INGREDIENTS

Each pill contains the equiv. to dry:

 

Fleecflower Vine, stem 67.5mg

Mulberry Mistletoe, leaf 56.2mg

Siberian Motherwort, herb 41.2mg

Ox Knee, root 41.2mg

Gambir, branch 33.7mg

Wolfporia, fruit 33.7mg

Baikal Skullcap, root 26.5mg

Gastrodia, rhiz. 18.7mg

Sicklepod, seed 18.7mg

Gardenia Flower, bud 18.7mg

Hardy Rubber Tree, bark 18.7mg

 

 

Store below 30°C

Contains 300 x 200mg pills.

AUSTL 472045

Made in Australia. (Logo)

 

Indications: hold out your hand - if it has tremors or trembles this is your formula.

Actions: calm the liver, clear internal wind, unwind.

Dosage: 10 - 15 pills 2 - 3 times per day or as symptoms return. Take anytime.

Children: 6 months an over 1 pill per year of age up to the age of 10 as directed above.

Treat more, not less. Treat sooner, rather than later.

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Tian Ma Gou Teng Yin – "Tremors & Trembles"

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Helping Calm an Overactive Nervous System

 

A classical Chinese herbal formula traditionally used to calm tremors, reduce involuntary muscle movements and support healthy nervous system function by improving circulation to the brain, reducing inflammatory activity and calming neurological over-excitation.

 

What is Tian Ma Gou Teng Yin?

Everyone's hands shake occasionally.

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Too much coffee.

Stress.

Cold weather.

Exhaustion.

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But when tremors begin appearing regularly, particularly in the hands or tongue, they often signal that the nervous system is becoming increasingly unstable.

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You may notice:

• your hands shaking while holding a cup

• difficulty writing neatly

• your tongue trembling when you stick it out

• muscle twitching

• difficulty performing fine movements

 

Chinese medicine has recognised these signs for centuries.

Rather than viewing tremors as an isolated disease, it sees them as evidence that the nervous system has become excessively stimulated after years of stress, inflammation and rising Liver activity.

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Tian Ma Gou Teng Yin was developed to calm that overactivity.

At Chiron Medical we call it "Tremors & Trembles."

Because one of the clearest reasons to prescribe this formula is the appearance of tremors of the hands or a visibly trembling tongue—two classic signs that the nervous system requires support.

 

A Formula for Neurological Stability

Healthy movement depends on precise communication between the brain, spinal cord and muscles.

When the nervous system becomes overstimulated, muscles begin firing when they shouldn't.

The result is:

• tremor

• twitching

• shakiness

• poor coordination

• muscle instability

Rather than simply suppressing movement, Tian Ma Gou Teng Yin aims to calm the neurological processes driving these symptoms.

 

Why We Call It "Tremors & Trembles"

Typical symptoms include:

• trembling hands

• trembling tongue

• muscle twitching

• fine motor difficulty

• dizziness

• headaches

• hypertension

• poor balance

• irritability

• insomnia

 

The presence of hand tremor together with a trembling tongue is one of the most recognisable classical indications for this formula.

 

What Is It Traditionally Used For?

Traditionally, Tian Ma Gou Teng Yin is prescribed for Liver Yang Rising with Internal Liver Wind.

In modern clinical practice it is commonly considered for supportive management of:

• essential tremor

• Parkinsonian tremor (supportive care)

• muscle fasciculations

• neurological overactivity

• hypertension associated with headache and dizziness

• chronic headaches

• dizziness

• post-stroke rehabilitation (supportive care)

 

A Modern Formula for Modern Neurology

Tian Ma Gou Teng Yin was developed during the twentieth century by the renowned physician Hu Guangci and first published in Za Bing Zheng Zhi Xin Yi (New Meanings in the Diagnosis and Treatment of Miscellaneous Diseases) in 1958.

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Although modern in origin, it is built upon classical Chinese medical principles and has become one of the most respected formulas for neurological disorders associated with tremor, hypertension and excessive Liver Yang activity.

 

The Herbs that make the formula

The brain depends on remarkable precision. Every movement, every adjustment of posture and every steady hand requires millions of nerve cells communicating in perfect synchrony. When this finely tuned system becomes disrupted—through ageing, poor circulation, chronic inflammation or excessive neurological activity—the result may be tremor, dizziness, poor balance or involuntary movement.

