Tian Ma Gou Teng Yin
Specifically for Meniere’s Disease
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Why it works for Meniere’s Disease:
TCM mechanism (pattern-based): TMGY is a classic formula used when dizziness/vertigo, tinnitus, headache, and irritability are driven by “Liver Yang rising” and “internal wind.” Its core herbs—Gastrodia (Tian Ma), Uncaria hooks (Gou Teng) and Abalone shell (Shi Jue Ming)—aim to calm wind, subdue rising yang, clear heat, and support the Liver–Kidney system. Ingredient list and actions are detailed here (with gram amounts): Tian Ma 9 g, Gou Teng 12 g, Shi Jue Ming 18 g, plus Gardenia, Scutellaria, Eucommia, Leonurus, Taxillus, Polygonum vine, Poria, and Achyranthes, decocted and taken twice daily. TCM Wiki
Modern pharmacology (biological plausibility):
- Gastrodia constituents (e.g., gastrodin) show neuroprotective and anti-inflammatory effects, which are relevant to vestibular symptoms. ScienceDirect
- Uncaria alkaloids (rhynchophylline/isorhynchophylline) have antihypertensive and neuroprotective activity that can reduce vascular reactivity and excitability—mechanisms sometimes implicated in vertigo/tinnitus. MDPI
- Systems-pharmacology modeling of TMGY as a whole formula suggests multi-target actions on neurological and cardiovascular pathways (anti-inflammatory, vasomodulatory, neurotransmitter modulation). Frontiers
Why this matters to Ménière’s: Vertigo, tinnitus, and a sensation of pressure are core symptoms. TMGY’s traditional indications map onto these symptoms (especially when accompanied by headache, irritability, red tongue/wiry pulse), so it’s considered when the patient’s presentation matches that TCM pattern rather than as a one-size-fits-all remedy. TCM Wiki
How to use for Meniere’s Disease:
Classical composition & dose (decoction):
- Ingredients & amounts: Tian Ma 9 g; Gou Teng 12 g; Shi Jue Ming 18 g; Zhi Zi 9 g; Huang Qin 9 g; Du Zhong 9 g; Yi Mu Cao 9 g; Sang Ji Sheng 9 g; Ye Jiao Teng 9 g; Fu Shen 9 g; Niu Xi 12 g. TCM Wiki
- Preparation: Decoct in water; take the liquid twice daily. TCM Wiki
Granule/tablet equivalents: Commercial granules/tablets exist; labels typically advise multiple tablets daily. (Example instructions for a TMGY patent pill: “8 tablets daily,” though products vary—follow the specific product label and practitioner guidance.) healthylicious.co.uk
Course & reassessment: In clinical practice, a 4–8 week trial with reassessment of vertigo frequency/severity, tinnitus and aural fullness is typical; ongoing use depends on response and tolerance (practice-based guidance; not from an RCT).
Pattern-matching note: If Ménière’s symptoms are dominated by phlegm-damp signs (heaviness, nausea, copious phlegm), another classic (Ban Xia Bai Zhu Tian Ma Tang) is often preferred; TMGY is best when wind/yang-rising signs predominate. Thomson Medical
Scientific Evidence for Meniere’s Disease:
Traditional/observational literature: Reviews and Chinese-language overviews list Ménière’s (美尼尔/梅尼埃综合征) among conditions treated with TMGY, mostly as practitioner reports, small series, or mixed “vertigo” cohorts—not blinded RCTs specific to Ménière’s. zgsyfjxzz.ijournals.cn
Evidence in related conditions (indirect):
- Hypertension with dizziness/vertigo: multiple RCTs and meta-analyses show TMGY (or Gastrodia-Uncaria recipes) can lower BP and improve dizziness compared with antihypertensives alone—indirectly relevant because vascular factors can aggravate vestibular symptoms, but not proof for Ménière’s. ScienceDirect
- Systems-pharmacology & component analyses: support multi-target neurovascular actions of the full formula and its herbs, again suggestive but not disease-specific proof. Frontiers
Specific Warnings for Meniere’s Disease:
Because TMGY is multi-herb, think in terms of class-wide cautions and key-herb cautions:
Blood pressure–lowering (Gou Teng/Uncaria):
- May potentiate antihypertensives or worsen hypotension/dizziness in susceptible people—monitor BP and symptoms. MDPI
Pregnancy & breastfeeding:
- Yi Mu Cao (Leonurus) is traditionally contraindicated in pregnancy (uterotonic effects). Avoid TMGY during pregnancy unless a qualified clinician explicitly advises otherwise. Me & Qi
Liver considerations (Gardenia / genipin):
