Herb Formulas Notebook

Wu Pi San

Five Peel Powder


Author: Hua Tuo, 华佗

Source: Treasury Classic (4th century) (Zhong Zang Jing, 中藏經)


Category: Formulas that Expel Dampness

Pattern: Spleen deficiency with Dampness and Qi stagnation

Key Symptoms: Generalised oedema with a sensation of heaviness, distention and fullness in the epigastrium and abdomen, laboured and heavy breathing, urinary difficulty

Tongue: White, greasy coating
Pulse: Submerged and moderate pulse
Abdomen: Full


Ingredients

Sang Bai Pi 15g
Sheng Jiang Pi 6g
Fu Ling Pi 15g
Chen Pi 9g
Da Fu Pi 15g

Subsitutions:
In the UK Da Fu Pi must be substituted for legal reasons. Dong Gua Pi will preserve the "Five Peel" theme of the formula while focusing on simple oedema, Wu Jia Pi could also be considered if there is fatigue, weakness, pain and oedema in the legs, or Bai Xian Pi could be included if the formula is being adapted for skin conditions.


Preparation: Decoction.


Actions: Resolves Dampness, reduced oedema, regulates the Qi, strengthens the Spleen



Notes:
Ploberger (2017), in Westliche und traditionell chinesische Heilkräuter, offers the following alternative using western herbs:

Folium Uvae ursi(Bearberry)2g(Emperor & Envoy)
Cortex Rhizoma Zingiberis recens(Fresh Ginger peel)4g(Minister)
Pericarpium Citri ret.(Orange peel)7g(Minister)
Fructus Zypressi (Cypress)3g(Minister)
Folium Rosmarini(Rosemary)2g(Minister)
Semen et Cortex Hippocastani(Horse Chestnut)3g(Minister)
Herba Absinthii(Wormwood)1g(Minister)



Research Links:



Reference Notes: (click to display)

These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.