Origins: A modern formula from Wu Hua Formula Wu Hua Tang Guandong Province.

Wu Hua Formula has been used by the people of Guandong province for an indeterminable number of generations. Manufacture of Wu Hua Formula as a patent medicine began in the 20th century, around which time discussions of the formula began to appear in print. General Signs/Symptoms Patients will have obvious damp-heat or heat-toxin signs such as damp-heat diarrhea, gastroenteritis, intestinal parasites, blood in stools, intestinal abscess, and toxic swellings, such as carbuncles and furuncles anywhere in the body. This formula has a strong and fast action, yet is gentler on the body and more versatile than other formulas commonly used to treat damp-heat diarrhea or parasitic pathogens. Compared to other formulas that strongly resolve damp-heat and toxin, Wu Hua Formula is safer for children and the elderly. It is popular to take along when traveling to places where the water quality is substandard. Traditional Actions 1. Disperses heat and 2. Resolves toxin and 3. Stops diarrhea 4. Controls bleeding resolves dampness disperses swellings

Ingredients Pinyin Latin English Percent of Formula Jin Yin Hua (chief) Lonicerae (flos) Japanese Honeysuckle Flower 40% Mu Jin Hua (deputy) Hibisci (flos) Hibiscus Flower 20% Ji Guan Hua (deputy) Celosiae Cristatae (flos) Cockscomb Flower 20% Hou Po Hua (assistant) Magnoliae Officinalis (flos) Magnolia Flower 10% Ge Hua (assistant) Puerariae (flos) Pueraria Flower 10%

General Indications / Modern Applications • Appendicitis • Gastrointestinal inflammation • Parasites • Bleeding from heat-toxin or • Hematemesis / Vomiting blood • Pinworms in children damp-heat toxin • Hemorrhoids • Rectal bleeding • Blood in the stool • Hives • Skin rash, red and raised • Boils and furuncles • “Hot qi” syndrome in children • Viral flu prevention • Diarrhea • Intestinal abscess • Wounds, from toxic qi or damp- • Dysentery • Intestinal parasites heat, suppurative • Eczema • Over-consumption of alcohol or • Epistaxis / Nosebleeds fried fatty foods Synergy of Ingredients “Wu Hua Tang” means “Five Flower Decoction”. One of the advantages of flowers is also a disadvantage in traditional decocting methods. On the one hand, flowers are light and have a lot of surface area compared to roots, barks, and twigs; they therefore give up a higher percentage of their healing power to the decoction. They also have a conveniently short cooking time, which was, doubtless, part of the traditional appeal of Wu Hua Tang. On the other hand, aromatics rapidly lose their qi to evaporation. The high surface-area-to-weight ratio and the loss during evaporation tended to cancel each other out, so that in many formula decoctions, the weight of the flowers was comparable to that of the roots and barks. State-of-the-art decocting methods today have a closed system, with zero percent of the qi lost to evaporation. There is also a modern method to trap the volatile oils as they steam upward and then re-introduce them at the end of the decoction process. Today, using modern technology, a formula that consists of all flowers is much more potent than the same formula made at home with the same amounts of ingredients. The five flowers used in this formula combine to cool the blood and disperse damp-heat and toxin in the digestive tract and skin. Flowers by nature are light, ascending, and often aromatic. In this formula, the latter quality facilitates the dispersion of heat. Dispersion is the process of breaking up an accumulation of heat-toxin in order to rob the heat Wu Hua Formula 2 and weight. day, per times on age depending 2-3Children or three tablets four day. Adults: per 4-5 four tablets times For moderate to severe cases: day.per 1-2Children: times three tablets day.per Adults: 2-3 four tablets times For cases: mild D long-term may injure use yin. toindications, same the treat used formulas other than Thoughsafer byor caused cold. deficiency symptomsDo if not are take C mayRapid, beforceful. big, P possiblewith yellow thick, coat. red spots, with Red or normal T • Controls bleeding • Stops diarrhea • Resolves toxin and disperses • Disperses heat and resolves F C on ormula ul ontraindication swellings dampness aution osage s g e ue

