Tian Ma Gou Teng Yin

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天麻钩藤饮 (Gastrodia and Uncaria Drink)

Source: Za Bing Zheng Zhi Xin Yi (New Meanings in Diagnosis and Treatment of Miscellaneous Diseases) — Hu Guangci (Contemporary, 1958)

Last updated July 22, 2026

Liver Yang rising with windHypertensionMigraine and severe headacheDizziness and tinnitus from Liver YangInsomnia from Liver Yang disturbing spiritStroke preventionNumbness and tremors

Description

Tian Ma Gou Teng Yin is the primary formula for Liver Yang rising with wind and heat. It calms the Liver, extinguishes wind, clears heat, and tonifies Liver-Kidney Yin. Widely used for hypertension, stroke prevention, and chronic headache from Liver Yang rising, it combines the immediate calming of Liver Yang with treatment of the underlying Liver-Kidney deficiency.

Composition

Herb Amount % Role Function
Tian Ma 9g 9.38% Jun (Chief) Calms Liver, extinguishes wind, stops headache and dizziness.
Gou Teng 12g 12.5% Jun (Chief) Clears Liver heat, extinguishes wind, calms Liver Yang rising.
Suan Zao Ren 9g 9.38% Chen (Deputy) Nourishes Liver Blood, calms spirit, improves sleep.
Niu Xi 12g 12.5% Chen (Deputy) Directs blood and Yang downward, benefits Liver-Kidney.
Du Zhong 12g 12.5% Chen (Deputy) Tonifies Liver and Kidney, lowers blood pressure.
Huang Qin 9g 9.38% Zuo (Assistant) Clears heat, sedates Liver fire.
Zhi Shi 9g 9.38% Zuo (Assistant) Clears heat, aids descending.
Fu Ling 9g 9.38% Zuo (Assistant) Calms spirit, strengthens Spleen.
Mu Li 15g 15.63% Zuo (Assistant) Anchors Yang, calms spirit, subdues Liver Yang.

Total weight: 105g

Preparation

Decoct in water 30 minutes. Add Gou Teng in the last 5 minutes to preserve volatile constituents. Take warm.

Dosage

Decoction: 1 dose/day in 2–3 doses. Long-term use appropriate for hypertension.

Conditions Addressed

Related Formulas

Traditional formula information is for educational purposes only. Herbal formulas should be prescribed by a qualified practitioner — dosages and combinations are individualized and can interact with medications.

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