Theory

Mu Dan Pi Tree Peony Root Cortex - Chinese Herbal Medicine


Mu Dan Pi Names

  • English Name: Tree Peony Root Cortex
  • Pinyin Name: Mu Dan Pi

Mu Dan Pi Image

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Functional Groupings



Mu Dan Pi Cautions


    Contraindication Notes:

    Avoid in Pregnancy, Excess Menses due to Blood moving action.


Mu Dan Pi Clinical Usages and Indications

  • Clears Heat (excess and deficient), Cools Blood. Nose bleed, bloody sputum or vomit, subcutaneous bleeding, frequent and profuse menses due to heat in the Blood.
  • Clear Deficient Fire. Yin deficiency patterns such as steaming bone disorder after a warm-febrile disease particularly those without sweating.
  • Clears Liver Blood Stasis. Amenorrhea, abdominal masses, bruises.
  • Clears Rising Liver Fire. Headache, eye pain, flank pain, flushing, dysmenorrhea.
  • Drains Pus, Reduces Swelling. Used topically for non-draining sores. Used internally for intestinal abscess.


Mu Dan Pi Dosage and Prep Notes

  • Dosage: 6-12g




Clinician Notes

Compare with Chi Shao Yao.


Mu Dan Pi Appears In 16 Formulas

Da Bu Gan Wan

  • Major Liver Nutrition Pills
    • Brittle nails, yellowing of the skin (jaundice).
    • Abdominal cramping, distension or pain in the hypochrondia due to liver qi stangation
    • Fatty liver, hepatitis and other liver diseases. 
  • Harmonize
  • Regulate and Harmonize the Liver and Spleen

Da Huang Mu Dan Pi Wan

  • Rhubarb and Moutan Combination
    • Breaks up heat, moves blood stagnation and reduces swelling, release through the bowels - appendicitis, lower abdominal distension with pain, intestinal abscesses, hemorrhoids.
    • Post surgical infections, particularly in the colon and/or lower warmer.
    • Pelvic inflammatory disease.
    • Groin pain relieved by flexing hip and without urinary difficulty (but with symptoms similar to a UTI).
  • Drain Downward
  • Purge Heat Accumulation
  • Cautions
  • Pregnancy
    • Avoid during pregnancy.
    • As this formula will cause looser stools use with caution in deficient and/or elderly patients.
    • Used for general appendicitis - avoid in infant appendicitis, or appendicitis with necrosis, peritonitis and/or parasites.

Er Long Zuo Ci Wan

  • Deafness Left Supporting Pills
    • Ringing in the ears/tinnitus.
    • Unblocks the ears - useful for diminished hearing or temporary hearing loss.
    • Red/dry eyes with blurry vision.
  • Tonify
  • Tonify the Yin

Ge Xia Zhu Yu Wan

  • Drive Out Blood Stasis Below The Diaphragm Decoction
    • For blood stasis below the diaphgram - abdominal masses, liver and spleen masses/swelling, colitis.
    • A range of liver disorders are possibly applicable - cirrhosis, hepatic hemangioma, hepatitis, jaundice.
    • Spleen disorders - splenomegaly.
    • Pleural adhesions.
    • A range of menstrual disorders - fibroids, endometriosis, dysmenorrhea (although Shao Fu Zhu Yu Wan may be more appropriate as that targets more the lower jiao).
    • Pelvic inflammatory disease.
    • May be used to help expel ectopic pregnancy.
  • Invigorate the Blood
  • Invigorate the Blood and Dispel Blood Stasis
  • Cautions
  • Pregnancy
    • Avoid during pregnancy.
    • Use only under direction during menstruation.
    • Use only under direction if you are taking blood thinners.
    • Generally not for long term use.

Geng Nian An Wan

  • Peaceful Menopause
    • Menopause symtpoms including hot flashes, night sweats, mood swings, restlessness and anxiety as a result of yin deficiency.  
    • Can be used for other yin deficient symtpoms such as tinnitus, dry skin, and lightheadedness.
  • Tonify
  • Tonify the Yin
  • Cautions
    • Use with caution during pregnancy.
    • Do not use if patient presents with true heat or exterior heat.

