Formula

Wen Jing Tang

Evodia & Cinnamon Combination | 温经汤

Also known as:

Warm the Menses Decoction , Flow-Warming Decoction

Properties

Hemostatic formulas · Warm

Key Ingredients

Wu Zhu Yu, Gui Zhi

*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 gynecological formula that gently warms the channels and uterus while nourishing blood and clearing old stagnation. It is used for irregular periods, painful menstruation, prolonged spotting, and difficulty conceiving when caused by internal coldness and poor blood circulation in the lower abdomen, often accompanied by warm palms, dry lips, and evening feverishness.

Formula Category

Main Actions

  • Warms the Channels and Disperses Cold
  • Nourishes Blood
  • Invigorates Blood and Dispels Stasis
  • Regulates menstruation
  • Tonifies Qi
  • Nourishes Yin and Clears Deficiency Heat

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 Jing 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 Jing Tang addresses this pattern

This is the primary pattern addressed by Wen Jing Tang. The Chong vessel (the 'Sea of Blood') and Ren vessel (governing the uterus and reproductive function) become weakened and invaded by cold. This cold causes blood to congeal and stagnate, disrupting menstruation, causing pain, and potentially preventing conception. The formula warms the Chong and Ren with Wu Zhu Yu and Gui Zhi, moves the stagnant blood with Dang Gui, Chuan Xiong, and Mu Dan Pi, and replenishes blood with E Jiao, Bai Shao, and Dang Gui. Meanwhile, Ren Shen and Gan Cao support the Spleen to generate new blood, and Mai Men Dong with E Jiao address the secondary Yin depletion that develops from chronic blood loss and stasis.

A practitioner would look for one or more of these signs

Irregular Menstruation

Periods early, late, prolonged, or absent

Menstrual Cramps

Lower abdominal cold pain improved by warmth

Bleeding

Dark blood with clots, or prolonged spotting (lou xia)

Infertility

Due to cold uterus (gong han)

Dry Lips

Lips and mouth dry, a key diagnostic indicator

Hot Palms And Soles

Warm or irritable palms, especially in the evening

Fever

Low-grade fever worsening toward dusk

Abdominal Distention

Lower abdominal fullness and urgency (li ji)

How It Addresses the Root Cause

Wen Jing Tang addresses a complex condition where deficiency, Cold, Blood stasis, and mild Heat all coexist in the body, with the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) as the primary sites of dysfunction. These two extraordinary vessels govern menstruation, fertility, and reproductive function in women.

The root of the problem is deficiency of both Qi and Blood in the Chong and Ren vessels. This may develop from constitutional weakness, aging (particularly around menopause when the body's reproductive vitality naturally declines), repeated pregnancies or miscarriages, prolonged illness, or chronic blood loss. When Qi and Blood become insufficient, the body loses its capacity to keep the vessels and uterus warm. Cold then accumulates internally, either from this Yang deficiency or from external Cold invading the uterus. Cold causes Blood to congeal and stagnate, just as water freezes in winter. This stagnant Blood obstructs the uterus and lower abdomen, preventing menstrual Blood from flowing smoothly and blocking the normal nourishment needed for conception.

The stagnation creates a vicious cycle: old Blood cannot leave, new Blood cannot be generated, and the uterus remains cold and poorly nourished. Meanwhile, the Blood stasis and Yin-Blood deficiency produce a secondary "false Heat" that floats upward and outward. This explains the characteristic pattern of Cold signs below (cold lower abdomen, congealed menstrual blood) coexisting with apparent Heat signs above (evening fever, hot palms, dry lips). The lip and mouth dryness is not from true Heat consuming fluids but rather from Blood stasis preventing fluids and nourishment from reaching the upper body. The formula works because it simultaneously warms the channels to disperse Cold, moves Blood to resolve stasis, nourishes Blood and Yin to address the underlying deficiency, and gently clears the secondary deficiency Heat, thereby restoring the Chong and Ren vessels to their normal function of governing menstruation and fertility.

Formula Properties

Temperature

Warm

Taste Profile

Predominantly pungent and sweet with some bitterness. Pungent to warm the channels and move Blood, sweet to tonify Qi and nourish Blood, and mildly bitter to clear deficiency Heat.

