Formula

Tong Ru Dan

通乳丹

Also known as:

生乳丹 (Shēng Rǔ Dān) , Penetrating the Breast Special Pill

Properties

Qi and Blood tonifying formulas · Slightly Warm

Key Ingredients

Ren Shen, Huang Qi

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

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About This Formula

Traditional Chinese Medicine background and properties

Formula Description

A classical postpartum formula designed to boost breast milk production in new mothers whose milk supply is low or absent due to weakness of Qi and Blood after delivery. Rather than forcing milk ducts open, it works by replenishing the mother's Qi and Blood so that breast milk can naturally form and flow. The source text states that after two doses, milk should flow abundantly.

Formula Category

Main Actions

  • Tonifies Qi
  • Nourishes Blood
  • Promotes Lactation
  • Promotes Lactation and Reduces Breast Distension

TCM Patterns

In TCM, symptoms don't appear randomly — they cluster into recognizable patterns of disharmony that reveal what's out of balance in the body. Tong Ru Dan is traditionally associated with these specific patterns.

The following describes this formula's classification within Traditional Chinese Medicine theory and is provided for educational purposes only.

Why Tong Ru Dan addresses this pattern

After childbirth, the mother has lost significant Blood during delivery and has exhausted her Qi through the labor process. In TCM, breast milk is understood to be a transformation of Blood, driven by the force of Qi. When both Qi and Blood are severely depleted after delivery, there is simply not enough raw material (Blood) or transformative force (Qi) to produce milk. The mother may have no milk at all, or only a scanty, thin trickle.

Tong Ru Dan addresses this pattern head-on through its massive Qi-tonifying core (Ren Shen and Huang Qi) combined with Blood-nourishing Dang Gui at the highest dose in the formula. Mai Men Dong adds fluid replenishment, while the pig's feet provide substantial food-based nourishment. The formula essentially gives the mother's body the resources it needs to start producing milk again, rather than trying to force open empty channels.

A practitioner would look for one or more of these signs

Low Breast Milk Supply

Absent or very scanty breast milk after delivery, with thin, watery quality

Eye Fatigue

Pronounced exhaustion and weakness after childbirth, shortness of breath

Dull Pale Complexion

Pallid or sallow face color indicating Blood deficiency

Poor Appetite

Reduced appetite and desire for food postpartum

Dizziness

Lightheadedness from Qi and Blood insufficiency

How It Addresses the Root Cause

Tong Ru Dan addresses a very specific postpartum condition: the complete absence or severe scarcity of breast milk caused by exhaustion of both Qi and Blood following childbirth. In TCM theory, breast milk is understood as a transformation product of Qi and Blood. The Stomach (which is the organ of the Yangming channel, a system rich in both Qi and Blood) is the primary organ responsible for producing milk, but it requires adequate Qi and Blood as raw material. After the exertion of labor and delivery, with significant blood loss and the enormous expenditure of the body's vital force, many new mothers find themselves deeply depleted in both Qi and Blood.

Fu Qingzhu's key insight is that between Qi and Blood, Qi plays the more urgent role in milk production. Qi is the driving force that transforms Blood into milk. When Qi is strong, it propels Blood through the breast network vessels and facilitates the transformation into breast milk. When Qi is depleted, even if some Blood remains, there is no force to drive the transformation, and the milk simply cannot be produced. The breasts feel soft and empty (not swollen or painful), the face is pale, and the woman feels exhausted and short of breath, with a thin, weak pulse. This is a picture of pure deficiency rather than stagnation or blockage.

Fu Qingzhu explicitly warns against the common mistake of trying to forcefully "unblock" the milk when the real problem is that there is nothing to unblock. He compares it to demanding food from a starving person or gold from someone with no money. The correct approach is to replenish the source: powerfully tonify Qi to generate Blood, and the milk will flow on its own without any need for dispersing or opening techniques.

Formula Properties

Temperature

Slightly Warm

Taste Profile

Predominantly sweet with mild bitter undertones — sweet to tonify Qi and nourish Blood, slightly bitter from Mai Dong to gently nourish Yin and generate fluids.

Target Organs
Spleen Stomach Lungs
Channels Entered
Lung Spleen Stomach

Formula Origin

傅青主女科 (Fù Qīng Zhǔ Nǚ Kē) - Fu Qingzhu's Gynecology, Volume 2

This is just partial information on the formula's TCM properties. More detailed information is available on the formula's dedicated page

Ingredients in Tong Ru Dan

Detailed information about each herb in Tong Ru Dan and their roles

Kings
Deputies
Assistants
Envoys
Ren Shen
Ren Shen

Ginseng root

Dosage: 30g

Temperature Slightly Warm
Taste Sweet (甘 gān), Bitter (苦 kǔ)
Organ Affinity Spleen, Lungs, Heart, Kidneys
Parts Used Root (根 gēn)
Role in Tong Ru Dan

Powerfully tonifies the source Qi. In this formula, Fu Qingzhu emphasizes that Qi is the driving force that transforms Blood into breast milk. Without sufficient Qi, even adequate Blood cannot be converted into milk. Ren Shen serves as the primary Qi-tonifying agent to restore the mother's depleted vitality after childbirth.