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A ction s s / work elimination for of the body. harsh Their nature more easilytaxes the spleen lian) to tou weng), drain or downward. pulsatilla(bai Cold and bitter herbs do the from formulas that clear damp-heat using cold, bitter herbs, such coptis as (huang qi to the guide subdued pathogen the body. out of is a different very This strategy one which in the formula breaks down the pathogen and facilitates the wei flow of byis designthat Wu Hua Formula protects while it disperses. The overall effect is formula) are at least mildly sweet. Sweetness supplementation, the is sapor of and it Four the five out of flowers inWu Hua Formula (representing the whole 90%of susceptible to the efforts qitothe out wei guide the of heat. adhere to one another the in presence the dispersing of agent, and are thus more itsclump combined of strength. The smaller particles toxin lose of their ability to Ge the huais flowerpueraria, of whichis the same plantfrom is which gegen It commonly is to used treat toxic the swellings skin, of intestines, or throat and has the channels. of all Jin huaenters yin the lung, stomach, and large intestine channels. levels or from the blood (xue) level to the protective (wei) level, but it cannot enter (suppurated or not yet formed) and can reach toxin from the deep to superficial It the has ability to disperse heat and resolve toxin development any in stage of hua) yin ingredient. theLonicera is chief (jin It comprises the total 40%of formula. harsher formulations. comparison, Wu Hua Formula gentler is and arguably more versatile than these severe and signs symptoms. Either strategy can effective be forsome cases, but by qi and injures the yin. are They appropriate for strong constitutions and acute/ derived. Ge sweet huais and neutral and enters the stomach channel. It most is This This strategy helps to protect theintestines from jing and loss qithat of can result engages the aroute urinaryfunction as the for body out of the damp-heat pathogen. damp-heat, cool blood, and disperse abscesses. Mu jin adiuretic, hua is and it channels, but enters it also the spleen channel. It herb aids the to chief resolve Wuin Hua Formula. Like jin hua, yin it enters the large intestine and lung Mu jin hua, the is flowerfrom Sharon the Rose hibiscus. of as theserves It deputy a protective function, jin hua yin “enriches the blood” and alleviates thirst. Materia Medica, Zhang Lu-yu declared that its draining“within tonification.” is As diarrhea, and urinarydribbling. painful In Encountering Sources the Classic ofthe of for its action to resolve damp-heat the in lower burner.includes This dysentery, a special action to disperse toxin the in breast. Jin commonly also hua is yin used and to facilitate the wounds. healing of from diarrhea. Mu jin shown been hua has to increase phagocytosis neutrophils in would interfere with the purgative those, action of but Wu in Hua Formula, it its chief, as tou weng) or pulsatilla(bai huawouldji guan unadvised, be since it tois protect the from body fluids. loss of In a formulawith lian)coptis (huang sources, the kidney channel well. as deputy its functionsthis in as formula One of Ji huaenters guan the liver and large intestine channel, and according to some , astringesessence fluids, body (jing) direct a and has action upon stoppingdiarrhea. toxic swellings and more upon clearing heat and cooling blood. It consolidates hua) guan another is Celosiae deputy herb. (ji Its emphasis less is upon dispersing protecting property. restore the properin qi gutthe flow and wake of up the appetite. and abdomen that are the dampness result of leading to qistagnation. It can help other flowersin a way that could po hou not. It alleviates the the in fullness chest , po hou only more mildly. It included is Wu in Hua Formula to synergize with the qi flowthrough of the chest and abdomen, muchlike the barkthe same of plant, It aromatic is and enters the spleen and stomach channels to promote the smooth Hou hua, po the magnolia flower officinalis, servesof in this assistant.formula as dispersing the evil. harmonizedis with the others to protect and consolidate the precious, while ii ii In these it actions can seenevidence be of i