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Tian Ma Gou Teng Yin was developed to restore stability to this system. Rather than simply suppressing tremor, it combines herbs that calm excessive nervous system activity, improve cerebral circulation, reduce neuroinflammation and protect the brain from ongoing injury.

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Ye Jiao Teng (Fleeceflower Vine)

 

Traditional Role

Ye Jiao Teng provides the restorative foundation of the formula. Traditionally it was used to nourish the nervous system while promoting restful sleep, recognising that healthy neurological recovery depends upon adequate rest as much as daytime function.

 

Biomedical Actions

Research demonstrates neuroprotective, antioxidant and anxiolytic activity together with improvements in sleep quality. Experimental studies also suggest protection against oxidative neuronal injury and modulation of neurotransmitter activity involved in sleep regulation.

 

Sang Ji Sheng (Mulberry Mistletoe)

 

Traditional Role

Sang Ji Sheng supports healthy circulation while helping maintain strength throughout the muscles, joints and nervous system. It has long been used where neurological disorders develop alongside age-related vascular

decline.

 

Biomedical Actions

Research demonstrates antihypertensive, antioxidant and anti-inflammatory activity together with neuroprotective effects and improvements in endothelial function. Studies also suggest protection against vascular remodelling associated with chronic hypertension.

 

Yi Mu Cao (Motherwort)

 

Traditional Role

Healthy brain function depends on healthy circulation. Yi Mu Cao helps improve blood flow through the vascular system, supporting the delivery of oxygen and nutrients to neurological tissues.

 

Biomedical Actions

Research demonstrates vasodilatory, anti-inflammatory and antioxidant activity together with improvements in microcirculation. Experimental studies also suggest endothelial protection and support for healthy cardiovascular function.

 

Niu Xi (Achyranthes Root)

 

Traditional Role

Niu Xi supports healthy circulation throughout the body while helping relieve the upward pressure traditionally associated with headaches, dizziness and neurological tension.

 

Biomedical Actions

Research demonstrates antihypertensive and anti-inflammatory activity together with improvements in peripheral circulation and neuroprotective effects. Studies also suggest support for endothelial function and regulation of vascular tone.

 

Gou Teng (Uncaria Stem with Hooks)

 

Traditional Role

Gou Teng is one of Chinese medicine's most important herbs for tremor and neurological overactivity. Traditionally it was selected whenever involuntary movement, dizziness or headache suggested the nervous system had become excessively excitable.

 

Biomedical Actions

Research demonstrates antihypertensive, neuroprotective and anticonvulsant activity together with regulation of neuronal excitability. Experimental studies suggest modulation of calcium channels, reduced excitotoxicity, improvements in cerebral blood flow and protection against neuroinflammation.

 

Fu Ling (Wolfiporia)

 

Traditional Role

Fu Ling supports healthy digestion and fluid regulation while gently calming the nervous system. Its inclusion reflects the long-held observation that digestive health and neurological function are closely connected.

 

Biomedical Actions

Research demonstrates immunomodulatory, anti-inflammatory and antioxidant activity together with mild diuretic effects. Studies also suggest beneficial effects on the gut-brain axis, neuroinflammation and emotional wellbeing.

 

Huang Qin (Baikal Skullcap)

 

Traditional Role

Persistent inflammation places continual stress on the nervous system. Huang Qin helps moderate this response while protecting delicate neurological tissues from ongoing inflammatory injury.

 

Biomedical Actions

Research demonstrates potent anti-inflammatory, antioxidant and neuroprotective activity together with immune modulation. Baicalin has also shown inhibition of inflammatory cytokines, reduced microglial activation and protection against neuronal degeneration.

 

Tian Ma (Gastrodia Rhizome)

 

Traditional Role

Tian Ma gives the formula both its name and its neurological focus. For centuries it has been used to improve balance, reduce tremor and stabilise neurological function when involuntary movement becomes a dominant feature.

 

Biomedical Actions

Research demonstrates neuroprotective, antioxidant and anticonvulsant activity together with reductions in neuroinflammation and improved regulation of cerebral blood flow. Studies also suggest protection against excitotoxic neuronal injury and improved vestibular function.

