Formula

Wen Dan Tang

Warm the Gallbladder Decoction | 温胆汤

Also known as:

Bamboo & Poria Combination , Warm the GB Decoction

Properties

Phlegm-resolving formulas · Neutral

Key Ingredients

Ban Xia

*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 formula used to clear Phlegm and restore harmony between the Gallbladder and Stomach. It is commonly used for people experiencing insomnia, anxiety, restless sleep with vivid dreams, dizziness, nausea, or heart palpitations caused by Phlegm and stagnant Qi disturbing the mind. Despite its name ("Warm the Gallbladder"), the formula's overall effect is gently clearing and calming rather than warming.

Formula Category

Main Actions

  • Regulates Qi and Transforms Phlegm
  • Clears Gallbladder and Stomach Heat
  • Dries Dampness
  • Stops vomiting and eliminates irritability

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. Wen Dan Tang 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 Wen Dan Tang addresses this pattern

This is the primary pattern the formula was designed for. When the Gallbladder loses its natural clarity and calm and the Stomach fails to descend Qi properly, turbid Phlegm accumulates in the middle and generates mild Heat. This Phlegm-Heat disturbs the Gallbladder's decision-making function and the Stomach's digestive function simultaneously. The combination of Ban Xia drying Phlegm, Zhu Ru clearing Heat and calming irritability, Zhi Shi and Chen Pi moving Qi downward, and Fu Ling strengthening the Spleen to cut off Phlegm production, directly addresses every link in this pathological chain. The warm and cool herbs are carefully balanced so the formula clears without overcooling and dries without overheating.

A practitioner would look for one or more of these signs

Insomnia

Difficulty falling asleep or restless, dream-disturbed sleep

Nausea

Nausea or vomiting of sticky phlegm

Severe Heart Palpitations

Palpitations with a sensation of unease

Dizziness

Dizziness or a heavy, foggy head

Anxiety

Anxiety, being easily startled or frightened

Bitter Taste In The Mouth

Bitter taste in the mouth

Sputum

White, greasy tongue coating with a wiry-slippery pulse

How It Addresses the Root Cause

The Gallbladder in TCM is called a 'pure and clean organ' (清净之府) that naturally prefers calm and tranquility. When emotional stress, improper diet, or residual pathology from illness disturbs the Gallbladder's function, its role in smooth decision-making and flow of Qi becomes impaired. This stagnation of Qi in the Gallbladder and Stomach system creates an environment where body fluids fail to be properly transported and transformed, instead congealing into Phlegm.

Because the Gallbladder and Stomach are closely linked through the Shao Yang and Yang Ming relationship, when Gallbladder Qi stagnates, the Stomach also loses its natural downward-descending function. This produces nausea, vomiting, hiccups, or a feeling of fullness. Meanwhile, the accumulated Phlegm, which may develop a mild Heat component over time, rises upward to disturb the Heart and mind. This is why the pattern produces such diverse symptoms: insomnia, restlessness, vivid or disturbing dreams, anxiety, dizziness, and a tendency to startle easily. When Phlegm further mists over the clear orifices of the brain, more severe manifestations like epilepsy or mental confusion may develop. The tongue typically shows a white, greasy coating (indicating Phlegm-Dampness), and the pulse is wiry and slippery (indicating Gallbladder constraint with Phlegm).

The formula addresses this mechanism by simultaneously restoring the Qi dynamic of the Gallbladder-Stomach axis and eliminating the Phlegm that disturbs it. Once Phlegm is resolved and the Stomach descends properly, the Gallbladder returns to its natural state of clarity and calm, and the mind settles.

Formula Properties

Temperature

Neutral

Taste Profile

Predominantly acrid (pungent) and bitter with a mild sweet undertone. The acrid taste opens and moves Qi to disperse Phlegm, the bitter taste dries Dampness and directs Qi downward, and the mild sweetness harmonizes the middle and protects the Stomach.

