Wu Mei Wan

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乌梅丸 (Mume Pill)

Source: Shang Han Lun — Zhang Zhong-Jing (Eastern Han, c. 220)

Last updated October 1, 2026

Not yet clinically reviewed

biliary ascariasisintestinal ascariasisascariasis in childrenhookwormsschistosomiasischronic gastritisbacterial dysenterychronic dysenteryulcerative colitisirritable bowel syndromechronic diarrheacholecystitischolelithiasis

Description

Wu Mei Wan (Mume Pill), from the Shang Han Lun (Discussion of Cold-Induced Disorders) by Zhang Zhong-Jing.

Actions: Warms the internal organs; Calms roundworms.

Presentation: Ascariasis with heat in the Stomach and cold in the Intestines: irritability, recurrent nausea and vomiting, vomiting of roundworms after eating, extremely cold hands and feet, abdominal pain; also chronic dysentery and diarrhea.

Cautions:

  • For chronic dysentery/diarrhea only when cold and heat coexist with upright-qi deficiency; not for damp-heat dysentery or diarrhea
  • Use with caution in pregnancy

Pharmacological effects reported:

  • Antiparasitic: marked effect against roundworms by paralyzing their muscles and mobility (does not kill them), aiding expulsion
  • Cholagogic: increases hepatic bile acid production and stimulates gallbladder contraction
  • Antibiotic: many ingredients inhibit various micro-organisms

Source: Chen JK, Chen TT. Chinese Herbal Formulas and Applications: Pharmacological Effects & Clinical Research. Art of Medicine Press, 2009, p. 1292.

Composition

Herb Amount % Role Function
Wu Mei
as printed: Wu Mei (Fructus Mume) 300 pieces or 480g [30g]
30g 35.71% Jun (Chief) sour; processed with vinegar to calm parasites
Hua Jiao
chao (dry-fried) till aromatic; as printed: Hua Jiao, chao (dry-fried) till aromatic (Pericarpium Zanthoxyli) 120g [6g]
6g 7.14% Chen (Deputy) acrid, warm; warms interior, dispels cold, suppresses parasite movement
Xi Xin
as printed: Xi Xin (Radix et Rhizoma Asari) 180g [3g]
3g 3.57% Chen (Deputy) acrid, warm; warms interior, suppresses parasites
Huang Lian
as printed: Huang Lian (Rhizoma Coptidis) 480g [6g]
6g 7.14% Chen (Deputy) bitter, cold; clears Stomach heat, drains parasites downward
Huang Bai
as printed: Huang Bo (Cortex Phellodendri Chinensis) 180g [6g]
6g 7.14% Chen (Deputy) bitter, cold; clears heat, drains parasites downward
Gan Jiang
as printed: Gan Jiang (Rhizoma Zingiberis) 300g [9g]
9g 10.71% Zuo (Assistant) acrid, hot; warms interior, dispels Intestinal cold
Gui Zhi
as printed: Gui Zhi (Ramulus Cinnamomi) 180g [6g]
6g 7.14% Zuo (Assistant) acrid, hot; warms interior
Zhi Fu Zi
pao (blast-fried); as printed: Fu Zi, pao (blast-fried) (Radix Aconiti Lateralis Praeparata) 180g [6g]
6g 7.14% Zuo (Assistant) acrid, hot; warms interior, dispels cold
Ren Shen
as printed: Ren Shen (Radix et Rhizoma Ginseng) 180g [6g]
6g 7.14% Zuo (Assistant) tonifies qi
Dang Gui
as printed: Dang Gui (Radix Angelicae Sinensis) 120g [6g]
6g 7.14% Zuo (Assistant) tonifies blood

Dui Yao — Core Herb Pairs

The classical two-herb combinations at the heart of this formula, as recorded on the herbs' own pages — each pair has an action neither herb has alone.

Hua Jiao花椒 + Wu Mei乌梅

Sour and pungent-hot together calm roundworms and warm the middle, relieving abdominal pain and vomiting from roundworms with interior cold.

Roundworm reversal (hui jue) with cold extremities and colicky pain.

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 (+0.39)

From 100% of the weighed grams.

cold neutral warm hot

Grams by band: cold 14%, neutral 36%, warm 32%, hot 18%.

Small but decisive: Huang Lian 6g (cold, 7% of the grams), Huang Bai 6g (cold, 7% of the grams), Zhi Fu Zi 6g (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 bitter
  • pungent 32%
  • sweet 14%
  • sour 36%
  • bitter 18%

From 100% of the weighed grams.

Channels reached

  • Spleen 82%
  • Lung 64%
  • Large intestine 50%
  • Heart 50%
  • Liver 50%
  • Kidney 32%

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 Niu Huang Cheng Qi Tang →

Preparation

Source text: steep Wu Mei overnight in 50% vinegar, pit and mash, sun-dry, mix and powder with the other herbs, form honey pills the size of Wu Tong Zi (~5 mm); take 10 pills [9g] three times daily on an empty stomach with warm water. Avoid cold, raw or spoiled foods. Today may be decocted at bracketed doses.

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Formula family

Contains Shen Fu Tang + Wu Mei, Hua Jiao, Huang Bai and 5 more
Full herb lists
  • This formula = Shen Fu Tang + Wu Mei, Hua Jiao, Huang Bai, Huang Lian, Xi Xin, Dang Gui, Gan Jiang and Gui Zhi

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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