Huang Qi
Huang Qi

Astragalus root

Dosage: 30g

Temperature Slightly Warm
Taste Sweet (甘 gān)
Organ Affinity Spleen, Lungs
Parts Used Root (根 gēn)
Role in Tong Ru Dan

Strongly supplements Qi and raises the Yang. It works alongside Ren Shen to powerfully replenish Qi, particularly the Spleen and Lung Qi. Together with Ren Shen, it forms the core strategy of the formula: building Qi to drive milk production. Huang Qi also lifts Qi upward, aiding in directing nourishment to the breast.

Dang Gui
Dang Gui

Chinese Angelica root

Dosage: 60g

Temperature Warm
Taste Sweet (甘 gān), Acrid / Pungent (辛 xīn)
Organ Affinity Liver, Heart, Spleen
Parts Used Root (根 gēn)
Role in Tong Ru Dan

Nourishes and invigorates Blood. Used at double the dosage of the King herbs to emphasize the importance of Blood as the material basis for breast milk. Wine-washed Dang Gui enhances its ability to circulate and activate Blood, ensuring that the newly generated Blood flows to the breast to be transformed into milk.

Mai Dong
Mai Dong

Ophiopogon root

Dosage: 15g

Temperature Slightly Cool
Taste Sweet (甘 gān), Bitter (苦 kǔ)
Organ Affinity Heart, Lungs, Stomach
Parts Used Tuber (块茎 kuài jīng / 块根 kuài gēn)
Role in Tong Ru Dan

Nourishes Yin and generates fluids. It moistens and enriches the body's fluids, providing the liquid substrate for milk production. It also prevents the warm, Qi-tonifying herbs from drying out the mother's Yin and fluids, which are already depleted after childbirth.

Mu Tong
Mu Tong

Akebia stem

Dosage: 1g

Temperature Cold
Taste Bitter (苦 kǔ)
Organ Affinity Heart, Small Intestine, Urinary Bladder
Parts Used Stem (茎 jīng)
Role in Tong Ru Dan

Opens the channels and promotes lactation. Used in a very small dose, it gently unblocks the breast network vessels (milk ducts) to ensure that once Qi and Blood are replenished, the milk can flow freely. It adds a mild opening and draining action to complement the heavy tonification.

Jie Geng
Jie Geng

Balloon flower root

Dosage: 1g

Temperature Neutral
Taste Bitter (苦 kǔ), Acrid / Pungent (辛 xīn)
Organ Affinity Lungs
Parts Used Root (根 gēn)
Role in Tong Ru Dan

Directs the formula's action upward to the chest and breast. As a classic envoy herb for the Upper Burner, Jie Geng guides the Qi and Blood-building effects of the other herbs to the breast area where they are needed. It opens and lifts Lung Qi, further supporting the upward movement of nourishment to the breast.

Usage & Safety

How to use this formula and important safety information

Important Medical Disclaimer

The information provided here is for educational purposes only and is not intended as medical advice or to replace consultation with a qualified healthcare professional. This formula is a dietary supplement and has not been evaluated by the FDA. It is not intended to diagnose, treat, cure, or prevent any disease.

Always consult with a qualified healthcare provider, particularly if you are pregnant, nursing, have a medical condition, or are taking other medications. Discontinue use and consult your healthcare provider if you experience any adverse reactions.

Recommended Dosage

Instructions for safe storage and consumption

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Best Time to Take

Warm, between meals (approximately 30–60 minutes after meals to avoid competing with digestion), taken twice daily, morning and afternoon.

Typical Duration

Short-term use: typically 2–5 doses (the original text states 'after two doses, milk gushes like a spring'). May be extended to 7–10 days if response is gradual, then reassessed.

Dietary Advice

While taking this formula, nutrient-dense, warming, and easy-to-digest foods are recommended to support the formula's Qi- and Blood-building actions. Traditional postpartum foods such as bone broths, pig's trotter soup (already included in the original recipe), chicken soup, millet porridge, and red dates are highly complementary. Avoid cold and raw foods (salads, iced drinks, raw fruits in excess) as these can impair the Spleen's digestive and transformative function, undermining the formula's effort to generate Qi and Blood. Avoid greasy, heavily fried, or overly rich foods that may generate Dampness and obstruct the breast network vessels. Excessively spicy or pungent foods should be moderated as they can scatter Qi. Malt-based foods and drinks (including barley tea and large amounts of raw malt/barley) should be strictly avoided, as raw malt (Sheng Mai Ya) is traditionally used to reduce or stop lactation.