Target Organs
Uterus Liver Spleen Kidneys Stomach
Channels Entered
Liver Spleen Kidney Stomach Chong Mai (冲脉) Penetrating Vessel Ren Mai (任脉) Conception Vessel

Formula Origin

Jin Gui Yao Lue (金匱要略, Essentials from the Golden Cabinet) by Zhang Zhongjing

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 Jing Tang

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

Kings
Deputies
Assistants
Envoys
Wu Zhu Yu
Wu Zhu Yu

Evodia fruit

Dosage: 6 - 9g

Temperature Hot
Taste Acrid / Pungent (辛 xīn), Bitter (苦 kǔ)
Organ Affinity Liver, Spleen, Stomach, Kidneys
Parts Used Fruit (果 guǒ / 果实 guǒ shí)
Role in Wen Jing Tang

The chief warming herb of the formula. Wu Zhu Yu is acrid and hot, entering the Liver and Stomach channels. It excels at dispersing cold from the lower abdomen and Chong-Ren vessels, relieving pain, and warming the uterus. Its relatively high dose in the original formula underscores its primary role in addressing the root cause of cold obstruction.

Gui Zhi
Gui Zhi

Cinnamon twig

Dosage: 6 - 9g

Temperature Warm
Taste Acrid / Pungent (辛 xīn), Sweet (甘 gān)
Organ Affinity Heart, Lungs, Urinary Bladder
Parts Used Twig (枝 zhī)
Role in Wen Jing Tang

Warms the channels and promotes the flow of blood through the vessels. Gui Zhi works alongside Wu Zhu Yu to break through cold obstruction in the blood vessels, particularly those serving the uterus and lower abdomen. It is warm rather than hot, contributing a gentle, penetrating warmth.

Dang Gui
Dang Gui

Chinese Angelica root

Dosage: 6 - 9g

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

Nourishes blood and invigorates blood circulation to regulate menstruation. It works with Chuan Xiong to move stagnant blood while simultaneously replenishing blood that has been lost through irregular bleeding.

Chuan Xiong
Chuan Xiong

Sichuan lovage rhizome

Dosage: 6 - 9g

Temperature Warm
Taste Acrid / Pungent (辛 xīn)
Organ Affinity Liver, Gallbladder, Pericardium
Parts Used Rhizome (根茎 gēn jīng)
Role in Wen Jing Tang

Known as the 'Qi herb within the blood,' Chuan Xiong moves blood vigorously and dispels stasis. It activates circulation in the Chong and Ren vessels and reinforces the blood-moving actions of Dang Gui.

Mu Dan Pi
Mu Dan Pi

Tree peony root bark

Dosage: 6 - 9g

Temperature Slightly Cool
Taste Bitter (苦 kǔ), Acrid / Pungent (辛 xīn)
Organ Affinity Heart, Liver, Kidneys
Parts Used Bark (皮 pí / 树皮 shù pí)
Role in Wen Jing Tang

Serves a dual function: it assists the blood-moving herbs in dispersing stasis, while also cooling heat in the blood layer. This addresses the secondary virtual heat symptoms (evening fever, warm palms) that arise from depleted Yin blood.

Bai Shao
Bai Shao

White peony root

Dosage: 6 - 9g

Temperature Slightly Cool
Taste Bitter (苦 kǔ), Sour (酸 suān)
Organ Affinity Liver, Spleen
Parts Used Root (根 gēn)
Role in Wen Jing Tang

Nourishes blood and restrains Yin, softens the Liver, and relieves cramping pain. Its cool, astringent nature helps balance the warming herbs and supports the blood-nourishing strategy.

E Jiao
E Jiao

Donkey-hide gelatin

Dosage: 6 - 9g

Temperature Neutral
Taste Sweet (甘 gān)
Organ Affinity Lungs, Liver, Kidneys
Parts Used Processed / Derived product (加工品 jiā gōng pǐn)
Role in Wen Jing Tang

Nourishes blood, stops bleeding, and moistens dryness. Particularly important for addressing the lip dryness and blood deficiency seen in this pattern, and for controlling excessive uterine bleeding. It also provides Yin-nourishing moisture to counterbalance the warm, drying King herbs.

