Tian Ma Gou Teng Yin

Gastrodia and Uncaria Decoction

Calm Liver Yang • Extinguish Wind • Anchor Rising Energy • Relieve Dizziness

Tian Ma Gou Teng Yin is one of the most recognized classical formulas for Liver Yang Rising with Internal Wind. Traditionally used when excessive upward movement disrupts the head and senses, it is especially valued for patterns involving dizziness, vertigo, headaches, tinnitus, irritability, and signs of elevated pressure.

Unlike formulas that simply clear Heat or sedate symptoms, Tian Ma Gou Teng Yin addresses the underlying imbalance by calming Liver Yang, extinguishing Internal Wind, clearing Heat, nourishing supportive substances, and guiding excessive rising energy downward.

When patients present with spinning dizziness, tension headaches, restlessness, tinnitus, and a sense that stress is driving symptoms upward, Tian Ma Gou Teng Yin is often one of the first formulas practitioners consider.

Beyond traditional presentations, this formula has become highly regarded in modern practice for stress-related blood pressure patterns, menopausal transitions, and neurological presentations involving internal Wind.

Traditional Indications

• Liver Yang Rising
• Internal Liver Wind
• Dizziness
• Vertigo
• Headache
• Tinnitus
• Irritability
• Insomnia
• Hypertension patterns
• Tremors
• Restlessness
• Rising Heat symptoms

TCM Pattern

Liver Yang Rising with Internal Wind and Heat

Tian Ma Gou Teng Yin calms Liver Yang, extinguishes Internal Wind, clears Heat, anchors rising energy, nourishes Liver and Kidney support, and restores balance between upward and downward movement.

Modern Clinical Applications

Many practitioners reach for Tian Ma Gou Teng Yin when supporting patients experiencing:

• Dizziness or vertigo
• Stress-related blood pressure fluctuations
• Tension headaches
• Tinnitus associated with rising Yang
• Menopausal irritability and heat patterns
• Insomnia with restlessness
• Tremors or internal movement sensations
• Post-stroke recovery patterns involving Wind
• Emotional stress with upward symptoms
• Head and neck tension

Its ability to address both the acute expression of rising Yang and the underlying imbalance makes it one of the most clinically useful formulas for Liver Yang patterns.

Ingredients

Tian Ma — 17.5%
Gou Teng — 17.5%
Shi Jue Ming — 15%
Zhi Zi — 12.5%
Huang Qin — 12.5%
Yi Mu Cao — 10%
Chuan Niu Xi — 10%
Du Zhong — 10%
Sang Ji Sheng — 10%

Based on classical ratios and standard modifications

Crafted using our signature Two-Cured Decoction™ process—combining a traditional hot water decoction with a secondary high-proof alcohol extraction—to capture both water-soluble and alcohol-soluble herbal constituents for a full-spectrum tincture.

Practitioner Favorites

Severe Dizziness or Tremors with Strong Wind Signs

60% Tian Ma Gou Teng Yin + 40% Zhen Gan Xi Feng Tang

Excellent when Liver Wind is more pronounced, with stronger dizziness, tremors, agitation, or significant upward movement symptoms.

Single Herb Pairings

For further customization, consider adding:

Long Gu + Mu Li — when stronger anchoring is needed for pronounced rising Yang, restlessness, palpitations, or difficulty settling.

Niu Xi — when stronger downward guidance is desired to direct excessive rising energy and support circulation.

Urban Herbs Practitioner Advantage

Every 16 oz amber bottle is designed for fast, customized dispensing in clinical practice. Blend Tian Ma Gou Teng Yin with complementary formulas to create individualized prescriptions in minutes—giving your patients the convenience of a liquid tincture while providing your practice with a flexible, space-saving herbal pharmacy.

Double-extracted. Ready to dispense. Built for practitioners.

Why Practitioners Keep Tian Ma Gou Teng Yin on the Shelf

Every practitioner eventually encounters the patient who says,

"When my stress rises, everything goes upward—my head feels pressured, I get dizzy, and I cannot calm down."

That patient often reflects the classic Tian Ma Gou Teng Yin presentation.

Its strength comes from recognizing that symptoms in the head and nervous system are not always caused by deficiency or excess alone. Often, excessive rising movement needs to be calmed while the underlying Liver and Kidney relationship is supported.

Practitioners frequently reach for Tian Ma Gou Teng Yin when supporting:

• Vertigo and dizziness
• Liver Yang Rising patterns
• Stress-related headaches
• Tinnitus
• Hypertension patterns with excess signs
• Menopausal agitation
• Restlessness and insomnia
• Internal Wind sensations
• Tremors
• Upward-moving stress patterns

Because Urban Herbs tinctures are designed for blending, Tian Ma Gou Teng Yin becomes even more versatile when combined with formulas that anchor Yang, nourish Yin, regulate Blood, or address deeper deficiency patterns.

For many practitioners, it is the formula they consider when symptoms rise upward and the patient needs grounding.

One bottle. A timeless solution for calming Liver Yang and restoring balance.

Practitioner Snapshot

Category

Liver-Calming & Wind-Extinguishing Formulas

Primary Actions

• Calms Liver Yang
• Extinguishes Internal Wind
• Clears Heat
• Anchors Rising Energy
• Supports Liver and Kidney Nourishment
• Relieves Dizziness

Best For

• Vertigo
• Dizziness
• Headaches
• Tinnitus
• Hypertension patterns
• Menopausal Yang Rising
• Internal Wind
• Stress-related upward symptoms

Pairs Well With

• Zhen Gan Xi Feng Tang
• Liu Wei Di Huang Wan
• Jia Wei Xiao Yao San
• Long Dan Xie Gan Tang
• Tian Wang Bu Xin Dan

Clinical Personality

⭐⭐⭐⭐⭐ Liver Yang Calming
⭐⭐⭐⭐⭐ Dizziness & Vertigo Support
⭐⭐⭐⭐☆ Wind Extinguishing
⭐⭐⭐⭐☆ Heat Clearing
⭐⭐⭐⭐☆ Stress Pattern Regulation

Clinical Pearl

Tian Ma Gou Teng Yin is one of the classic formulas every practitioner associates with the phrase “calm the rising.” Its hallmark indication is a patient whose Liver Yang has become excessive, creating upward symptoms such as dizziness, headache, tinnitus, irritability, and internal movement.

Its brilliance lies in its balanced approach. Tian Ma and Gou Teng calm Internal Wind, Shi Jue Ming anchors rising Yang, Zhi Zi and Huang Qin clear Heat, while supporting herbs nourish and regulate the deeper Liver and Kidney relationship.

For practitioners, Tian Ma Gou Teng Yin remains an essential formula for patients whose symptoms are not simply occurring—they are rising.