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: Internal accumulation of water and Damp; Taiyang Fu obstructed by Cold Damage; Xiao Ke of the Lower Jiao; Chong Mai counterflow.
Key Symptoms: Thirst, urinary difficulty, sweating
Secondary Symptoms: Headache, oedema, nausea, vomiting, dizziness, generalised sensation of heaviness, diarrhoea, shortness of breath, coughing, pulsating on the right side of the abdomen.
Tongue: Wet, swollen body, tooth, marked
Pulse: Floating, large
Abdomen: Splashing sounds in the epigastrium or upper abdomen, discomfort in the epigastrium, throbbing pulsations below the umbilicus
Ingredients
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Ze Xie
| 15g | |
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Pinyin: Ze Xie
Chinese: 澤瀉
Pharmaceutical: Rhizoma Alismatis
Taxonomy: Alisma plantago-aquatica seu orientale
English: Water Plantain Rhizome |
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Tastes: Sweet, bland, cold
Meridians Entered: Kidney and Bladder |
Actions & Indications:
- Promotes urination and leaches out Dampness
Stagnation due to Dampness with urinary difficulty, painful urinary dysfunction, diarrhoea and dizziness
Especially useful for Damp-Heat in the Lower Jiao
- Settles Ministerial Fire in the Kidneys by draining Damp-Heat from the lower Jiao
Spermatorrhea due to Damp-Heat in the Lower Jiao disturbing the ministerial Fire of the Kidneys
- Drains Kidney Fire
Kidney Yin Deficiency with Fire Rising
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, sharpen the ears and eyes, make one free from hunger, prolong life, make the body light, render the face brilliant, and enable one to walk over water. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生).
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Standard Dosage: 4.5-15g in decoction. Sometimes up to 30g in extreme cases.
Cautions: Overdose, extended use or combination with diuretic drugs could cause electrolyte imbalance due to diuretic effect. |
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Fu Ling
| 9g | |
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Pinyin: Fu Ling
Chinese: 茯苓
Pharmaceutical: Poria
Taxonomy: Poria cocos syn. Wolfiporia extensa
English: China-Root / Hoelen / Tuckahoe / Indian Bread |
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Tastes: Sweet, bland, neutral
Meridians Entered: Heart, Spleen, and Kidney |
Actions & Indications:
- Strengthens the Spleen and harmonizes the Middle Jiao
Spleen Deficiency Dampness with anorexia, diarrhoea and epigastric distention
- Strengthens the Spleen
Phlegm Dampness due to Spleen Deficiency with thin mucus in which Phlegm moves upward manifesting as palpitations, headache, dizziness and a thick, greasy tongue coat
- Promotes urination and leaches out Dampness
Urinary difficulty, diarrhoea or oedema due to Stagnation of Fluids or Dampness
- Quiets the Heart, calms the Spirit and soothes the nerves
Palpitations, insomnia or forgetfulness due to either Spleen and Heart Insufficiency or Internal Obstruction of Turbid Phlegm
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, quiet the Hun, nourish the Shen, make one free from hunger and prolong life. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生).
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Standard Dosage: 9-15g in decoction.
Cautions: It is contraindicated for spermatorrhea due to deficiency-cold. |
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Zhu Ling
| 9g | |
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Pinyin: Zhu Ling
Chinese: 猪苓
Pharmaceutical: Polyporus Sclerotium
Taxonomy: Polyporus umbellatus / Grifola frondosa
English: Umbrella Polypore Mushroom |
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Tastes: Sweet, bland, neutral
Meridians Entered: Kidney, and Bladder |
Actions & Indications:
- Promotes urination and leaches out Dampness
Dampness (Fluid Stagnation) with oedema, scanty urination, vaginal discharge, turbid painful urinary dysfunction (Milky Lin), jaundice and diarrhoea
Can be used alone for Lin Syndrome during pregnancy
- Dispels Damp-Heat
Damp-Heat with turbid painful urinary dysfunction (Milky Lin) and jaundice
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the lower class of herbs which can, with protracted taking, make the body light and slow ageing. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生).
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Standard Dosage: 6-12g in decoction. Mushrooms should ideally be decocoted for at least 40 minutes and preferably 1-2 hours to fully extract the polysaccharides from within the chitin cell walls.
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Bai Zhu
| 9g | |
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Pinyin: Bai Zhu
Chinese: 白朮
Pharmaceutical: Rhizoma Atractylodes macrocephalae
Taxonomy: Atractylodes macrocephala
English: Largehead Atracylodes Rhizome |
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Tastes: Sweet, bitter, warm
Meridians Entered: Spleen and Stomach |
Actions & Indications:
- Tonifies the Spleen and augments Qi
Spleen and Stomach Deficiency with diarrhoea, fatigue, a sallow complexion and lack of appetite
Spleen Yang failure to rise
- Dries Dampness and promotes water metabolism
Spleen Damp or accumulation of fluids affecting the digestion
Edema and reduced urination due to Spleen Deficiency (failure to transform and transport)
Tan Yin, masses, swelling
Auxiliary for Damp painful obstruction
- Stabilizes the Exterior and stops sweating
Qi Deficiency with spontaneous sweating (Wei Qi Deficiency)
With appropriate herbs, other types of sweating
- Calms the fetus
Restless fetus disorder due to Spleen Qi Deficiency
With appropriate herbs, other types of Restless Fetus Disorder
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, make the body light, prolong life and make one free from hunger. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生).
