Gu Jing Wan

Classical TCM Formula Profile

Part of the HJMEDICAL TCM Discovery Center

固经丸 · Gù Jīng Wán

Formula for constrained Liver Fire injuring the Chong and Ren, causing excessive or continuous uterine bleeding (Beng Lou) with Yin deficiency Heat signs.

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Quick Facts

Formula Category
Astringent Formulas
Primary Pattern
Yin Deficiency
Primary Function
Enrich Yin, clear Heat, stabilize menses, stop bleeding
Primary Therapeutic Principle
Enrich Yin, clear Heat, stop bleeding and stabilize the menses
Classical Source
Yi Xue Ru Men or traditional sources (Stabilize the Menses Pill)
Available as Granules
Yes

Formula Overview

Formula for constrained Liver Fire injuring the Chong and Ren, causing excessive or continuous uterine bleeding (Beng Lou) with Yin deficiency Heat signs.

Therapeutic Principle

Traditionally selected when excessive menstrual bleeding stems from Yin deficiency with Heat pressing on the vessels, combining enrichment with astringency — unlike Si Wu Tang, which nourishes Blood without securing it, or Wen Jing Tang, which addresses the opposite cold-type presentation.

Composition: Sovereign, Minister, Assistant, Envoy

Every herb in the formula, grouped by the job it does in the classical hierarchy.

Classical Composition

  • Scutellariae Radix (Huang Qin dry-fried) 1 liang (30g)
  • Paeoniae Radix Alba (Bai Shao dry-fried) 1 liang (30g)
  • Testudinis Plastrum (Zhi Gui Ban vinegar-fried) 1 liang (30g)
  • Phellodendri Chinensis Cortex (Huang Bai dry-fried) 3 qian (9g)
  • Ailanthi Cortex (Chun Gen Pi) 7.5 qian (22.5g)
  • Cyperi Rhizoma (Xiang Fu) 2.5 qian (7.5g)

Dosages follow the classical source and are shown for study, not as a prescription.

Related Health Topics

Actions

  • Enriches yin and clears heat
  • consolidates the channels and stanches bleeding.

Indications

  • Gu Jing Wan is designed for flooding and spotting due to yin deficiency and blood heat.
  • The symptoms include flooding and spotting or profuse menstruation that is dark or purple, feverish sensation in the palms and soles, weakness and soreness in the loins and knees, a red tongue body, and a rapid pulse.

Traditional Pathogenesis

Cause & mechanism

  • The corresponding disorders treated by this formula are mostly caused by liver and kidney yin deficiency and intense ministerial fire that impair the chong mai and ren mai, causing them to push out blood.
  • Qi stagnation and blood stasis due to liver constraint, together with blood heat, result in purple-black menstrual clots.
  • Yin deficiency results in vigorous fire that leads to a feverish sensation in the palms and soles and weak, sore loin and knees.
  • Therefore, the treatment should aim at enriching yin and clearing heat, regulating menstruation, and stanching bleeding.

Clinical presentation

    Tongue & pulseRed tongue body and a wiry pulse indicate constrained heat.

    Treatment strategy

    • The treatment principle is to enrich Yin, clear Heat, stop bleeding and stabilize the menses.

    How does this formula compare?

    Compare Gu Jing WanSi Wu TangWen Jing Tang
    Primary Function Enrich Yin, clear Heat, stabilize menses, stop bleedingTonify Blood, nourish LiverWarm channels, nourish Blood, regulate menses
    Formula Category Astringent FormulasBlood-Tonifying FormulasBlood-Tonifying Formulas
    Typical TCM Pattern Yin DeficiencyBlood DeficiencyBlood Deficiency
    Main Conditions Irregular Menstruation·Dizziness & Vertigo·Fatigue & Low Energy·Eye DrynessIrregular Menstruation·Dysmenorrhea·Cold Limbs·Abdominal Pain
    Main Herbs Tortoise Plastron·White Peony Root·Scutellaria / Baikal Skullcap·Phellodendron Bark·Cyperus RhizomePrepared Rehmannia Root·Chinese Angelica Root·White Peony Root·Chuanxiong RhizomeEvodia Fruit·Cinnamon Twig·Chinese Angelica Root·Chuanxiong Rhizome·White Peony Root
    Classical Source Yi Xue Ru Men or traditional sources (Stabilize the Menses Pill)Xian Shou Li Shang Xu Duan Mi Fang / Tai Ping Hui Min He Ji Ju FangJin Gui Yao Lue (Zhang Zhongjing, Eastern Han)

    Clinical Perspective

    Gu Jing Wan stabilizes excessive menstrual bleeding from Heat. Si Wu Tang and Tao Hong Si Wu Tang address deficiency or stasis without primary bleeding control. Wen Jing Tang is for cold-type patterns. Gu Chong Tang is a related astringent formula.

    Clinical Differentiation

    • Gu Jing Wan is commonly used for flooding and spotting or profuse menstruation due to blood heat.
    • This clinical pattern is marked by dark red or purple-black, sticky menses, red tongue, wiry, rapid pulse.

    Safety notes: This formula is not appropriate for flooding from spleen-qi failing to contain, or from blood stasis, without the heat-in-blood signs it is built for.

    For educational reference only, based on traditional pattern differentiation — not a substitute for professional advice.

    Frequently Asked Questions

    What are the actions of Gu Jing Wan?
    Gu Jing Wan has the actions of nourishing Yin and clearing Heat, consolidating the Chong vessel and stopping bleeding. It is primarily used for abnormal uterine bleeding caused by Yin deficiency with Blood Heat.
    Which modern diseases is Gu Jing Wan suited to?
    Modern TCM clinical practice commonly applies it to individuals whose pattern differentiation falls within Yin deficiency with Blood Heat, including functional uterine bleeding, perimenopausal abnormal uterine bleeding, heavy or prolonged menstruation, and certain cases of bleeding associated with chronic pelvic conditions when Heat and Yin deficiency are present.
    Is Gu Jing Wan suitable for improving heavy or prolonged menstrual bleeding?
    For presentations of heavy or prolonged menstrual flow, dark red or purple-black thick blood, heat in the palms and soles, lumbar soreness, a red tongue, and a wiry-rapid pulse — in those whose pattern differentiation confirms Yin deficiency with Blood Heat forcing the Blood — TCM commonly applies Gu Jing Wan as an adjunct. It cannot replace standard medical treatment.
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    Medical Disclaimer

    For general TCM education only — not medical advice. Consult a qualified TCM practitioner or licensed healthcare provider before use, especially if pregnant, nursing, on medication, or managing a chronic condition.

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