Special Populations

Pregnancy

This formula is designed exclusively for postpartum use and has no indication during pregnancy. That said, the individual herbs in the formula are not strongly contraindicated in pregnancy. Ren Shen (Ginseng) and Huang Qi (Astragalus) are Qi tonics sometimes used carefully during pregnancy, and Dang Gui (Chinese Angelica) and Mai Dong (Ophiopogon) are mild Blood and Yin nourishers. Mu Tong (Akebia stem) has mild diuretic properties and should be used cautiously. Jie Geng (Platycodon) has an ascending, dispersing quality. None of these are abortifacient, but the formula as a whole was not designed for pregnant women and should not be used during pregnancy without specific practitioner guidance. An animal reproductive toxicity study found no significant adverse effects on fetal viability, resorption rate, or teratogenicity at doses up to 50 g/kg in pregnant rats, suggesting a favorable safety profile in preclinical testing.

Breastfeeding

This formula is specifically designed for breastfeeding women with insufficient milk supply due to Qi and Blood deficiency. It is considered safe and appropriate during the breastfeeding period, as promoting lactation is its primary purpose. The herbs are generally mild and nourishing. One consideration is Mu Tong (Akebia stem): historically, some preparations labelled 'Mu Tong' contained Aristolochia species, which carry nephrotoxicity risks and whose metabolites could theoretically pass into breast milk. Modern practice uses Chuan Mu Tong (Clematis armandii) or Tong Cao (Tetrapanax) instead, which are safe. Practitioners should ensure the correct, non-Aristolochia species is used. The remaining herbs (Ren Shen, Huang Qi, Dang Gui, Mai Dong, Jie Geng) are standard tonics with no known adverse effects transmitted through breast milk. If anything, the formula's effect of enriching the mother's Qi and Blood is understood to improve the quality and quantity of breast milk.

Pediatric Use

Tong Ru Dan is a postpartum formula designed exclusively for adult breastfeeding mothers. It is not indicated for use in children or infants. There are no established pediatric dosages or applications. The formula's purpose is to restore the mother's depleted Qi and Blood so that she can produce adequate breast milk for the infant. The infant benefits indirectly through improved maternal milk supply, not through direct administration of the formula.

Drug Interactions

Ren Shen (Ginseng) is the most pharmacologically active herb in this formula regarding drug interactions. Ginseng has known interactions with warfarin and other anticoagulants (may reduce anticoagulant effect), hypoglycaemic agents including insulin (may enhance blood sugar lowering effects), and MAO inhibitors (may cause additive stimulatory effects). Ginseng may also interact with immunosuppressants due to its immunomodulatory properties.

Huang Qi (Astragalus) has immunostimulant properties and may theoretically counteract immunosuppressive drugs such as cyclosporine, tacrolimus, or corticosteroids. It may also enhance the effects of antihypertensive medications.

Dang Gui (Angelica sinensis) has mild anticoagulant and antiplatelet activity and may potentiate the effects of warfarin, heparin, aspirin, and other blood-thinning medications, increasing bleeding risk. It also contains phytoestrogens and may theoretically interact with hormone-related therapies.

Mu Tong: The historical use of Aristolochia-containing Mu Tong species (now banned in many countries) poses a serious nephrotoxicity risk. Modern substitutes (Chuan Mu Tong from Clematis armandii) do not carry the same risk, but practitioners should verify the source. Even the safe variety has diuretic properties that could theoretically interact with diuretic medications or drugs with narrow therapeutic indices affected by fluid balance (such as lithium).

Contraindications

Avoid

Breast distension and pain due to Liver Qi stagnation (excess-type lactation insufficiency). Fu Qingzhu himself distinguished this deficiency pattern from the stagnation pattern treated by his other formula, Tong Gan Sheng Ru Tang. If the breasts are swollen, hard, and painful, the problem is blockage rather than deficiency, and this heavily tonifying formula is inappropriate.

Avoid

Acute mastitis (breast abscess with redness, heat, swelling, and pain). The heavy Qi-tonifying and warming nature of the formula could aggravate Heat toxins and worsen the infection.

Caution

Incomplete lochia discharge or active postpartum bleeding with blood stasis. This formula is purely supplementing and does not resolve stasis. If lochia retention and blood clots are still present, the formula may trap pathogenic factors by closing the body too soon.

Caution

Phlegm-Dampness obstruction causing lactation insufficiency. In women with obesity, heavy sensations, copious vaginal discharge, and a greasy tongue coating, the rich tonifying herbs (especially Dang Gui and Mai Dong) may worsen Dampness and phlegm accumulation.

Caution

Yin deficiency with significant Heat signs. Although Mai Dong provides some Yin-nourishing effect, Ren Shen and Huang Qi are warm in nature and may aggravate internal Heat in cases with pronounced night sweats, five-palm heat, and a red dry tongue.

Cautions & Warnings

Tong Ru Tang is typically safe for most individuals, but it can lead to side effects in some cases. Pregnant, nursing, or postpartum women, as well as those with liver conditions, should use this formula cautiously and preferably under professional supervision.

As with any Chinese herbal remedy, it is advisable to seek guidance from a qualified Traditional Chinese Medicine (TCM) practitioner before beginning treatment with this formula.

Product Details

Manufacturing, supplier, and product specifications

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Granules

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Treasure of the East

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