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Wu Ji San五积散

Five-Accumulation Powder

Releasing Exterior and Interior Together 表里双解剂Release the Exterior and Warm the Interior 解表温里

Ingredients17 herbs

麻Ma Huang麻黄6 g君 ChiefDisperses wind-cold from the surface白Bai Zhi白芷3 g君 ChiefAssists the release of the exterior and stops the head and body ache干Gan Jiang干姜3 g君 ChiefWarms the middle burner and drives out interior cold肉Rou Gui肉桂3 g君 ChiefWarms deeply, unblocks the channels and eases cold pain苍Cang Zhu苍术15 g臣 DeputyDries damp and wakes the Spleen — the largest dose in the formula厚Hou Po厚朴3 g臣 DeputyMoves qi downward and relieves distension陈Chen Pi陈皮6 g臣 DeputyRegulates qi and dissolves phlegm-damp制Zhi Ban Xia制半夏3 g臣 DeputyTransforms phlegm and stops nausea茯Fu Ling茯苓3 g臣 DeputyLeaches out damp and supports the Spleen当Dang Gui当归3 g佐 AssistantNourishes and moves the blood held up by cold川Chuan Xiong川芎3 g佐 AssistantMoves blood, moves qi with it, and relieves pain白Bai Shao白芍3 g佐 AssistantSoftens cramping pain and protects the blood against the drying herbs枳Zhi Ke枳壳6 g佐 AssistantSends qi downward, clearing the chest and epigastric fullness桔Jie Geng桔梗15 g佐 AssistantLifts qi and opens the Lung, pairing with Zhi Ke to restore the qi dynamic炙Zhi Gan Cao炙甘草3 g使 EnvoyHarmonizes a large and disparate group of herbs生Sheng Jiang生姜3 slices佐 AssistantAdded at decoction time to assist the release of the exterior and settle the stomach葱Cong Bai葱白3 stalks佐 AssistantAdded at decoction time to open the yang and free the surface

Indications

Releases the exterior and warms the interiorDispels cold and dries dampnessRegulates qi and transforms phlegmInvigorates blood and breaks up accumulation

External wind-cold together with internal injury from cold, where cold, damp, qi, blood and phlegm have all begun to congeal — hence the name, five accumulations.

Clinical Manifestations

  • Wind-cold contracted while the interior is chilled by cold or raw food
  • Fever without sweating, headache, stiff neck and back
  • Fullness in the chest, aversion to food, vomiting and abdominal pain
  • Cold painful periods and irregular menstruation
  • Cold-damp low back and leg pain
TonguePale with a white greasy coating
PulseDeep and slow, or deep and tight

Health Categories

Women's HealthDigestive HealthBone & Joint HealthCold & Flu Relief

Modern Applications

Gastrointestinal influenzaChronic gastritisDysmenorrheaLow back painRheumatic joint pain

Common adjustments

Contraindications

For cold-damp patterns only. Not for damp-heat, for yin-deficient heat, or for anyone with a dry mouth, red tongue and thirst — the acrid, warm and drying body of the formula will make those worse. It contains both Ma Huang and processed Ban Xia, so it is not a self-prescribed remedy.

For licensed practitioners’ reference only — not a self-treatment guide.

Pregnancy

Contraindicated in pregnancy — it contains Ma Huang, Rou Gui, processed Ban Xia and blood-moving herbs, a combination that is not used while pregnant.

References

Source Xian Shou Li Shang Xu Duan Mi Fang 《仙授理伤续断秘方》 · Tang

  1. Classical source of record (public domain); the composition in general use follows 《太平惠民和剂局方》.
    2. Scheid, Bensky, Ellis & Barolet. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. — composition & dosage cross-checked.
    3. 《方剂学》（全国中医药行业高等教育规划教材）— pattern analysis cross-checked.

Professional reference notice. Entries are scholarly references for licensed TCM practitioners and students — not medical advice, and not a recommendation to self-prescribe. Chinese herbal formulas should be used under the guidance of a qualified practitioner. Content is an original editorial compilation by Cura x Cura, cross-checked against the cited references.