Tong Guan Zi Shen Wan

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通关散 (Gate-Freeing and Kidney-Nourishing Pill)

Source: Lan Shi Mi Cang (1336)

Last updated October 1, 2026

Not yet clinically reviewed

Description

Tong Guan Zi Shen Wan (Gate-Freeing and Kidney-Nourishing Pill), from Secrets from the Orchid Chamber (Lan Shi Mi Cang).

Actions: Clear heat and enrich yin, unblock the ischuria and promote urination

Indications: Indicated for the treatment of dribbling urinary block with a pattern of heat in the lower jiao , with urinary stoppage, distending pain in the lower abdomen, difficult and painful urination, no thirst, red tongue and rapid pulse

Category: Formulas that Supplement Yin.

Source: Xi S, Gong Y. Essentials of Chinese Materia Medica and Medical Formulas: New Century Traditional Chinese Medicine. Academic Press/Elsevier, 2017, pp. 591–598.

Composition

Herb Amount % Role Function
Huang Bai
as printed: Cortex Phellodendri Chinensis (huang bai) 30 g
30g 48.78% Jun (Chief) —
Zhi Mu
as printed: Rhizoma Anemarrhenae (zhi mu) 30 g
30g 48.78% Chen (Deputy) —
Rou Gui
as printed: Cortex Cinnamomi (rou gui) 1.5 g
1.5g 2.44% Zuo (Assistant) —

Energetics dose-weighted

The formula's overall nature, taste balance and channel reach, weighted by each herb's dose. Classical formulas often pair warm and cool herbs on purpose, so a net figure summarises the mix — it doesn't describe every herb in it.

Nature

Cold Cool Neutral Warm Hot

Net cold (-1.90)

From 100% of the weighed grams.

cold hot

Grams by band: cold 98%, hot 2%.

Small but decisive: Rou Gui 1.5g (hot, 2% of the grams). Dose weighting nearly cancels a herb this small, but it may be what the formula is for.

Taste

pungent sweet bitter
  • pungent 1%
  • sweet 26%
  • bitter 73%

From 100% of the weighed grams.

Channels reached

  • Kidney 100%
  • Lung 49%
  • Large intestine 49%
  • Stomach 49%
  • Bladder 49%
  • Spleen 2%

Share of the grams entering each channel, from 100% of the weighed grams.

Dose-weighted from each herb's recorded nature, taste and channels (missing values are left out, never counted as neutral). It describes the composition — it is not a recommendation.

Compare side by side with Liu Shen San →

Preparation

Grind the ingredients into fine powder, mix with boiled water and make into pills as size of phoenix tree seed. Take 9 g each time, 2 times a day

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Formula family

Each entry reads as the larger formula written out: “+” adds its other catalogue cores, then the herbs none of them hold. A catalogue formula counts as a core only when at least 80% of its herbs are present, no more than 1 is absent, and the absent herb is not its chief.

Formula Network

Formulas that share herbs with this one — the closer to the centre, the stronger the match. Click a node to explore.

Similar Formulas by composition

Match score combines dosage-weighted composition (cosine, 70%) with shared-herb overlap (Jaccard, 30%).

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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