Tu Si Zi Wan

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菟丝子丸 (Cuscuta Seed Pill)

Source: Ji Sheng Fang (1253)

Last updated October 1, 2026

Not yet clinically reviewed

Description

Tu Si Zi Wan (Cuscuta Seed Pill), from Formulas to Aid the Living (1253).

Actions: Warms the Kidneys; Prevents abnormal leakage

Indications: Exhaustion, aversion to cold, frail physique, dizziness, lower back pain, weakness of the lower extremities, frequent, scanty urination with continuous dripping, and a submerged, thin pulse that is especially frail at the proximal position.

Pattern: Kidney qi deficiency unable to grasp the essence, with urinary leakage

Commentary: Combines astringents for the leakage with tonics for the root to speed and consolidate recovery; named after cuscuta for its classical use for cold in the penis, seminal leakage and dribbling.

Category: Formulas that Warm and Tonify the Yang.

Source: Scheid V, Bensky D, Ellis A, Barolet R. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. Eastland Press, 2009, p. 403.

Composition

Herb Amount % Role Function
Tu Si Zi
role: tonifies the Kidneys; as printed: Cuscutae Semen (tu si zi) 60g
60g 14.81% Jun (Chief) —
Lu Rong
role: tonifies the Kidneys; as printed: Cervi Cornu pantotrichum (lu rong) 30g
30g 7.41% Jun (Chief) —
Rou Cong Rong
role: tonifies the Kidneys; as printed: Cistanches Herba (rou cong rong) 60g
60g 14.81% Jun (Chief) —
Shan Yao
role: tonifies the Kidneys; as printed: Dioscoreae Rhizoma (shan yao) 30g
30g 7.41% Jun (Chief) —
Zhi Fu Zi
role: warms Kidney yang; with lindera dispels cold qi; as printed: Aconiti Radix lateralis preparata (zhi fu zi) 30g
30g 7.41% Chen (Deputy) —
Wu Yao
role: moves and dispels cold qi from Kidneys and Bladder; as printed: Linderae Radix (wu yao) 30g
30g 7.41% Chen (Deputy) —
Wu Wei Zi
role: binds and grasps the Kidney qi; as printed: Schisandrae Fructus (wu wei zi) 30g
30g 7.41% Chen (Deputy) —
Sang Piao Xiao
role: astringes; as printed: Mantidis Ootheca (sang piao xiao) 30g
30g 7.41% Zuo (Assistant) —
Yi Zhi Ren
role: astringes; as printed: Alpiniae oxyphyllae Fructus (yi zhi ren) 30g
30g 7.41% Zuo (Assistant) —
Mu Li
role: astringes; as printed: calcined Ostreae Concha (duan mu li) 60g
60g 14.81% Zuo (Assistant) —
Ji Nei Jin
role: treats urinary frequency and incontinence; as printed: Gigeriae galli Endothelium corneum (ji nei jin) 15g
15g 3.7% Shi (Envoy) —

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 slightly warm (+0.44)

From 100% of the weighed grams.

cool neutral warm hot

Grams by band: cool 15%, neutral 33%, warm 44%, hot 7%.

Small but decisive: Zhi Fu Zi 30g (hot, 7% of the grams). Dose weighting nearly cancels a herb this small, but it may be what the formula is for.

Taste

pungent sweet sour salty
  • pungent 26%
  • sweet 41%
  • sour 4%
  • salty 30%

From 100% of the weighed grams.

Channels reached

  • Kidney 96%
  • Spleen 48%
  • Liver 44%
  • Heart 30%
  • Lung 22%
  • Large intestine 15%

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

Powder into pills with wine; 3-9g with salted water 2-3 times daily before meals. May be decocted at reduced dosage.

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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

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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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