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Yue, Chongxi, Foster, Steven; Herbal Emissaries, Bringing Herbs Chinese to the West, , Rochester, VT, Healing Arts Press, 1992. Scott, John, Monda, Lorena, Heuertz, John. Clinical Guide toCommonly Used Chinese Herbal Formulas . 5th ed. Placitas, Herbal NM: Medicine Press, 2009. Kong, Flora Y., Ng, Daniel K., Chan, Chung-hong, Yu, Wan-lan, Chan, Danny, Kwok, Ka-li, Chow, Pok-yu. Parental theFratkin, term of use Jake Qi”“Hot Paul; to describe Leaky Gut Syndrome, Modern the Epidemic, http://www.drjakefratkin.com/pdf/lgs.pdf Dharmananda, Subhuti, Pueraria Combination, Flower Ge Hua Jiexing Tang, Herbal Formula for Hangover and for Reactions toRich Foods, Herbs and, Drugs Chen, John K. and Chen Tina T. Chinese Medical, and Industry, Herbology Pharmacology City of CA: MedicineArt of Press, 2004. Bensky, Dan, Clavey, Steven, Stöger, Erich, Chinese Medicine Materia Medica, 3rd Ed, Eastland Press, 2004. Beers, Mark H. and Robert Berkow, Ed. The Merck ManualDiagnosis of and Therapy, 17th Ed. Whitehouse Station, NJ: Merck Research Laboratories, 1999. R iv ii i E W H F 4 iii Hu S., Cai W., Ye J., Qian Z., Sun Z., Medicinal“Influence of Herbs on Phagocytosis Bovineby Neutrophils”,” Department Science of Animal and Veterinary Shivananda Nayak B, Sivachandra S, Raju Orette FA, Chalapathi Rao AV, Rosa Hibiscus L Sinensis on of “Effects Wound Healing Activity,” The Kong, Flora Y., Ng, Daniel K., Chan, Chung-hong, Yu, Wan-lan, Chan, Danny, Kwok, Ka-li, Chow, Pok-yu; the“Parental term of use Qi”“Hot to describe clear heat. Margarita Complexion Formula Formula make it strong to drain dampness downward and The bitter and heavy substancesin Margarita Complexion channels and upon breaking up phlegm accumulations. emphasis on resolving heat and toxin the in liver-gallbladder dermatitis. Margarita Complexion Formula puts much more conditions such boils, as carbuncles, eczema, hives and atopic not treat the more superficial layers. toxins from the blood level, but Rehmannia Cool Blood does the blood level. Both formulas have the ability to clear heat- dispersing excess. Rehmannia Cool Blood clears heat from (Zhen Zhu Yu Zhu (Zhen Rong Fang). Wu Hua Formula &Margarita Complexion Formula Zhang Jie-bin, The Rectificationof theof Materia Meaning Medica, 1914. ndnotes Syndrome, Crohn’s disease, andcolitis For disorders that sometimesaccompany skin Leaky Gut bleeding, bloodandpusinstool) parasitic infestation dysenteric rectal (diarrhea, diarrhea, To treat manifestations intestinal damp-heat causedby To stop intestinal bleeding ef nourishing actions are weak; very it much is directed to dampness from the qi, nutritive, and blood levels, but its heat conditions. Wu Hua Formula clears heat-toxin and nourish and yin fluids. body is It not appropriate for damp- some ingredients that are heavy and cloying order in to blood level, but not damp. Rehmannia Cool Blood has conditions that are characterized by deficiency heatin the erences symptoms their in children Hong in Kong: across-sectional survey Qi”“Hot Children,” in Journal Ethnobiology of and Ethnomedicine, 2006, 2:2. symptoms their in children Hong in Kong: across-sectional survey Qi”“Hot children, in Journal and Ethnomedicine ofEthnobiology , 2006, 2:2. http://www.itmonline.org/arts/pueraria.htm,. May 2003. International Journal Lower Extremity of Wounds, June;6(2):76-81, 2007. Medicine, Zhejian Agricultural University, P.R. 1992. China, Both formulas treat skin U seful C ombinations dispersing heat and toxin, and more protective yin. of compared to Four Marvel Formula, and more also on focused skin issues, Wu Hua Formula better is for the upper body, legs, genital sores, edema, and yellow discharge. vaginal For body”“lower here refers mainly to damp-heat lesions the in pattern, damp-heat diarrhea not is asignificant symptom. The toxin that leads to dampness. In the Four Marvel Formula that Wu Hua Formula addresses primarily is heat or heat- primary,is and heat the is body’s response to it. The pattern heat pattern that Four Marvel Formula addresses, dampness dampness and heat the in lower the body. part of In the damp- FourThe action of Marvel Formula directed is to draining heat but have some major differencesin their uses.specific an acute invading pathogen. Formula better is at treating these conditions when caused by that are caused from factors like diet and hormones.Wu Hua moreis appropriate for treating acne and other skin issues Wan Wu Hua Formula &Four Marvel Formula (Si Miao the intestines aswell lesions. asaddress theskin Wu HuaFormula canincrease theformer’s on action Use with Pulsatilla Intestinal Formula. combination afew times. to finish the job.to It mayrepeat benecessary this accomplished, switch over to Oregano Formula Oil and makethepatient comfortable, then,whenthisis Wu HuaFormula to getthe symptoms undercontrol symptoms andparasites quickly. isbestto begin with It parasites, alternating thetwo canhelpalleviate the Oregano Formula Oil to hasastrong eliminate action treating themanifestations ofparasitic infection,and WuBecause HuaFormula ismild, buteffective in Use with Oregano Formula. Oil Qi Use with San Tablets ). These two formulas are directed to removing damp-