Wuji San (Five Accumulation Powder)
December 4, 2025 Wayan Darmayasa Blood Tonifying, Regulating Qi

【Naming】

《Han Dian》: The name of this formula is derived from its intention to treat five accumulations: qi, blood, phlegm, cold, and food.

 【Source】

《Xian Shou Li Shang Xu Duan Mi Fang (Secret Formulas for Connecting Broken Injuries, 846)》, 《Tai Ping Hui Min He Ji Ju Fang (Formulas from the Bureau of National Welfare and Harmonious Prescriptions, 1110)》.

 【Ingredients】

Bai Zhi (Angelicae Dahuricae Radix), Chuan Xiong (Chuanxiong Rhizoma), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Fu Ling (Poria), Dang Gui (Angelicae Sinensis Radix), Rou Gui (Cinnamomi Cortex), (Bai) Shao Yao (Paeoniae Radix Alba), Ban Xia (Pinelliae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Zhi Ke (Citri Aurantii Fructus), Ma Huang (Ephedrae Herba), Cang Zhu (Atractylodis Rhizoma), Pao Gan Jiang (Dry-fried Zingiberis Rhizoma), Jie Geng (Platycodonis Radix), Hou Po (Magnoliae Officinalis Cortex), Sheng Jiang (Zingiberis Rhizoma Recens)
(16)

 【Category】

<Blood Tonifying>Dang Gui, Shao Yao

<Qi Regulating>Chen Pi, Zhi Ke

<Spleen and Middle Qi Tonifying>Gan Cao

<Acrid and Warm Exterior Releasing>Ma Huang, Bai Zhi, Sheng Jiang

<Warming the Interior>Rou Gui, Gan Jiang

<Spleen Tonifying and Water Draining>Fu Ling

<Aromatic Damp Transforming>Cang Zhu, Hou Po

<Blood Invigorating and Stasis Removing>:Chuan Xiong

<Phlegm Transforming>Jie Geng, Ban Xia

【Formula Analysis】

《Yi Fang》: This is a formula that can be used for both yin and yang, exterior and interior conditions. (1) Ma Huang and Gui Zhi: to release the exterior and dispel cold. (2) Gan Cao and Shao Yao: to harmonize the middle and alleviate pain. (3) Cang Zhu and Hou Po: to regulate the earth element of the stomach and dispel dampness. (4) Chen Pi and Ban Xia: to move rebellious qi and eliminate phlegm. (5) Chuan Xiong, Dang Gui, Sheng Jiang, and Bai Zhi: enter the blood level to dispel cold and dampness. (6) Zhi Ke and Jie Geng: to benefit the chest and diaphragm and clear heat. (7) Fu Ling: to drain heat and promote urination, calm the spirit and benefit the spleen. (8) Therefore, it is a formula for releasing the exterior, warming the middle, eliminating dampness, resolving phlegm, dissipating masses, and regulating menstruation. One formula can treat many diseases, but the treatment method must be flexible and adaptable. 《Han Dian》: The name of this formula is derived from its intention to treat five accumulations: qi, blood, phlegm, cold, and food. It has the effects of tonifying blood deficiency, invigorating blood circulation, and strengthening the functions of various organs. It is very effective for various diseases caused by damage from cold and dampness. It is generally not used for conditions with heat. The Cang Zhu, Chen Pi, Hou Po, and Gan Cao in the formula are similar to Er Chen Tang, combined with Zhi Shi, to remove water retention in the stomach. Dang Gui, Shao Yao, and Chuan Xiong are similar to Si Wu Tang, which is for tonifying blood deficiency. Gui Zhi, Gan Jiang, Ma Huang, Bai Zhi, and Jie Geng have the effect of warming the cold, mildly inducing sweating, and promoting blood circulation. This formula has complex ingredients and combines the principles of Er Chen Tang, Ping Wei San, Si Wu Tang, <a href='https://whatsintcm.com/dt_articles/Gui Zhi湯/’>Gui Zhi Tang, Zhi Ming Tang, and <a href='https://whatsintcm.com/dt_articles/Ban XiaHou Po湯/’>Ban XiaHou Po Tang, and is applied to related diseases.