 

Jue Ming Zi (Cassia Seed)

 

Traditional Role

Jue Ming Zi supports healthy vascular regulation while helping relieve headaches, dizziness and visual disturbance that often accompany elevated blood pressure.

 

Biomedical Actions

Research demonstrates antihypertensive, antioxidant and anti-inflammatory activity together with regulation of lipid metabolism and protection of vascular endothelium. Experimental studies also suggest improvements in retinal and cerebral circulation.

 

Zhi Zi (Gardenia Fruit)

 

Traditional Role

Zhi Zi helps settle excessive nervous system activity while reducing the inflammatory processes that contribute to neurological irritation.

 

Biomedical Actions

Research demonstrates anti-inflammatory, antioxidant and neuroprotective effects together with regulation of inflammatory cytokines. Studies also suggest modulation of oxidative stress and protection against neuronal injury.

 

Du Zhong (Eucommia Bark)

 

Traditional Role

Du Zhong provides long-term support for the nervous system and musculoskeletal framework. Traditionally it was selected where chronic neurological disorders developed alongside weakness, poor mobility or age-related

decline.

 

Biomedical Actions

Research demonstrates antihypertensive, antioxidant and neuroprotective activity together with support for connective tissue integrity. Experimental studies also suggest improvements in endothelial function, vascular elasticity and protection against neurodegenerative change.

 

How the Formula Works

Normal movement depends on an intricate network of brain cells continuously regulating muscle activity, posture and balance. When these motor control pathways become excessively excitable, even simple movements may become unstable, producing tremor, dizziness or impaired coordination. Chronic inflammation, reduced cerebral circulation, oxidative stress and poorly controlled hypertension all increase the burden on these delicate neurological networks.

 

Chinese physicians recognised this pattern centuries before the development of modern neuroscience. Rather than viewing tremor as an isolated disorder, they observed that neurological instability often developed alongside vascular dysfunction, disturbed sleep and progressive decline in overall neurological resilience.

Tian Ma Gou Teng Yin reflects this integrated understanding. Some herbs help moderate excessive neuronal activity, others improve cerebral and peripheral circulation, while several reduce neuroinflammation and protect vulnerable nerve cells from ongoing injury. Together they support a healthier environment in which normal neurological signalling can gradually be restored.

 

Modern research suggests the formula may regulate neuronal excitability, reduce neuroinflammation, improve cerebral blood flow, protect neurons from oxidative stress, support endothelial function and promote healthier regulation of blood pressure. These complementary actions help explain why Tian Ma Gou Teng Yin remains one of Chinese medicine's most respected formulas for tremor, dizziness, hypertension and neurological instability.

 

What Does Modern Research Say?

Research into the constituent herbs has investigated their role in:

 

Tremor and Neurological Disorders

Studies suggest supportive effects on:

• tremor severity

• dizziness

• headache

• blood pressure regulation

• neurological recovery

 

Neuroprotection

Research demonstrates:

• antioxidant activity

• anti-inflammatory effects

• improved cerebral circulation

• neuroprotective properties

• modulation of neuronal signalling

While more high-quality clinical trials are needed, these findings support the traditional rationale for using the formula in neurological disorders characterised by excessive neuronal activity.

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Understanding the Progression

Stress rarely affects only one body system. Over time, unresolved emotional strain can progress through a series of recognisable stages.

Stress (Xiao Yao San)
Emotional tension begins affecting normal regulation.

↓

Free Flow (Chai Hu Shu Gan Tang)
Stress produces muscular tension, pain and menstrual symptoms.

↓

Stress Belly (Shu Gan Tang)
Digestive function becomes disrupted.

↓

Cool, Calm & Collected (Jia Wei Xiao Yao San)
Persistent stress generates inflammatory Heat.

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Liver Fire (Long Dan Xie Gan Tang)
Inflammation intensifies, affecting the head, eyes and cardiovascular system.

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Dizziness & Vertigo (Ban Xia Bai Zhu Tian Ma Tang)
Disturbed fluid regulation and neurological irritation affect the balance centres.

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Tremors & Trembles (Tian Ma Gou Teng Yin)
Persistent neurological overactivity progresses to tremor, shaking and involuntary movement.

