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Mume Pill

Mume PillFormula Image

Mume Pill
DeputyZe Xie
    • promotes urination
    • drains dampness
Guide alcohol-dampness out through the urine.
ChiefWu Mei
    • calms roundworms with its sour flavor
    • relieves pain as the roundworms relax
DeputyHua Jiao
    • promote urination
    • regulate water and drain dampness to arrest diarrhea
DeputyXi Xin
    • promote urination
    • regulate water and drain dampness to arrest diarrhea
DeputyHuang Lian
    • subdue roundworms with acrid flavor
    • dispel cold with warmth
DeputyHuang Bai
    • subdue roundworms with acrid flavor
    • dispel cold with warmth
AssistantFu Zi
    • warm the zang-organs
    • dispel cold with heat
    • subdue roundworms with acridity
AssistantGui Zhi
    • warm the zang-organs
    • dispel cold with heat
    • subdue roundworms with acridity
AssistantGan Jiang
    • warm the zang-organs
    • dispel cold with heat
    • subdue roundworms with acridity
AssistantDang Gui
    • supplement and nourish the qi and blood
    • nourish blood
    • dredge vessels together with gui zhi
AssistantRen Shen
    • supplement and nourish the qi and blood
    • nourish blood
    • dredge vessels together with gui zhi
EnvoyFeng Mi
    • harmonizes the center with sweet flavor

Mume PillPrescription Information

Name
Mume Pill
Chinese Name

乌梅丸

Classification

Vermifuge formulas

Combination
Mume Fructus (Wu Mei) 300 pieces (480g), Asari Radix et Rhizoma (Xi Xin) 6 liang (180g), Zingiberis Rhizoma (Gan Jiang) 10 liang (300g), Coptidis Rhizoma (Huang Lian) 16 liang (480g), Angelicae Sinensis Radix (Dang Gui) 4 liang (120g), Aconiti Lateralis Radix Praeparata(Zhi Fu Zi) 6 liang (180g), Zanthoxyli Pericarpium (Hua Jiao) 4 liang (120g), Cinnamomi Ramulus(Gui Zhi) 6 liang (3g), Ginseng Radix et Rhizoma(Ren Shen) 6 liang (180g), Phellodendri Chinensis Cortex (Huang Bai) 6 liang (180g)
Method
Steep the wu mei in vinegar overnight. After steeping, remove the kernel and mash it up. Mix all of the ingredients together and dry them. Once dry, grind the mixture into powder and make pills with honey. Take one 9g dose two or three times daily on an empty stomach with warm water.
Action
Calms roundworms and relieves pain.
Indication
Wu Mei Wan is used for syncope due to roundworms. The symptoms include paroxysmal pain of the abdomen and stomach cavity, vexatious vomiting, vomiting after eating, vomiting roundworms, cold limbs, and chronic diarrhea or dysentery.
Pathogenesis
The pattern of syncope due to roundworms that Wu Mei Wan treats is caused by a complicated condition referred to as cold and heat in complexity. When there is deficiency cold in the intestines, roundworms become restless and begin to migrate upwards in search of warmth. Roundworms prefer warmth and have an aversion to cold; hence the saying, “roundworms are restless with cold and relaxed with warmth”. They live in the intestines, drill into tissues and harass the upper body. Therefore, cold and heat in complexity may cause roundworms to become restless and lead to paroxysmal pain in the abdomen and stomach cavity, vexatious vomiting and vomiting of roundworms. The pain is intermittent because symptoms appear when the roundworms become restless and disappear when they are relaxed. Severe pain typically results in counterflow and disordered qi movement leading to poor communication between the yang and yin, cold limbs and syncope. The cold and heat in complexity and deficiency of zheng qi also leads to chronic diarrhea and dysentery.
Application
1. Essential pattern differentiation Wu Mei Wan serves as both a common and representative formula applicable for syncope due to roundworms and the condition of cold and heat in complexity. This clinical pattern is marked by paroxysmal abdominal pain, vexatious vomiting, vomiting of roundworms, cold limbs. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of cold and heat in complexity, and deficiency of qi and blood: biliary ascariasis, intestinal ascariasis, chronic bacillary dysentery, chronic gastroenteritis, and colitis. 3. Cautions and contraindications This formula should be applied for excessive cold patterns because it is predominantly warm. Avoid raw, cold and malodorous food during the course of treatment.
Additonal formulae
1. Li Zhong An Hui Tang (Center-Regulating and Ascaris-Calming Decoction 理中安蛔湯)
Remark
Ginseng ( Panax ginseng ) is listed in the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) Appendix II. Its trade is allowed but subject to licensing controls.
Source
《Treatise on Cold Damage》Shang Han Lun《傷寒論》

