Zhou Che Wan

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舟车丸 (Vessel and Vehicle Pill)

Source: Jing Yue Quan Shu (992)

Last updated October 1, 2026

Not yet clinically reviewed

water accumulation that will eventually generate heat

Description

Zhou Che Wan (Vessel and Vehicle Pill), from the Jing Yue Quan Shu, is used to activate Qi movement; promote bowel movement and urination to eliminate water accumulation.

Presentation: water accumulation that will eventually generate heat.

Syndrome: Syndrome of water accumulation.

Composition strategy:

  • Chief herbs kept at minimal dose; large Qian Niu Zi plus Da Huang secure the effect within a safe range.
  • Water is carried out via bowels and urine 'like a vessel and vehicle', hence the name.

Cautions:

  • Many poisonous, harsh substances: only for acute, truly necessary cases, very short-term, by experienced practitioners.

Source: Yang Y. Chinese Herbal Formulas: Treatment Principles and Composition Strategies. Churchill Livingstone Elsevier, 2010, p. 68.

Composition

Herb Amount % Role Function
Hong Da Ji
toxic mark * in source; as printed: Da Ji (Knoxiae radix)
30g 9.01% Jun (Chief) strongly drives out congested water
Gan Sui
toxic mark * in source; as printed: Gan Sui (Euphorbiae kansui radix)
30g 9.01% Jun (Chief) strongly drives out congested water
Yuan Hua
toxic mark * in source; as printed: Yuan Hua (Genkwa flos)
30g 9.01% Jun (Chief) strongly drives out congested water
Da Huang
as printed: Da Huang (Rhei rhizoma)
60g 18.02% Chen (Deputy) enhances the chief herbs within a safe dose range
Qian Niu Zi
toxic mark * in source; as printed: Qian Niu Zi (Pharbitidis semen)
120g 36.04% Chen (Deputy) large amount enhances the chief herbs so they can stay at minimal dose
Qing Pi
as printed: Qing Pi (Citri reticulatae viride pericarpium)
15g 4.5% Zuo (Assistant) activates Qi to speed water movement
Chen Pi
as printed: Chen Pi (Citri reticulatae pericarpium)
15g 4.5% Zuo (Assistant) activates Qi to speed water movement
Bing Lang
as printed: Bing Lang (Arecae semen)
15g 4.5% Zuo (Assistant) activates Qi to speed water movement
Mu Xiang
toxic mark ** in source; as printed: Mu Xiang (Aucklandiae radix)
15g 4.5% Zuo (Assistant) activates Qi to speed water movement
Qing Fen
assistant and envoy; toxic mark * in source; as printed: Qing Fen (Calomel)
3g 0.9% Zuo (Assistant) drains water directly

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 cool (-1.19)

From 100% of the weighed grams.

cold warm

Grams by band: cold 73%, warm 27%.

Pairs warm and cool. 27% of the weighed grams are warm or hot and 73% cool or cold — the net is their average, not the whole story.

Small but decisive: Hong Da Ji 30g (cold, 9% of the grams), Gan Sui 30g (cold, 9% of the grams), Qing Fen 3g (cold, 1% 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 37%
  • sweet 5%
  • bitter 59%

From 100% of the weighed grams.

Channels reached

  • Large intestine 82%
  • Lung 68%
  • Kidney 64%
  • Spleen 45%
  • Stomach 32%
  • Liver 23%

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 Yu Gong San →

Preparation

Powder and form into water pills; take 3-6g with warm water on an empty stomach in the early morning. May be repeated at reduced dose 1-2 days later only if the patient remains strong; otherwise take only once.

Source: Scheid V, Bensky D, Ellis A, Barolet R. Chinese Herbal Medicine: Formulas & Strategies, 2nd ed. Eastland Press, 2009, p. 91.

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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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