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
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Sang Bai Pi
| 15g | |
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Pinyin: Sang Bai Pi
Chinese: 桑白皮
Pharmaceutical: Cortex Mori
Taxonomy: Morus alba
English: Mulberry Root Bark |
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Tastes: Sweet, cold
Meridians Entered: Lung |
Actions & Indications:
- Drains Heat from the Lungs, stops coughing and calms wheezing
Coughing and wheezing, fullness and hemoptysis due to Lung Heat
- Promotes urination and reduces oedema
Lung Heat obstructing the descending action of the Lung, preventing water from moving and stopping perspiration (floating oedema, facial oedema, swelling of the upper extremities, fever, thirst, urinary difficulty, a floating pulse)
- Treats hypertension
Hypertension
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Standard Dosage: 3-10g in decoction.
Cautions: It is contraindicated for lung cold and wind-cold cough patients for its cold and descending property. It should be used with cautions for patients with much urine. |
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Sheng Jiang Pi
| 6g | |
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Pinyin: Sheng Jiang Pi
Chinese: 生姜皮
Pharmaceutical: Exocarpium Zingiberis Recentis
English: Ginger Peel |
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Tastes: Pungent, cool
Meridians Entered: Spleen and Lung |
Actions: Promote diuresis and relieve swelling. |
Indications:
Difficult urination and edema |
Standard Dosage: 1-3g in decoction.
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Fu Ling Pi
| 15g | |
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Pinyin: Fu Ling Pi
Chinese: 茯苓皮
Pharmaceutical: Sclerotum Poriae excorio
Taxonomy: Poria cocos syn. Wolfiporia extensa
English: China-Root Peel |
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Tastes: Sweet, bland and neutral
Meridians Entered: Kidney and Bladder |
Actions & Indications:
- Promotes urination and leaches out Dampness
Urinary difficulty, diarrhoea or oedema due to Stagnation of Fluids or Dampness
Fluid Stagnation
Damp-Heat
- 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
- 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
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Standard Dosage: 15-30g in decoction.
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Chen Pi
| 9g | |
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Pinyin: Chen Pi
Chinese: 陈皮
Pharmaceutical: Pericarpium Citri Reticulatae
Taxonomy: Citrus spp.
English: Aged Tangerine Peel |
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Tastes: Pungent, bitter, warm
Meridians Entered: Spleen and Lung |
Actions & Indications:
- Regulates Qi, adjusts the Middle and relieves the diaphragm
Spleen/Stomach Qi Stagnation with epigastric or abdominal distention, fullness, bloating, belching, nausea and vomiting
Relieves the symptoms of Gu Sydnrome while suppressing parasites (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
- Dries Dampness and transforms Phlegm
Phlegm-Damp Obstructs the Lung with coughing, a stifling sensation in the chest and/or diaphragm and copious, viscous sputum
Turbid Damp Obstructs the Middle with a stifling sensation in the chest, abdominal distention, anorexia, fatigue, loose stools and a thick, greasy tongue coat
- Helps prevent Stagnation from tonic herbs
Tonic herbs causing Stagnation
- Descends Qi
Qi Rebellion
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, remove foul breath, precipitate the Qi, and enable one to
communicate with spirits. 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.
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Da Fu Pi
| 15g | | |
Pinyin: Da Fu Pi
Chinese: 大腹皮
Pharmaceutical: Pericarpium Arecae
English: Betel Husk |
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Tastes: Pungent, slightly warm
Meridians Entered: Spleen, Stomach, Large Intestine and Small Intestine |
Actions & Indications:
- Descends Qi and eases the Middle
Damp Stagnation in the Stomach and Intestines, Food Stagnation or Qi Stagnation in the Middle with epigastric and abdominal distention, focal distention, a stifling sensation and belching with acid regurgitation
Especially useful when the above conditions are accompanied by incomplete or irregular bowel movements
- Promotes urination and reduces oedema
Abdominal distention accompanied by oedema, especially superficial oedema or symptoms of Food Stagnation
Damp leg Qi
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Standard Dosage: 5-10g in decoction.
Cautions: This herb is prohibited from use in the UK under the banned and restricted herbal ingredients list issued by the MHRA and so is generally substituted with Zhi Shi and Yu Li Ren. |
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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)
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.