Wu Mei Wan乌梅丸
Mume Pill
Ingredients10 herbs
Indications
Cold in the organs with heat above and roundworm disturbance— the Jueyin picture of upper heat and lower cold in one patient. It also covers chronic dysentery or diarrhea in a depleted person where purely cooling or purely warming treatment has already failed.
Clinical Manifestations
- Intermittent abdominal pain with vomiting, worse after eating
- Roundworm reversal with cold hands and feet
- Chronic diarrhea or dysentery that has outlasted other treatment
- Irritability and a hot chest with a cold lower abdomen
- Spasmodic upper abdominal pain that comes in bouts
Health Categories
Modern Applications
Common adjustments
- Heat signs predominate — increase Huang Lian 黄连 and Huang Bai 黄柏 and reduce the aconite and cinnamon
- Cold and exhaustion predominate — increase Gan Jiang 干姜 and prepared Fu Zi Fu Zi (Zhi), under supervision
- Chronic dysentery with no parasitic component — keep Wu Mei 乌梅 heavy for its astringent action and lighten the acrid herbs
- Marked qi and blood depletion — increase Ren Shen 人参 and Dang Gui 当归
Contraindications
Not for acute dysentery while damp-heat still needs clearing, and not for purely hot or purely cold patterns — the entire design assumes the two are mixed. The formula contains prepared aconite, which must be correctly processed and prepared and is dispensed only by a qualified practitioner; it is not a self-selected remedy.
For licensed practitioners’ reference only — not a self-treatment guide.
Pregnancy
Avoid in pregnancy. It contains prepared aconitetogether with hot acrid Hua Jiao and Gui Zhi, all of which are withheld in pregnancy; if a comparable pattern arises while pregnant it is a matter for a specialist prescription, not for this pill.
Related Formulas
References
Source Shang Han Lun 《伤寒论》 · Eastern Han
「蛔厥者,乌梅丸主之。又主久利。」
- Classical source (public domain), cited in the source-quote section.
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.