- Gardenia (Zhi Zi) has hepatoprotective data at some doses but genipin (a constituent) has shown genotoxic/hepatotoxic signals in experimental studies—use caution in liver disease and avoid overdosing. ScienceDirect
Drug–herb interactions (Scutellaria / baicalin):
- Scutellaria’s baicalin/baicalein can inhibit CYP enzymes and alter drug exposure; use caution with narrow-therapeutic-index drugs and review meds with a pharmacist/clinician. ScienceDirect
Shell minerals (Shi Jue Ming):
- Source/quality control matters for heavy-metal contamination; buy from reputable suppliers. (TCM monographs describe actions/cautions but emphasize proper processing and sourcing.) TCM Wiki+1
General:
- Do not self-substitute TMGY for conventional Ménière’s care, especially in acute vertigo spells. Coordinate with your ENT/GP. Contemporary scoping reviews don’t list TMGY in evidence-based pathways for Ménière’s. SpringerLink
General Information (All Ailments)
What It Is
Tian Ma Gou Teng Yin is a classical Traditional Chinese Medicine (TCM) formula traditionally used to calm internal Liver wind and clear heat. It is built around Gastrodia elata (Tian Ma) and Uncaria rhynchophylla (Gou Teng), and commonly includes supporting herbs such as Shi Jue Ming, Zhi Zi, Huang Qin, Yi Mu Cao, Niu Xi, Sang Ji Sheng, Du Zhong, Ye Jiao Teng, and Fu Shen, among others depending on lineage. It is typically prescribed in decoction or granule form by TCM practitioners.
How It Works
From a TCM viewpoint, the formula extinguishes Liver wind, anchors hyperactive yang, clears heat, and nourishes Liver and Kidney yin to prevent recurrence. In plain language, it is used when the nervous system is “over-stirred” by heat or deficiency, showing up as headaches, dizziness, tremors, hypertension patterns with irritability, or restless sleep.
From a biomedical perspective, the dominant pharmacologic actions of the main ingredients include neuroprotective, vasodilating, anti-hypertensive, anti-convulsant, and anti-inflammatory effects. Some herbs demonstrate cerebral blood-flow modulation and sympathetic-down-regulation, which aligns clinically with its use in tremor, vascular headache, and stress-driven blood pressure elevations.
Why It’s Important
Many modern stress-driven conditions manifest as neurologic up-regulation, vascular reactivity, or sleep disturbance. Tian Ma Gou Teng Yin is one of the most canonical “wind-calming” formulas for presentations where pressure and agitation rise upward (e.g., throbbing head, shaking, red face, tinnitus, tense mood). Rather than only suppressing symptoms, its logic is to calm the surge while repairing the terrain (cooling the heat, anchoring yang, nourishing deficiency) so flare-ups decrease in frequency and intensity over time.
Considerations
This is not a general “tonic.” It is a pattern-specific prescription — using it without the matching pattern can worsen fatigue, coldness, or stagnation. It is traditionally avoided or modified in pregnancy, and should not be used as a stand-alone replacement for managing stroke, seizure, or hypertensive emergency. Because of potential interaction with blood-pressure medications, sedatives, or anticoagulants, supervision by a trained clinician is appropriate, particularly in those with polypharmacy, frailty, or comorbid neurologic disease. Duration and dose should be adapted to stage — higher intensity in acute flare, gentler or withdrawn in consolidation.
Helps with these conditions
Tian Ma Gou Teng Yin is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.
Detailed Information by Condition
Parkinson's
Neuroprotection in lab/animal PD models. A water extract of TMGTY protected dopaminergic neurons, improved locomotion, and reduced α-synuclein burden...
Vertigo
Pattern-based rationale (TCM): This classic formula “calms Liver yang, extinguishes internal wind, clears heat, invigorates blood, and nourishes Liver...
Meniere’s Disease
TCM mechanism (pattern-based): TMGY is a classic formula used when dizziness/vertigo, tinnitus, headache, and irritability are driven by “Liver Yang r...
Trigeminal Neuralgia
TCM rationale: TMGTY “calms the Liver, extinguishes internal wind,” a pattern often applied to head/face pain and neurovascular hyperexcitability. Sta...
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