Gui Zhi Fu Ling Wan

  • Cinnamon and Poria Teapills
    • For abdominal masses such as uterine cysts, ovarian cysts, benign tumors.
    • May be used when blood stagnation symptoms appear during pregnancy.
    • Uterine bleeding especially if the color is dark.
  • Invigorate the Blood
  • Warm the Menses and Dispel Blood Stasis
  • Cautions
    • Use with caution during pregnancy.
    • Use with caution if patient presents with more severe blood stagnation and qi deficiency.

Jia Wei Xiao Yao Wan

  • Free and Easy Wanderer Pills
    • Derived from the base formula, xiao yao wan, an important formula for liver qi stagnation with herbs added to clear heat.
    • Liver qi stagnation - menstrual issues, painful cycles, irregular cycles, breast distention, PMS, acne.
    • A range of mild to moderate psychological issues arising from liver qi stagnation such as anxiety, depression, panic disorder, insomnia, anger issues, etc.
    • Physical symptoms from liver qi stagnation such as headaches, tightness in the chest, cold hands and feet, various eye issues.
  • Harmonize
  • Regulate and Harmonize the Liver and Spleen

Jin Gu Die Da Wan

Jin Gui Shen Qi Wan

  • Kidney Qi Pill from the Golden Cabinet
    • Lethargy, low libedo, frequent urination with possible incontinence resulting from kidney yang deficiency.
    • Sensation of cold, especially in the lower half.
  • Tonify
  • Warm and Tonify the Yang
  • Cautions
  • Pregnancy
    • Avoid during pregnancy.
    • Avoid during a cold or flu, use nothing, or yin qiao / gan mao ling instead.
    • Avoid with patients that present with yin deficiency.

Liu Wei Di Huang Wan

  • Six Ingredient Pill with Rehmannia
    • Dizziness, tinnitus, possibly vertigo as a result of kidney and liver yin deficiency.
    • Insomnia especially with night sweats, hot flashes, irritibility.
    • Spontaneous/nocturnal emissions. 
  • Tonify
  • Tonify the Yin
  • Cautions
    • Use with caution in patients that present with spleen qi deficiency.

Ming Mu Di Huang Wan

  • Rehmannia Pills to Brighten the Eyes
    • Blurry vision, floaters, possibly with dryness of the eyes as a result of the liver yin failing to nourish the eyes and kidney yin failing to brighten the vision.
  • Tonify
  • Tonify the Yin

Qi Ju Di Huang Wan

  • Lycii Chrysanthemum Teapills
    • Yin deficiency symptoms such as dizziness, vertigo, night sweats, hot flashes, heat in the soles and dryness.
    • Blurry vision, possibly with dry eyes.
  • Tonify
  • Tonify the Yin

Qian Lie Shu Wan

  • Prostate Comfort Pills
    • Frequent and/or urgent urination, dribbling, incontinence. 
    • Treats Lin Syndrome conditions.
  • Stabilize and Bind
  • Stabilize the Kidneys
  • Cautions
    • Use with caution if patient presents with UTI.

Qing Hao Bie Jia Wan

  • Artemisia Annua and Soft-Shelled Turtle Formula
  • Heat at night (nightsweats, sensation of heat) with a sensation of coolness in the early morning/upon waking, no effect on appetite.

    Pulse will be fine and rapid and the Tongue will be red with little coating.

  • Clear Heat
  • Clear Heat From Deficiency

Wen Jing Wan

Zhi Bai Di Huang Wan

  • Eight Flavor Rehmannia Teapills
    • Steaming bone syndrome - dry and intensive persuasive sensation of heat possibly with flushing and tidal fever.
    • Dizziness, vertigo, tinnitis, anxiety and restlessness resulting from yin deficiency.
    • Dryness of the skin, mucus membranes, hard stools, dark or scanty urine.
  • Tonify
  • Tonify the Yin
  • Cautions
    • Use with caution with patients presenting with damp signs or spleen qi deficiency.



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