Tiao Jing Wan

Classical TCM Formula Profile

Part of the HJMEDICAL TCM Discovery Center

調經丸 · Tiáo Jīng Wán

A classical formula for irregular menstruation with Qi and blood stagnation, often with premenstrual distension and dysmenorrhea.

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Quick Facts

Formula Category
Blood-Invigorating Formulas
Primary Pattern
Blood Stasis
Primary Function
Regulate menstruation, move Qi and blood
Primary Therapeutic Principle
Move stagnant Qi and blood to regulate the menstrual cycle
Classical Source
Classical TCM formulary
Available as Granules
Yes

Formula Overview

A classical formula for irregular menstruation with Qi and blood stagnation, often with premenstrual distension and dysmenorrhea.

Therapeutic Principle

Traditionally selected when irregular menstruation presents with premenstrual distension and dysmenorrhea from Qi and blood stagnation, rather than pure blood deficiency or chiefly Liver constraint with emotional symptoms.

Composition: Sovereign, Minister, Assistant, Envoy

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

Classical Composition

  • Radix Angelicae Sinensis (Dang Gui) 9g
  • Rhizoma Chuanxiong (Chuan Xiong) 6g
  • Radix Paeoniae Alba (Bai Shao) 9g
  • Radix Rehmanniae Praeparata (Shu Di Huang) 12g
  • Rhizoma Cyperi (Xiang Fu) 9g
  • Rhizoma Corydalis (Yan Hu Suo) 9g

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

Related Conditions

Related Health Topics

Actions

  • Moves qi
  • invigorates blood
  • and regulates menstruation.

Indications

  • This formula is indicated for qi and blood stagnation in the chong and ren.
  • Signs and symptoms include irregular cycles, clotted flow, and lower-abdominal distension.

Tongue & pulseThe pulse is wiry or choppy.

Traditional Pathogenesis

Cause & mechanism

  • This pattern is due to static blood obstructing the vessels and channels.
  • Qi and blood stagnation in the chong and ren produces irregular cycles, clotted flow and lower-abdominal distension.

Clinical presentation

  • Stasis produces fixed, stabbing pain that is worse with pressure, dark complexion or clotted menstrual flow, and a dark or spotted tongue.

Treatment strategy

  • The correct method is to invigorate blood, dissolve stasis, and free the vessels.
  • In this formula the emphasis is to move stagnant Qi and blood to regulate the menstrual cycle.

How does this formula compare?

Compare Tiao Jing WanXiao Yao SanSi Wu TangTao Hong Si Wu Tang
Primary Function Regulate menstruation, move Qi and bloodCourse Liver Qi, tonify Spleen, nourish BloodTonify Blood, nourish LiverNourish and invigorate Blood, dispel stasis
Formula Category Blood-Invigorating FormulasHarmonising FormulasBlood-Tonifying FormulasBlood-Invigorating Formulas
Typical TCM Pattern Blood StasisQi StagnationBlood DeficiencyBlood Stasis
Main Conditions Irregular Menstruation·Dysmenorrhea·PMS (Premenstrual Syndrome)Hypochondriac Distension·Emotional Depression·Poor Appetite·Irregular MenstruationIrregular Menstruation·Dizziness & Vertigo·Fatigue & Low Energy·Eye DrynessDysmenorrhea·Irregular Menstruation·Abdominal Pain
Main Herbs Chinese Angelica Root·Chuanxiong Rhizome·White Peony Root·Prepared Rehmannia Root·Cyperus RhizomeBupleurum Root·Chinese Angelica Root·White Peony Root·White Atractylodes Rhizome·Poria / HoelenPrepared Rehmannia Root·Chinese Angelica Root·White Peony Root·Chuanxiong RhizomePrepared Rehmannia Root·Chinese Angelica Root·White Peony Root·Chuanxiong Rhizome·Peach Kernel
Classical Source Classical TCM formularyTai Ping Hui Min He Ji Ju Fang (Song dynasty)Xian Shou Li Shang Xu Duan Mi Fang / Tai Ping Hui Min He Ji Ju FangYi Lei Yuan Rong (Supreme Commanders of the Medical Ramparts, Yuan dynasty)

Clinical Perspective

Tiao Jing Wan, Xiao Yao San, Si Wu Tang and Tao Hong Si Wu Tang all regulate menstruation by different mechanisms. Xiao Yao San spreads Liver Qi with mild blood nourishment; Si Wu Tang purely nourishes blood; Tao Hong Si Wu Tang adds stronger blood-moving force. Tiao Jing Wan combines blood nourishment with Qi-moving and pain-relieving herbs for irregular cycles driven by Qi-blood stagnation and dysmenorrhea.

Clinical Differentiation

  • Tiao Jing Wan is used for qi and blood stagnation in the chong and ren with irregular cycles and clotted flow.
  • It is distinguished from Xiao Yao San (constraint with spleen-blood deficiency) and from Tao Hong Si Wu Tang (blood deficiency plus stasis without as much qi-moving emphasis).

Safety notes: This formula moves qi and blood. It is not appropriate in pregnancy or for deficiency amenorrhea without stagnation.

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

Frequently Asked Questions

What are the actions of Tiao Jing Wan?
Tiao Jing Wan has the actions of regulating Qi and activating blood, nourishing blood, and regulating menstruation to relieve pain. It is primarily used for patterns of Qi stagnation and blood stasis leading to irregular menstruation and menstrual discomfort.
Which modern conditions is Tiao Jing Wan commonly applied to?
In modern TCM clinical practice it is frequently used for patients whose pattern differentiation matches Qi stagnation and blood stasis, including irregular menstruation, dysmenorrhea (painful periods), delayed periods with scanty flow or clots, and premenstrual breast distension with irritability.
Is Tiao Jing Wan suitable for improving menstrual pain and irregular cycles?
For presentations of delayed or irregular periods, lower abdominal pain during menstruation, scanty menstrual flow with dark clots, premenstrual breast tenderness, and emotional irritability — when pattern differentiation confirms Qi stagnation and blood stasis — TCM commonly applies Tiao Jing Wan as an adjunct. It cannot replace standard medical evaluation.
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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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