Mume PillFormulation composition herbal medicine

Manchurian Wildginger Herb

Manchurian Wildginger Herb

Asari Radix et Rhizoma
Functions：Resolvers exterior, disperses cold, dispels wind, stops pain, warms lung, transforms fluids, frees nose. Apply to exterior disease induced by pathogenic wind-cold, headache, toothache, wind-damp impediment, dyspnea with cough due to phlegm and retained fluids, nasal obstruction, rhinorrhea with turbid discharge, mouth sore.
Smoked Plum

Smoked Plum

Mume Fructus
Functions：Astringes lung, astringes intestines, engenders fluid, calms worms. Apply to pulmondeficiency due to long term cough, lingering dysentery and diarrhea, asthenic fever and diabetes, vomiting and abdominal pain due to ascariasis, ascariasis of creeping figary tract.
Ginseng Root

Ginseng Root

Ginseng Radix et Rhizoma
Functions：Greatly supplements original qi, restores the pulse, secures desertion, supplements the spleen, benefits the lung, engenders body fluids, stops thirst, quiets the spirit, promotes intelligence. Apply to complete exhaustion due to physical weakness, cold limbs and weak pulse, poor appetite due to splenic deficiency, coughing with asthma due to pulmondeficiency, hydrodipsia due to depletion of body fluids, feverish dysphoria and diabetes, deficiency and weakness due to invalidism, palpitation and insomnia, impotence and uterus cold, cardiac failure, cardiogenic shock.
Chinese Goldthread Rhizome

Chinese Goldthread Rhizome

Coptidis Rhizoma
Functions：Clears heat, dries dampness, drains fire, resolves toxin. Damp-heat distention and fullness, vomiting and acid regurgitation, diarrhea, jaundice, dizziness with high fever, excess of heart fire, insomnia due to vexation, haematemesis and epistaxis due to blood heat, red eye, toothache, diabetes, abscess, sore and boil swelling, externally used to eczema, ear pus.
Amur Corktree Bark

Amur Corktree Bark

Phellodendri Chinensis Cortex
Functions：Clears heat, dried dampness, drains fire, eliminates steaming, resolves toxin, treats sore. Apply to dysentery due to damp-heat pathogen, jaundice, leukorrhea, pyretic stranguria, beriberi, osteopyrexia, night sweat, emissions, burns and scalds and swelling, eczema and pruritus.
Bunge Pricklyath Pericarp

Bunge Pricklyath Pericarp

Zanthoxyli Pericarpium
Functions：Warms the center, stops pain, kills worms, stops itching. Unprocessed Hua jiao has slightly toxin, and strong warm and acrid nature, externally used to kill worms and stop itching, sore, eczema, and Itch of skin.
Cassiabarktree Twig

Cassiabarktree Twig

Cinnamomi Ramulus
Functions：Promotes sweating, resolves the flesh, warms and frees the channels and vessels, assists yang in transforming qi, downbears qi. Apply to wind-cold type of common cold, abdominal cold pain, amenorrhea due to cold blood, joint impediment, phlegm and retained fluid, edema, palpitations, renal mass.
Dried Ginger

Dried Ginger

Zingiberis Rhizoma
Functions：Warms the center, disperses cold, returns yang, frees the vessels, dries dampness, disperses phlegm, warms the lung, eliminates phlegm. Apply to abdominal cold pain, vomiting, diarrhea, yang exhaustion and acute thoracic pain, dyspnea with cough due to cold fluid-retention, Rheumatic arthralgia due to cold hygrosis.
Prepared Common Monkshood Daughter Root

Prepared Common Monkshood Daughter Root

Aconiti Lateralis Radix Praeparata
Functions：Returns yang, rescues counter flow, supplements fire, assists yang, dispels cold, relieves pain. ‘First medicinal material of returns yang and rescues counter flow’. Apply to excessive yin refusing yang, loss of yang due to profuse perspiration, vomiting and diarrhea, counter flow limbs, cold limbs and faint pulse, chest and abdominal cold pain, cold diarrhea, beriberi and edema, wind-cold and damp impediment, impotence, cold uterine, vomit and diarrhea due to deficiency and cold, edema due to yin cold, exterior cold due to yang deficiency, yin carbuncle and sore, and all the diseases of chronic cold.
Chinese Angelica

Chinese Angelica

Angelicae Sinensis Radix
Functions：Supplements the blood, invigorates the blood, regulates menstruation, relieves pain, moistens the intestines, frees the stool. Apply to chlorosis due to hemopenia, vertigo and palpitation, irregular menstrual periods, amenorrhea and painful menstruation, deficiency cold abdominalgia, constipation induced by dryness of the intestine, rheumatic arthralgia, injuries from falls, superficial infection and burns and scalds.
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