Target Organs
Gallbladder Stomach Spleen Heart
Channels Entered
Gallbladder Stomach Spleen Heart

Formula Origin

San Yin Ji Yi Bing Zheng Fang Lun (三因極一病證方論) by Chen Yan (陳言)

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

Ingredients in Wen Dan Tang

Detailed information about each herb in Wen Dan Tang and their roles

Kings
Deputies
Assistants
Envoys
Ban Xia
Ban Xia

Pinellia tuber

Dosage: 6 - 9g

Temperature Warm
Taste Acrid / Pungent (辛 xīn)
Organ Affinity Spleen, Stomach, Lungs
Parts Used Tuber (块茎 kuài jīng / 块根 kuài gēn)
Role in Wen Dan Tang

The principal herb of the formula. Ban Xia dries Dampness, transforms Phlegm, descends rebellious Qi, and harmonises the Stomach to stop nausea and vomiting. As the foremost substance for addressing Phlegm accumulation and Stomach disharmony, it directly tackles the core pathology of Phlegm obstructing the Gallbladder-Stomach axis.

Zhu Ru
Zhu Ru

Bamboo shavings

Dosage: 6 - 9g

Temperature Slightly Cool
Taste Sweet (甘 gān)
Organ Affinity Lungs, Stomach, Heart, Gallbladder
Parts Used Stem (茎 jīng)
Role in Wen Dan Tang

Clears Heat from the Stomach and Gallbladder, transforms Phlegm, calms restlessness, and stops vomiting. Its sweet, slightly cold nature perfectly complements the warm Ban Xia, creating a balanced pairing that resolves Phlegm and settles the Stomach without being overly warming or cooling.

Zhi Shi
Zhi Shi

Immature bitter orange

Dosage: 6 - 9g

Temperature Slightly Cool
Taste Bitter (苦 kǔ), Acrid / Pungent (辛 xīn), Sour (酸 suān)
Organ Affinity Spleen, Stomach, Large Intestine
Parts Used Fruit (果 guǒ / 果实 guǒ shí)
Role in Wen Dan Tang

Breaks through Qi stagnation, descends Qi, disperses accumulation, and resolves Phlegm-related focal distension. By moving Qi downward, it helps Phlegm follow Qi and descend, relieving the chest oppression and epigastric fullness that accompany the pattern.

Chen Pi
Chen Pi

Tangerine peel

Dosage: 9 - 12g

Temperature Warm
Taste Acrid / Pungent (辛 xīn), Bitter (苦 kǔ)
Organ Affinity Lungs, Spleen
Parts Used Peel / Rind (皮 pí / 果皮 guǒ pí)
Role in Wen Dan Tang

Regulates Qi flow, dries Dampness, and transforms Phlegm. It supports Ban Xia in resolving Phlegm and assists Zhi Shi in moving Qi, strengthening the overall Qi-regulating and Phlegm-resolving capacity of the formula.

Fu Ling
Fu Ling

Poria

Dosage: 4.5 - 9g

Temperature Neutral
Taste Sweet (甘 gān), Bland (淡 dàn)
Organ Affinity Heart, Lungs, Spleen, Kidneys
Parts Used Fungus / Mushroom (菌类 jūn lèi)
Role in Wen Dan Tang

Strengthens the Spleen and percolates Dampness, thereby addressing the root cause of Phlegm production (a weak Spleen that fails to transform fluids). It also calms the spirit and supports the heart, helping to settle anxiety and palpitations.

Gan Cao
Gan Cao

Licorice root

Dosage: 3 - 6g

Temperature Neutral
Taste Sweet (甘 gān)
Organ Affinity Heart, Lungs, Spleen, Stomach
Parts Used Root (根 gēn)
Role in Wen Dan Tang

Harmonises all the other herbs in the formula, tonifies the Spleen and Qi, and moderates the drying and descending actions of the other ingredients to prevent them from being overly harsh.

