Wu Ling San (Five Ingredient Powder with Poria)

Formulas in this Category Zhu Ling Tang Wu Pi San (Wu Pi Yin) Fang Ji Huang Qi Tang Wu Ling San Ping Wei San Huo Xiang Zheng Qi San Ba Zheng San Er Miao San Shao Yao Tang Zhong Man Fen Xiao Wan Yin Chen Hao Tang Lian Po Yin Gan Lu Xiao Du Dan San Ren Tang Zhen Wu Tang Shi Pi Yin Bei Xie Fen Qing Yin Ji Ming San Qiang Huo Sheng Shi Tang Juan Bi Tang Gui Zhi Shao Yao Zhi Mu Tang Xuan Bi Tang Du Huo Ji Sheng Tang

Formula 4 of 23 in Formulas that Expel Dampness

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Sub-Category:

• Formulas that Promote Urination and Leach out Dampness

Pattern:

• Water Accumulation

Actions:

• Promotes urination, drains damp, and strengthens the Spleen
• Warms the Yang and promotes transformation of Bladder Qi.

Indications:

• Accumulation of cold water in the Lower Jiao, possibly with external Wind Cold: Difficult urination, fever, irritability, strong thirst with vomiting after drinking, and headache
• Spleen Qi deficiency causing internal accumulation of water and dampness: General muscle and skin edema with a sensation of heaviness, difficult urination, diarrhea, and vomiting.
• Accumulation of fluids in the Lower Jiao (Tai Yin Syndrome): A pulsing or throbbing sensation below the umbilicus, frothy saliva, dizziness, vertigo, shortness of breath, and coughing.

Possible Tongue Appearance:

• Thick white greasy tongue coat

Possible Pulse Patterns:

• Floating and rapid pulse

Western Uses:

• Chronic Nephritic Edema
• Acute Gastritis
• Cardiac Edema
• Gastrectasis
• Ascites due to Liver Cirrhosis
• Urine Retention
• Scrotal Hydrocele
• Acute Enteritis
• Meniere's Disease
• Neurogenic Bladder Syndrome

Cautions, Contraindications, Herb Drug Interactions:

• This formula is warming and drying and should be used with caution in cases of difficult urination presenting with Yin and fluids deficiency
• Do not use long term with Kidney Qi or Spleen Qi deficiency. Possible side effects may include: Loss of appetite, dizziness, vertigo, and a bland taste in the mouth.

Preparation Notes:

• Decoction. Modern formulations usually have a 4 fold increase in dosages. Do not cook for more than 20 minutes.

Originally Appeared In:

• On Cold Damage (Shang Han Lun)

Combined Channels of all herbs in this formula:

• Bladder, Kidneys, Lungs, Spleen, Heart, Stomach

There are 5 Substances in this Chinese Medicne

Ze Xie (Water Plantain Rhizome, Alisma)
Quantity = 4 grams Fu Ling (Sclerotium of Tuckahoe, China Root, Poria, Hoelen)
Quantity = 2.3 grams Zhu Ling (Polyporus Sclerotium)
Quantity = 2.3 grams Bai Zhu (White Atractylodes Rhizome)
Quantity = 2.3 grams Gui Zhi (Cinnamon Twig, Cassia Twig)
Quantity = 1.5 grams

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