Recognising these stages allows intervention before more advanced neurological dysfunction develops.

 

For Traditional Chinese Medicine Practitioners

 

Classical Pattern

Liver Yang Rising generating Internal Liver Wind

Typical presentation:

• tremor of the hands

• trembling tongue

• dizziness

• headache

• hypertension

• irritability

• insomnia

• red tongue

• wiry, rapid pulse

 

Formula Strategy

Tian Ma Gou Teng Yin:

• Calms Liver Wind.

• Subdues rising Liver Yang.

• Clears Heat.

• Nourishes the Liver and Kidneys.

• Improves circulation.

• Calms the Shen.

 

Clinical Differentiation

Use this formula when tremor is the dominant neurological sign.

Differentiate from:

• Ban Xia Bai Zhu Tian Ma Tang — dizziness and vertigo dominate.

• Long Dan Xie Gan Tang — inflammatory Heat dominates without significant tremor.

• Jia Wei Xiao Yao San — emotional Heat without neurological instability.

• Chai Hu Shu Gan Tang and Shu Gan Tang — Qi stagnation without Liver Wind.

 

For Medical Doctors

Proposed Biomedical Actions

Current evidence suggests the constituent herbs may influence:

• neuronal excitability

• neuroinflammation

• cerebral blood flow

• blood pressure regulation

• oxidative stress

• autonomic nervous system activity

• motor control pathways

 

These actions are consistent with the traditional use of the formula in patients with tremor, hypertension, dizziness and neurological overactivity.

 

Potential Herb–Drug Considerations

Clinical monitoring is advisable in patients taking:

• antihypertensive medications

• anticoagulants or antiplatelet agents

• antiparkinsonian medications

• anticonvulsants

• sedatives

• antihyperglycaemic medications

 

New-onset tremor, rapidly progressive neurological symptoms, unilateral weakness, speech disturbance, sudden severe headache or suspected stroke require immediate medical assessment. Tian Ma Gou Teng Yin is intended as supportive care and should not delay neurological investigation when indicated.

 

Helping the Nervous System Find Stillness

Most tremors do not begin in the hands.

They begin years earlier, as subtle changes in stress regulation, digestion, inflammation and circulation gradually affect the nervous system.

By the time the hands tremble or the tongue visibly shakes, the body has often been asking for help for a long time.

That is why we call this formula "Tremors & Trembles."

It is designed to calm an overactive nervous system, support healthy neurological function and help restore steadiness—one movement at a time.

 

Key Takeaways

• Tian Ma Gou Teng Yin (Tremors & Trembles) is a modern classical Chinese herbal formula used to support neurological stability when tremor of the hands and a trembling tongue are prominent clinical signs.

• It combines herbs that calm excessive neuronal activity, reduce inflammatory Heat, support healthy circulation and nourish the nervous system.

• Within the Chiron Formula Network, it represents the final stage of progression from Liver Qi stagnation, through Liver Fire and Vertigo, to Internal Liver Wind with tremor and involuntary movement.

• Early recognition of this progression provides opportunities to intervene before neurological dysfunction becomes more advanced.

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Clinical Insights

 

Tremors of the Hands and Tongue

The most characteristic indication for Tremors & Trembles is the appearance of a fine tremor of the hands together with a visibly trembling tongue. This combination strongly suggests excessive neurological excitation requiring treatment.

 

Following Dizziness & Vertigo

When dizziness progresses to muscle twitching, tremor or loss of fine motor control, practitioners often transition from:

• Ban Xia Bai Zhu Tian Ma Tang (Dizziness & Vertigo)

to:

• Tian Ma Gou Teng Yin (Tremors & Trembles)

reflecting progression from vestibular dysfunction to broader neurological involvement.

 

Tremor with Liver Fire

When tremor is accompanied by headaches, red eyes, hypertension, facial flushing and irritability, practitioners frequently combine:

• Long Dan Xie Gan Tang (Liver Fire)

to reduce the inflammatory process driving excessive neurological activity.

 

Long-Term Nervous System Support

As neurological stability improves, earlier formulas such as:

• Jia Wei Xiao Yao San (Cool, Calm & Collected)

• Free Flow (Chai Hu Shu Gan Tang)

may be used to address the chronic stress patterns that contributed to the progression.