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Standard Dosage: 6-12g in decoction.
Cautions: Use with cautions in cases of yin deficiency with fluid injury by dryness-heat pathogen. |
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Gui Zhi
| 6g | | |
Pinyin: Gui Zhi
Chinese: 桂枝
Pharmaceutical: Ramulus Cinnamomi
Taxonomy: Cinnamomum cassia
English: Cinnamon Twig |
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Tastes: Pungent, sweet, warm
Meridians Entered: Lung, Heart, Kidney, Liver |
Actions & Indications:
- Releases the Exterior, assists Yang, adjusts the Ying and Wei and releases the muscle layer
Taiyang Wind Strike (Taiyang Zhongfeng, 太阳中风) - a weak person who catches cold easily with spontaneous sweating, aversion to drafts, fever and chills, nasal congestion, stiff and aching head and muscles
- Warms the channels and collaterals to relieve pain
Wind-Cold-Damp Bi
- Unblocks Yang and transforms Qi and thin mucus
Edema due to Cold-Phlegm or Yang Qi Deficiency with urinary dysfunction, dizziness and palpitations
- Assists Heart Yang and warms and facilitates the flow of Yang Qi in the chest
Palpitations due to Yang Obstruction in the chest due to Stagnation or Deficiency
Listless chest Yang with upward movement of Phlegm and thin mucus and disorderly descent of Lung Qi with shortness of breath, chest and back pain and palpitations
Heart and Spleen Yang Deficiency
- Warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels
Wind-Cold-Damp Bi
Blood Stasis due to Cold, causing amenorrhea or dysmenorrhea with or without abdominal masses
- Warms the Middle and directs Turbid Yin downward
Middle Jiao Yang Deficiency
Heart and Spleen Yang Deficiency (patient usually craves sweets)
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, make the body light, prevent forgetfulness, and render the face bright and efflorescent, thus forever looking charming, like a child's face. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生).
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Standard Dosage: 3-10g in decoction for exterior conditions, or up to 15g for Bi Syndromes.
Cautions: This herb induces heat, damages the yin and moves blood. It is prohibited for those with warm pathogens, yin deficiency with effulgent fire, or reckless movement of the blood due to heat in the blood. Use with caution in pregnant women. |
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Preparation: Ground into powder and mixed with white wine and taken in doses of small spoonful three times per day followed by warm water. Can also be taken as a powder without wine in 3-6g doses 1-3 times per day. Generally prepared as a decoction with the dosages give.
Actions: Promotes urination, drains Dampness, strengthens the Spleen, warms the Yang, promotes the transforming functions of Qi, unblocks the Qi dynamic
Contraindications: Thirst due to excess Heat or Yin deficiency
Notes:
Extraordinary Vessel attributions come from Li Shi-Zhen's (1577-8) Exposition on the Eight Extraordinary Vessels (Qi Jing Ba Mai Kao), trans. Chace & Shima (2009). It should be followed by Zhu Ye Tang if there is no improvement.
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Ploberger (2017), in Westliche und traditionell chinesische Heilkräuter, offers the following alternative using western herbs:
| Folium Ulvae ursi | (Bearberry) | 3g | (Emperor) |
| Herba Equeseti | (Horsetail) | 7g | (Minister) |
| Herba Absinthii | (Wormwood) | 1g | (Minister) |
| Radix Angelicae archangelicae | (Angelica) | 4g | (Assistant) |
| Fructus Juniperi | (Juniper berries) | 3g | (Assistant) |
| Fructus Foeniculi | (Fennel) | 32 | (Assistant) |
| Ramulus Cinnamomi | (Cinnamon bark) | 4g | (Assistant + Envoy) |
Research Links:
Reference Notes: (click to display)
Most formulas are found in Scheid, Bensky, Ellis & Barolet (2009): Chinese Herbal Medicine: Formulas & Strategies and Chen & Chen (2015) Chinese Herbal Formulas and Applications. Others are from translations of primary sources. It is recommended that the original material is cross-referenced for mistakes and additional information.
Substitutions have been taken from Ken Lloyd & Prof. Leung (2004): Mayway UK Substitution List or the above publications and are intended as suggestions to help navigate the tight restrictions in the UK quickly. More applicable substitutions may be appropriate in specific situations.
Individual herb information has initially been sourced from TCM Wiki and American Dragon for basic data and then updated manually with my own notes.
These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.