symptoms of chronic gastritis and acute and chronic gastritis, and suppress vomiting and stomach pain by warming the stomach. Wuzhuyu Decoction can also play a good role in vomiting during pregnancy, because it can warm the stomach and reduce vomiting caused by stomach cold.


In addition, Wu Zhu Yu Tang can also help relieve neurotic vomiting and neurotic headaches by regulating the nervous system to inhibit vomiting and relieve headaches.


In addition to stomach and nervous system problems, Wuzhuyu Decoction can also be used to treat a variety of other diseases. For example, it can relieve ototoxic vertigo and migraines, and reduce symptoms by inhibiting vomiting and regulating the blood vessels and nervous system.


For Meniere's disease, Wu Zhu Yu Tang is also effective in relieving dizziness and vomiting. In addition, it can help patients with peptic ulcers by warming the stomach to relieve stomach pain and vomiting.


Wu Zhu Yu Tang can also relieve symptoms of gastroesophageal reflux, high blood pressure, stomach pain, heartburn, chest tightness, hiccups, dysphagia and certain eye diseases such as glaucoma by regulating the qi and nervous system.




Diet therapy combined with adjunctive therapy


When using Wu Zhu Yu Tang for treatment, taking appropriate dietary therapy can enhance the efficacy. Here are some recommended dietary therapy methods:

  1. Ginger and jujube tea : Boil ginger and jujube in water. It has the effect of warming the middle and dispelling cold, replenishing qi and strengthening the spleen. It is suitable for use with dogwood soup.

  2. Red Date Porridge : Red dates and glutinous rice cooked into porridge has the effect of nourishing the middle and replenishing qi, strengthening the spleen and nourishing the stomach. It is suitable for people with spleen and stomach deficiency and coldness.

  3. Ginger sugar drink : Slice ginger, add brown sugar and boil water. It has the effect of warming the middle and dispelling cold, harmonizing the stomach and stopping vomiting. It is suitable for people with cold stomach and vomiting.

  4. Ginseng Chicken Soup : Ginseng and chicken soup has the effect of replenishing qi, strengthening the spleen and nourishing the body. It is suitable for people with weak constitution.


Notes


When using Wuzhuyu Decoction, please note the following:

  • This prescription is contraindicated for use in patients with vomiting due to stomach heat, vomiting due to yin deficiency, or headache due to hyperactivity of liver yang.

  • Avoid spicy, greasy, raw or cold food during the period of taking the medicine to avoid affecting the efficacy.

  • If any discomfort occurs, stop taking the medicine immediately and consult a doctor.


Research and modern verification


On January 10, 2022, a research team led by Professor Gong Muxin of Capital Medical University published a study in Phytomedicine, pointing out that Wu Zhu Yu Tang can improve the pain sensitization of chronic migraine by regulating central and peripheral 5-hydroxytryptamine (5-HT). The study found that Wu Zhu Yu Tang can not only increase the 5-HT in the central nervous system, but also promote the synthesis and release of 5-HT into the blood, thereby indirectly reducing the release of calcitonin gene-related peptide (CGRP) and inhibiting the pain sensitization of chronic migraine.




Conclusion


Wu Zhu Yu Tang is a traditional Chinese medicine with a long history. It is mainly used to treat various symptoms caused by liver and stomach deficiency and cold, and turbid yin. Its main ingredients include Wuzhuyu, ginseng, ginger and jujube, which have the effects of warming the middle and replenishing deficiency, and reducing adverse qi and stopping vomiting.


Modern research has also confirmed its effectiveness in treating chronic migraines and other diseases. When using Wuzhuyu Decoction for treatment, appropriate diet therapy can enhance the efficacy, but be careful to avoid eating spicy, greasy, raw and cold foods, and stop taking the medicine immediately and consult a doctor when any discomfort occurs.


I hope this article can help readers better understand the efficacy and application of Wuzhuyu Decoction and use this traditional Chinese medicine prescription correctly when needed.

0 views
bottom of page