Herb Formulas Notebook

Fang Ji Fu Ling Tang

Stephania and Poria Decoction


Author: Zhang Zhong-Jing, 張仲景

Year: c. 220

Source: Discussion of Cold Damage (Shang Han Lun, 傷寒論)


Category: Formulas that Expel Dampness

Pattern: Skin Oedema (Pi Shui) from inability of the Spleen Yang to control Dampness

Key Symptoms: Oedema that does not disappear from pressure under the finger and is more pronounced in the extremities, a sensation of heaviness in the body, fibrillations of the skin and muscles in the extremities

Tongue: White slippery coating
Pulse: Superficial


Ingredients

Han Fang Ji 9g
Huang Qi 6g
Gui Zhi 6g
Fu Ling 18g
Zhi Gan Cao 6g

Subsitutions:
In the UK Han Fang Ji must be substituted with Yi Yi Ren and Hai Tong Pi.


Preparation: Decoction.


Actions: Augments the Qi, unblocks the Yang, promotes urination, reduces oedema



Notes:
One liang is taken as 3g in modern sources but in Eastern Han times it was equivalent to 13.875g. This means that the dosages in classical formulae could have been more than 4x what is given today making them far higher than recommended safe dosages today but prompts consideration of what an effective dose may be (He, 2013).



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