Tian Men Dong
Tian Men Dong

Asparagus tuber

Dosage: 9 - 15g

Temperature Cold
Taste Sweet (甘 gān), Bitter (苦 kǔ)
Organ Affinity Lungs, Kidneys
Parts Used Tuber (块茎 kuài jīng / 块根 kuài gēn)
Role in Wen Jing Tang

Nourishes Yin and clears deficiency heat, generating fluids to address dry lips and mouth. Together with E Jiao and Bai Shao, it restrains the warm-drying tendency of Wu Zhu Yu and Gui Zhi, creating the formula's characteristic balance between warming and nourishing.

Ren Shen
Ren Shen

Ginseng root

Dosage: 6 - 9g

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

Strengthens the Spleen and tonifies Qi to support blood production. Since blood is generated from Qi, supplementing the Spleen ensures a sustainable source of new blood to replace what has been lost.

Ban Xia
Ban Xia

Pinellia rhizome

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 Jing Tang

Descends counterflow Qi, harmonizes the Stomach, and disperses accumulations. It helps the Stomach Qi descend smoothly, which supports the overall movement of Qi and blood. It also assists in opening up channels blocked by stagnation.

Sheng Jiang
Sheng Jiang

Fresh ginger rhizome

Dosage: 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 Jing Tang

Warms the Stomach and supports digestion, assists Wu Zhu Yu and Gui Zhi in dispersing cold, and harmonizes the digestive system to optimize absorption of the other herbs.

Gan Cao
Gan Cao

Licorice root

Dosage: 6 - 9g

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

Tonifies the Spleen and harmonizes all the herbs in the formula. Moderates the harsh properties of the other medicinals and ensures they work together smoothly.

Modern Research (4 studies)

  • Systematic Review and Meta-Analysis: Clinical Efficacy of Wenjing Decoction in the Treatment of Ovulatory Disorder Infertility (2022)
  • RCT: Effects of Switching to Wen-Jing-Tang (Unkei-to) on Endocrinological Status and Ovulatory Induction in Women with PCOS (2006)
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

Warm, divided into 2-3 doses per day, taken 30-60 minutes after meals to reduce potential stomach irritation from Wu Zhu Yu and Ban Xia.

Typical Duration

Usually taken for 2-3 menstrual cycles (roughly 2-3 months), then reassessed. May be extended to 3-6 months for infertility or chronic conditions, with periodic review.

Dietary Advice

While taking this formula, favor warm, cooked, easily digestible foods. Nourishing foods rich in protein and collagen are beneficial, such as slow-cooked bone broth, stewed chicken, lamb, eggs, red dates, and goji berries. Foods that warm the middle and support Blood production are ideal. Avoid cold and raw foods (salads, sushi, iced drinks, ice cream), as these counteract the formula's warming action. Also avoid greasy, heavily fried foods that may impair digestion and obstruct the Spleen's ability to generate Blood. Limit spicy, hot foods and alcohol, which could aggravate the deficiency Heat component of the pattern. Smoking should be avoided as it constricts blood vessels and impairs circulation.

Modern Usage

Wen Jing Tang is a TCM formula designed for women's health. Originating from the classic text "Jing Gui Yao Lue" (Synopsis of Prescriptions of the Golden Chamber), this formula was developed by the esteemed physician Zhang Zhongjing during the late Han dynasty (2nd century A.D).

In TCM, Wen Jing Tang is used to warm the channels and dispel Cold, eliminate Blood Stasis, and nourish the Blood. By warming the menses, nourishing blood, promoting circulation, and reducing Blood Stagnation, Wen Jing Tang helps to alleviate cramps, reduce pain, and regulate the menstrual cycle.

