Author: Tai Yi Ju (Imperial Medical Bureau), 太醫局
Year: 1107
Source: Formulary of the Pharmacy Service for Benefiting the People of the Taiping Era (Tai Ping Hui Min He Ji Ju Fang, 太平惠民和劑局方)
Category: Formulas that Expel Dampness
Pattern: Kidney deficiency generating Damp stagnation and Heat in the Lower Jiao
Key Symptoms: Oedema in the lower body with a sensation of heaviness, urinary difficulty
Ingredients
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Di Gu Pi
| 15g | |
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Pinyin: Di Gu Pi / Gou Qi Gen Pi
Chinese: 地骨皮 / 枸杞根皮
Pharmaceutical: Cortex Lycii
Taxonomy: Lycium barbarum seu chinense
English: Goji Berry Root Bark / Wolfberry Root Bark / Boxthorn ROot Bark |
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Tastes: Sweet, slightly bitter, cold
Meridians Entered: Liver, Kidney and Lung |
Actions & Indications:
- Cools the Blood and drains Yin Deficiency Fire (steaming bones) - (drains Kidney Fire, eliminates lurking Heat, and clears Heat from the bones)
Yin Deficiency with Empty Fire Rising (Kidney Fire) with night sweats, steaming bone disorder with sweating, chronic low-grade fever, irritability and thirst
Toothache from Floating Fire in the Kidney channel
- Clears and drains Heat in the Lung
Lung Heat cough or wheezing
- Clears Heat, cools the Blood and stops bleeding
Various bleeding disorders characterized by Heat in the Blood
- Aids fasting
Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, fortify the sinews and bones, 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: 9-15g in decoction.
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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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Wu Jia Pi
| 9g | |
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Pinyin: Wu Jia Pi
Chinese: 五加皮
Pharmaceutical: Cortex Acanthopanacis gracilistyli
Taxonomy: Eleutherococcus gracilistylus
English: Eleuthrococcus Bark |
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Tastes: Pungent, bitter and sweet, warm
Meridians Entered: Liver and Kidney |
Actions & Indications:
- Dispels Wind-Dampness, nourishes (warms) the Liver and Kidneys and strengthens sinews and bones
Chronic Wind-Cold-Damp Bi with underlying Kidney and Liver Deficiencies generating weak or soft bones or sinews
- Transforms Dampness and reduces swelling
Urinary difficulty, oedema, and Cold Damp “Leg Qi”
- Tonifies the Qi while suppressing Parasites
Gu Sydnrome (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
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Standard Dosage: 5-10g in decoction, or soaked in wine.
Cautions: Caution must be taken to have the correct species. Cortex Periplocae (Xiang Jia Pi) is often mistaken for this herb but contains toxic cardiac glycosides which could be dangerous, as well as poorer therapeutic effects and none of the adaptogenic properties of Wu Jia Pi (Complemedis.com). |
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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, reduces oedema, clears Heat, strengthens the Kidneys
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.