Traditional Chinese Medicine Healing Herbs(TCMHH)

Prescriptions for Relieving Exterior Syndrome to Warm the Interior

Wu Ji San (五积散)

Wuji San
By the TCMHH editorial team Not medically reviewed How we work Updated 6 Oct 2026
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Name

Powder for Relieving Five Kinds of Accumulation in the Abdomen

The Prescription of 五积散

Source

The book Tai Ping Hui Min He Ji Ju Fang

Ingredients

Bai Zhi (Radix Angelicae Dahuricae) 90 g,Chuan Xiong (Rhizoma Chuanxiong) 90 g,Zhi Gan Cao (Radix Glycyrrhizae Preparata) 90 g.Fu Ling (Poria) 90 g,Dang Gui (Radix Angelicae Sinensis) 90 g,Rou Gui (Cortex Cinnamomi) 90 g,Shao Yao (Radix Paeoniae) 90 g,Ban Xia (Rhizoma Pinelliae) 90 g,Chen Pi (Pericarpium Citri Reticulatae) 180 g,Zhi Qiao (parched Fructus Aurantii) 180 g,Ma Huang (Herba Ephedrae) 180 g,Cang Zhu (Rhizoma Atractylodis) 720 g,Gan Jiang (baked Rhizoma Zingiberis) 120 g,Jie Geng (Radix Platycodi) 360 g.Hou Po (Cortex Magnoliae Officinalis) 120 g,Sheng Jiang (Rhizoma Zingiberis Recens) 3 pieces.

Explanation

Ma Huang and Bai Zhi: The principal drugs, relieving exterior syndrome through diaphoresis.

Gan Jiang and Rou Gui: The principal drugs, warming the interior to remove cold pathogen.

Cang Zhu and Hou Po: Drying dampness and strengthening the spleen.

Chen Pi, Ban Xia and Fu Ling: Regulating the flow of Qi to resolve phlegm.

Dang Gui, Chuan Xiong and Shao Yao: Promoting the circulation of blood to relieve pain.

Jie Geng and Zhi Qiao: Activating the flow of Qi to remove stagnations.

Gan Cao: Regulating the Qi of the middle-Jiao to strengthen the spleen, tempering rhe actions of all the other ingredients.

The Effect of 五积散

Effect

Relieving exterior syndrome through diaphoresis, warming the interior to dispel pathogenic cold, activating the flow of Qi to remove phlegm, promoting the circulation of blood and digestion.

Indications

Syndrome due to affection of exogenous wind-cold and impairment done by raw and cold pathogens in the interior, marked by fever without sweat, headache and general aching, muscular rlgidity in the back and neck, fullness in the chest, anorexia, vomiting, abdominal pain, pain in the abdomen and irregular menstruation in women due to derangement of Qi and blood; including such diseases with the above symptoms as habitual common cold, gastrointestinal neurosis, irregular menstruation, chronic gastroenteritis and chronic hepatitis.

Administrations

All the ingredients except Sheng Jiang, Rou Gui and Zhi Qiao are ground into coarse powder. The powder is parched until its color has been changed. The parched powder is spread to be cooled and then mixed with the powder of Rou Gui and Zhi Qiao. 9 g of the mixed powder and Sheng Jiang are decocted in water for the decoction, which is taken warm 2 imes in one day. (The ingredients of this prescription may be decocted in water for oral dose. In so doing, the dosage of the drugs should be determined according to the proportions of the drugs in the original prescription.)

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Sources and further reading

We cite classical materia medica and modern reference works. This article is health education, not medical advice.

  • Shennong Bencao Jing (The Divine Farmer's Materia Medica), Han dynasty.
  • Bencao Gangmu (Compendium of Materia Medica), Li Shizhen, 1578.
  • Chinese Pharmacopoeia, current edition — identity, quality and safety monographs.
  • NCCIH and WHO reference material on traditional medicine safety.

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