What is Wu Yao? Are Tian Tai Wu Yao, Tai Wu and Xiang Fu the same?
Official Wu Yao (乌药) is the dried tuberous root of Lindera aggregata. The pharmacopoeial name is Linderae Radix. Tian Tai Wu Yao / Tai Wu names the Zhejiang Tiantai geoauthentic tuber; spindle-shaped beaded roots are preferred—old straight roots are not medicinal. Xiang Fu is Cyperus rhizome: soothes the Liver, moves qi and regulates menses—Liver qi aspect, not Lindera. Write Wu Yao or Tai Wu. Bran-frying can lessen dryness.
What are the TCM properties and traditional uses of Wu Yao?
According to the Chinese Pharmacopoeia, Wu Yao is acrid and warm, enters the Lung, Spleen, Kidney and Bladder channels, and acts to move qi and stop pain, and warm the Kidney and disperse cold. It is used for cold congealing with qi stagnation, chest-abdominal distending pain, qi counterflow with urgent wheeze, Bladder vacuity cold, enuresis and frequent urination, shan pain, and menstrual cold abdominal pain. Acrid-warm and aromatic, it enters the Lung above, Spleen in the middle, and Kidney-Bladder below—suited to cold congealing qi stagnation, not to qi vacuity with interior heat.
How do you choose raw versus bran-fried Wu Yao? Can straight roots be used?
Moving qi and dispersing cold more often uses raw slices; a weak Spleen-Stomach may use bran-fried to lessen dryness. The Pharmacopoeia states that old, non-spindle straight roots must not be used as medicine. Choose beaded tuberous slices.
What is the usual dosage? Can it be drunk daily as a qi-moving warming tea?
The pharmacopoeial decoction dose is 6–10 g. It is not a four-season “Wu Yao qi tea.” Qi vacuity with interior heat, dry mouth and bound stool only grow drier. Cold shan and menstrual-cold pain need a practitioner to name a short course; classics say its drainage exceeds Xiang Fu—do not take large amounts for long.
What are the contraindications? Can it be used in pregnancy?
Forbid in qi vacuity and interior-heat patterns; use caution in pregnancy and bodily vacuity. Unsuitable in early menstruation, short dark urine and Yin vacuity with interior heat. Acrid-warm moving qi can stir the lower burner; pregnancy needs assessment. Stop if dry mouth and vexing heat appear.
Can Wu Yao move qi, stop pain and warm the Kidney?
It can help cold congealing qi stagnation. Cold shan with lower-abdominal pain joins fennel, Aucklandia, green tangerine peel, galangal, areca and Toosendan in Tian Tai Wu Yao San. Bladder vacuity cold and frequent urination join Alpinia oxyphylla and Dioscorea in Suo Quan Wan. Menstrual-cold pain joins angelica, Cyperus and Aucklandia in Wu Yao Tang. Acrid-warm, it moves qi and disperses cold—not a specific for every bellyache, every hernia or every frequent urination. Acute abdomen and a hot red swollen scrotum are emergencies.
Can Wu Yao be drunk daily as a uterus-warming, shan-stopping or urine-securing tea?
Cold congealing qi stagnation may enter a short formula; qi vacuity with interior heat only grows drier. “Wu Yao warms the uterus and secures urine” does not replace gynecologic and urologic assessment. Moving qi and dispersing cold should name Tai Wu 6–10 g; do not use straight roots.
How do you choose among Wu Yao, Xiang Fu, Mu Xiang, Xiao Hui Xiang and Yi Zhi Ren?
Lindera is acrid-warm: moves qi, stops pain, warms the Kidney and disperses cold—Lung-Spleen-Kidney-Bladder, stronger at dispersing cold downward. Cyperus is acrid, slightly bitter, slightly sweet and neutral: soothes the Liver, moves qi and regulates menses—Liver qi, the “commander of qi diseases.” Aucklandia is acrid-bitter-warm: moves qi, stops pain and fortifies the Spleen to disperse food—middle burner. Fennel is acrid-warm: disperses cold, stops pain and regulates qi to harmonize the Stomach—Liver-channel cold shan. Alpinia oxyphylla is acrid-warm: warms the Kidney, secures essence, warms the Spleen and contains saliva—Spleen-Kidney deficient cold that fails to secure. Cold shan in the lower burner favors Wu Yao and Xiao Hui Xiang; Liver depression and menses favor Xiang Fu; epigastric-abdominal distention favors Mu Xiang; frequent urination and enuresis favor Wu Yao and Yi Zhi Ren. They may be paired; all are wrong as pure acrid-warm aromatics in qi vacuity with interior heat.
Which herbs is Wu Yao combined with? What are the representative formulas?
Cold shan joins fennel, Aucklandia, green tangerine peel, galangal, areca and Toosendan in Tian Tai Wu Yao San. Bladder vacuity cold joins Alpinia oxyphylla and Dioscorea in Suo Quan Wan. Menstrual cold joins Cyperus, angelica and Aucklandia. Write Wu Yao or Tai Wu; do not dispense straight roots or pass Xiang Fu as a substitute.
How do you choose and store Wu Yao?
Choose spindle-shaped beaded tubers, white or yellowish-white slices, a cool aroma and a slightly bitter-acrid taste; Tiantai, Zhejiang lots are preferred. Old straight roots, scentless, moldy and moth-eaten lots are discarded. Store cool and dry against moths. Buy pharmacopoeial Wu Yao; do not replace moving qi, stopping pain and warming the Kidney to disperse cold with straight roots or an equal weight of Xiang Fu.