Sheng Jiang
Sheng Jiang

Fresh ginger rhizome

Dosage: 5 slices (approximately 6 - 9g)

Temperature Slightly Warm
Taste Acrid / Pungent (辛 xīn)
Organ Affinity Lungs, Spleen, Stomach
Parts Used Rhizome (根茎 gēn jīng)
Role in Wen Dan Tang

Harmonises the Stomach, reduces nausea, and counteracts the toxicity of Ban Xia. Together with Da Zao, it regulates the Spleen and Stomach to support proper fluid metabolism and ensure the formula is well tolerated.

Da Zao
Da Zao

Chinese date (Jujube fruit)

Dosage: 1 piece

Temperature Warm
Taste Sweet (甘 gān)
Organ Affinity Spleen, Stomach, Heart
Parts Used Fruit (果 guǒ / 果实 guǒ shí)
Role in Wen Dan Tang

Tonifies the Spleen and Stomach, nourishes Qi and Blood, and works with Sheng Jiang and Gan Cao to harmonise the middle, supporting digestion and ensuring the drying herbs do not deplete the body's fluids.

Modern Research (3 studies)

  • Systems Pharmacology Dissection of Traditional Chinese Medicine Wen-Dan Decoction for Treatment of Cardiovascular Diseases (Network Pharmacology Study, 2018)
  • Traditional Use of Chinese Herbal Medicine for Insomnia and Priorities Setting of Future Clinical Research (Systematic Historical Review, 2018)
See all research on the formula page

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

30 minutes before meals (食前服, as specified in the classical text), typically twice daily, morning and evening. For prominent insomnia, the evening dose may be taken 1-2 hours before bedtime.

Typical Duration

Acute use (insomnia, nausea, acute anxiety): 1-2 weeks. Chronic patterns (recurrent dizziness, long-standing Phlegm accumulation): 2-4 weeks, reassessed by practitioner and modified as the pattern evolves.

Dietary Advice

Avoid greasy, fatty, and fried foods, as these generate further Dampness and Phlegm, directly opposing the formula's therapeutic purpose. Reduce or avoid dairy products, excessively sweet foods, and alcohol, all of which contribute to Phlegm accumulation. Cold and raw foods (including iced drinks, raw salads, and sashimi) should be minimized, as they impair the Spleen's transforming function and promote Dampness. Favor easily digestible, lightly cooked foods such as congee, steamed vegetables, and small portions of lean protein. Bland foods like Job's tears (yi yi ren), white radish, and winter melon naturally support Dampness drainage. Eating regular, moderate meals rather than large heavy meals supports the Stomach's descending function.

Modern Usage

Wen Dan Tang is a traditional Chinese herbal formula used to treat Phlegm-Heat type disorders. This formula was first detailed in the 11th-century medical text "Treatise on Cold Damage Disorders" by the renowned scholar-physician Zhang Zhongjing. In TCM, Wen Dan Tang is employed to harmonize the Gallbladder and Stomach, clear Phlegm, and calm the Mind (spirit).

In modern practice, it is used to alleviate anxiety, depression, vertigo, and chronic mental disorders. Its calming properties can assist with sleep disorders and support cognitive health. Additionally, it is sometimes recommended for improving digestive health.

Special Populations

Pregnancy

Use with caution during pregnancy. Ban Xia (Pinellia) is traditionally classified as a pregnancy-caution herb (妊娠慎用药) due to potential effects on the uterus and its inherent toxicity when improperly processed. Zhi Shi (Immature Bitter Orange) is also listed among pregnancy-caution herbs because of its strong Qi-descending and breaking action. While the formula uses processed Ban Xia (which has significantly reduced toxicity) and Sheng Jiang (fresh ginger) to counteract Ban Xia's irritant properties, this formula should generally be avoided during pregnancy unless the clinical need clearly outweighs the risk, under the direct supervision of an experienced practitioner.