 【Functions】

Disperses cold, warms the middle, eliminates dampness, dissipates accumulation, releases the exterior, warms the interior, regulates qi, transforms phlegm, and invigorates blood.

 【Indications】

External contraction of cold, internal injury from raw and cold foods, headache, body ache, stiffness in the neck and back, fullness and stuffiness in the chest and abdomen, aversion to cold, abdominal pain, vomiting, as well as cold in the channels, pain in the lower back and legs, as well as disharmony of blood and qi in women, irregular menstruation, and pain in the heart and abdomen. The target symptoms of this formula are a slightly anemic complexion, cold pain in the lower back, thighs, and lower abdomen, a feeling of heat in the upper body and cold in the lower body. 《Yi Fang》: (1) Treats Shao Yin cold damage, as well as external contraction of wind-cold, internal injury from raw and cold foods, fever without sweat, headache, body ache, and stiffness in the neck and back. (2) Fullness in the chest, aversion to food, vomiting, abdominal pain, alternating chills and fever, swelling and pain in the feet, cold constipation, cold hernia, cold malaria, aversion to cold without sweat, and irregular menstruation in women.

 【Adaptation】

Acute and chronic gastroenteritis, stomach cramps, hernia, lower back pain, leukorrhea, menstrual pain, heart valve disease, neuralgia, rheumatism, beriberi, stroke, traumatic injuries, and mild colds in the elderly.

 【Mnemonic】

(1) Er Chen Tang + Ping Wei San + Si Wu Tang without Di Huang + Ma Shu Jiang Geng Gui (Ma Zhi Zhi Pao Jiang Geng Gui). (2) Mom kneels to find grass, the warehouse is old and worn, poor Gui Gan Zi, restraint oneself to be obedient (Ma Gui Shao Cao, Cang Po Chen Ban, Qiong Gui Gan Zhi, Ke Ji Fu Ling).

 【Modifications】

《Yi Fang》: (1) With sweat: remove Cang Zhu and Ma Huang. (2) With Qi deficiency: remove Zhi Ke and Jie Geng, add Ren Shen and Bai Zhu. (3) With abdominal pain accompanied by gas: add Wu Zhu Yu. (4) With stomach cold: add Wei Jiang (prepared ginger). (5) With Yin syndrome cold damage, cold limbs and weak sweat: add Fu Zi. (6) For women regulating menstruation: add vinegar-treated Ai Ye. (1) If exterior cold is severe, change Rou Gui to Gui Zhi to strengthen the exterior-releasing action. (2) If exterior cold is mild, remove Ma Huang and Bai Zhi to not weaken the sweating action. (3) If interior cold is severe, add Wu Zhu Yu to warm and dispel interior cold. (4) If qi is deficient, remove Zhi Ke and Chen Pi, add Dang Shen and Bai Zhu to benefit qi. (5) If food stagnation is severe, add Shan Zha and Shen Qu to digest food and guide stagnation. (6) If there is no blood stasis, remove Chuan Xiong and Dang Gui. (7) For dysmenorrhea, add Yan Hu Suo, Wu Yao, Mu Xiang, and Ai Ye to warm the interior, move qi, soothe the liver, and relieve pain. (8) If Yin Qi is damaged by cold, hands and feet are cold, or there are night terrors and profuse sweating, the pulse is deep and fine, the face is green, or the hands and feet are cold, and there is excessive nausea, add one qian of Shun Yuan San, decoct and take hot. (9) If a woman’s labor pains are infrequent and difficult, and she does not give birth for two or three days, the fetus dies in the womb, or the mother suddenly has no strength and the birth canal is dry, add Shun Yuan San and decoct together with seven parts water and wine; take two doses one after the other if the body is hot and the head hurts, adding one scallion stalk and seven fermented soybeans to each dose and decocting together.