Special Populations

Pregnancy

Contraindicated in pregnancy. The formula contains several herbs that actively move Blood and may stimulate uterine contractions. Wu Zhu Yu (Evodia) is warming and descending, Chuan Xiong (Ligusticum) and Mu Dan Pi (Moutan Bark) are Blood-invigorating herbs with known effects on uterine smooth muscle, and Gui Zhi (Cinnamon Twig) promotes Blood circulation. Ban Xia (Pinellia) is also traditionally classified as contraindicated or cautioned in pregnancy. While Wen Jing Tang is used historically to promote fertility and help women conceive, once pregnancy is confirmed the formula should be discontinued unless a qualified practitioner makes a specific judgment otherwise.

Breastfeeding

Use with caution during breastfeeding. While the formula does not contain strongly toxic herbs, several of its ingredients are warming and Blood-moving, and their components may transfer into breast milk. Wu Zhu Yu (Evodia) has a strong pungent, bitter taste and warming nature that could theoretically affect the infant. Ban Xia (Pinellia) in its raw form is toxic, though it is always used in processed form (Zhi Ban Xia) in this formula, reducing risk. There is no strong evidence of harm during breastfeeding, but given the lack of formal safety data, use should be supervised by a qualified practitioner and is best reserved for clear clinical need.

Pediatric Use

Wen Jing Tang is a gynecological formula specifically designed for menstrual and reproductive disorders. It is not typically prescribed for children. In adolescent girls who have reached menarche and present with the appropriate pattern of Cold-type menstrual irregularity (scanty periods, dark blood with clots, cold lower abdomen), a practitioner may consider a significantly reduced dose under close supervision. The formula's warming and Blood-moving properties require careful assessment in younger patients whose reproductive systems are still maturing. Dosages would generally be reduced to 1/3 to 1/2 of the adult dose for teenagers, with treatment duration kept as short as clinically necessary.

Drug Interactions

Anticoagulants and antiplatelet drugs (warfarin, heparin, aspirin, clopidogrel): The Blood-moving herbs in this formula, particularly Dang Gui (Angelica sinensis), Chuan Xiong (Ligusticum), and Mu Dan Pi (Moutan bark), have known effects on platelet aggregation and blood viscosity. Concurrent use may increase bleeding risk. INR monitoring is advisable if the formula is used alongside warfarin.

Hormonal medications (oral contraceptives, hormone replacement therapy, clomiphene): Research shows that Wen Jing Tang affects the hypothalamic-pituitary-ovarian axis, modulating estradiol, FSH, and LH levels. Concurrent use with hormonal therapies may produce unpredictable interactions. While some studies have combined it with clomiphene with positive results, this should only be done under professional supervision.

Gan Cao (Glycyrrhiza/Licorice) in this formula may interact with corticosteroids (potentiating their effects), digoxin and other cardiac glycosides (via potassium depletion), diuretics (compounding potassium loss), and antihypertensive medications (licorice can cause sodium retention and raise blood pressure). These interactions are dose-dependent and are more relevant with long-term use.

Ban Xia (Pinellia) may theoretically interact with sedative or anti-nausea medications due to overlapping effects on the central nervous system and gastrointestinal motility.

Contraindications

Avoid

Pregnancy. The formula contains Blood-moving herbs (Chuan Xiong, Dan Pi, Gui Zhi) and Wu Zhu Yu that may stimulate uterine activity. Use is contraindicated during confirmed pregnancy.

Avoid

Menstrual bleeding that is heavy with bright red or deep crimson, thick, sticky blood, indicating excess Heat or Heat in the Blood. The warming herbs in this formula may worsen such conditions.

Caution

Yin deficiency with strong internal Heat (marked by severe night sweats, strong hot flushes, red tongue with no coating). The warming components may aggravate Yin-deficient Heat if it predominates over Cold.

Caution

Robust, full-bodied constitution with a flushed complexion. This formula is designed for deficient, thin, pale individuals and is not suitable for those with a constitutionally warm or excess presentation.

Caution

Active bleeding disorders or patients on anticoagulant therapy. The Blood-moving herbs in this formula may increase bleeding tendency.

Caution

Uterine fibroids or breast lumps with signs of Heat. Use with caution, as the warming and Blood-moving properties may be inappropriate for these conditions when Heat signs predominate.

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 TCM practitioner before beginning treatment.

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