Breastfeeding

No specific classical or modern contraindication for breastfeeding has been established. The formula is composed primarily of common culinary and medicinal herbs at moderate doses. Ban Xia (Pinellia) is used in processed form, and its active alkaloids at therapeutic doses are not well-studied for transfer into breast milk. The drying and Qi-moving nature of the formula could theoretically reduce milk production in mothers with borderline supply, as breast milk is considered a transformation of Blood and fluids in TCM. Use under practitioner guidance if needed during breastfeeding, and discontinue if any changes in milk supply or infant feeding behavior are observed.

Pediatric Use

Wen Dan Tang has been used in pediatric practice for conditions such as cough with Phlegm, tic disorders, childhood obesity, precocious puberty, and night crying, provided the underlying pattern involves Phlegm-Dampness or Phlegm-Heat. Standard pediatric dosage adjustments apply: neonates receive approximately 1/6 of the adult dose, infants and toddlers receive 1/3 to 1/2, and older children receive proportionally more based on age and weight. Because Ban Xia (Pinellia) has inherent irritant properties even after processing, its dose should be carefully calibrated in young children, and only properly processed forms (Fa Ban Xia or Jiang Ban Xia) should be used. The formula may affect the developing digestive system of very young children, so practitioners should monitor for any signs of stomach upset and keep treatment courses short with regular reassessment.

Drug Interactions

Gan Cao (Licorice): Glycyrrhizin in Gan Cao can cause pseudoaldosteronism (potassium loss and sodium/water retention), potentially interacting with diuretics (especially thiazides and loop diuretics, compounding potassium loss), cardiac glycosides such as digoxin (hypokalemia increases digoxin toxicity), corticosteroids (additive mineralocorticoid effects), and antihypertensive medications (opposing their blood-pressure-lowering action through fluid retention).

Ban Xia (Pinellia): No major direct drug interactions are well-documented for processed Pinellia at standard doses. However, its sedative and antiemetic properties may theoretically potentiate the effects of CNS depressants, benzodiazepines, or antiemetics. Caution is advised with concurrent use.

Zhi Shi (Immature Bitter Orange): Contains synephrine, which has sympathomimetic properties. This may interact with MAO inhibitors and sympathomimetic drugs, and could theoretically affect blood pressure or heart rate. Patients on antiarrhythmic drugs should be monitored.

General: As a Phlegm-resolving and Qi-regulating formula, Wen Dan Tang may influence gastrointestinal motility and absorption, potentially affecting the bioavailability of concurrently administered oral medications. It is advisable to separate administration by at least one to two hours from pharmaceutical drugs.

Contraindications

Avoid

Yin deficiency with signs such as dry mouth, dry stools, a peeled or cracked tongue coating, or geographic tongue. The drying nature of Ban Xia and Chen Pi can further damage Yin fluids.

Avoid

Exterior (surface-level) patterns such as common cold or flu with chills and fever. This formula treats interior Phlegm-Dampness conditions, not exterior pathogenic invasions.

Caution

Internal cold or Yang deficiency patterns with pronounced cold signs such as feeling chilly, cold limbs, and pale tongue. Despite the name 'Warm the Gallbladder,' the commonly used San Yin Fang version is not a warming formula.

Caution

Excessive menstrual bleeding. Zhi Shi (Immature Bitter Orange) has Qi-moving and downward-directing properties that may theoretically exacerbate heavy menstrual flow.

Caution

Patients with true Blood deficiency or Qi deficiency as the primary pattern. This formula moves Qi and drains Dampness without tonifying, and may further deplete those who are already weak.

Cautions & Warnings

Although this formula is typically safe for most individuals, it may cause side effects in some people. Pregnant women, nursing mothers, postpartum women, and those with liver disease should use the formula with caution.

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

Product Details

Manufacturing, supplier, and product specifications

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Granules

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