Author: Song Imperial Court
Source: Comprehensive Recording of Sagely Beneficence from the Zhenghe Era (1117)
Category: Formulas that Expel Dampness
Pattern: Dampness in the Lower Jiao
Key Symptoms: Urinary obstruction with pain and rigidity in the area below the umbilicus
Ingredients
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Zhu Ling
| 3g | |
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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
- Resolves Nue (Malaria) and Toxicity
The Shen Nong Ben Cao Jing places it in the lower class of herbs and says it treats "Nue and resolves Toxicity."
- Expels Gu through the urine
The Shen Nong Ben Cao Jing says it treats "Gu Toxins, Gu possession, and ill omens (不祥) by benefiting the waterways."
- Aids fasting
The Shen Nong Ben Cao Jing mentions that, with protracted taking, it makes the body light and slows 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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Sang Bai Pi
| 3g | |
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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)
- Lowers blood pressure
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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Mu Tong
| 3g | |
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Pinyin: Mu Tong
Chinese: 木通
Pharmaceutical: Caulis Akebiae seu Caulis Clematis
Taxonomy: Akebia trifoliata, A. quinata, A. trifoliata var. australis seu Clematis armandii
English: Akebia or Clematis Stem |
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Tastes: Bitter, cool
Meridians Entered: Heart, Small Intestine and Bladder |
Actions & Indications:
- Promotes urination and unblocks painful urinary dysfunction
Damp-Heat Painful Urinary Dysfunction (Lin Syndrome) with dribbling, painful and rough urination
Oedema and ascites
- Drains Heart Heat through the Small Intestine
Small Intestine Shi Heat with irritability accompanied by mouth or tongue sores and scanty urination
- Promotes lactation and unblocks Blood vessels
Lactation Insufficiency
Amenorrhea and pain and stiffness of the joints (Heat Bi)
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Standard Dosage: 3-6g in decoction.
Cautions: It is contraindicated for qi deficiency, spermatorrhea and pregnant women.
This herb is prohibited from use in the UK under the banned and restricted herbal ingredients list issued by the MHRA because it can also refer to Aristolochia manshuriensis (Guan Mu Tong) which contains toxic aristolochic acid. In some European countries with statutory testing of imports the species can be identified but the UK has chosen to ban all species to avoid regulation. It is generally substituted with Qu Mai or Tong Cao. |
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Deng Xin Cao
| 2-3g | | |
Pinyin: Deng Xin Cao
Chinese: 灯心草
Pharmaceutical: Medulla Junci
Taxonomy: Juncus effusus
English: Bulrush Pith / Rush Pith |
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Tastes: Sweet, mild, slightly cold
Meridians Entered: Heart, Lung and Small Intestine |
Actions & Indications:
- Promotes urination, leaches out Dampness and unblocks painful urinary dysfunction
Heat Excess Hot painful urinary dysfunction with dark, scanty urination
- Clears Heat from the Heart channel by directing Fire downward and calms the Spirit
Pediatric sleep disorders with dark, scanty urine and irritability (especially at night) (can be used alone)
Lack of Communication between the Heart and Kidneys with insomnia and restless sleep
Heart Fire with Kidney Yin Deficiency
Heart and Kidney Yin Deficiency
Small Intestine Shi Heat
- Clears Lung Heat
Sore throat (charred internally and topically relieves pain)
- Cools the Blood and stops bleeding
Use charred to stop bleeding
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Standard Dosage: 1-3g in decoction.
Cautions: It is contraindicated in case of urinary incontinence or deficiency-cold in lower energizer. |
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Subsitutions:
In the UK Mu Tong must be substituted for Qu Mai.
Preparation: The first three ingredients are ground into powder and taken as a draft with 2-3g of Deng Xin Cao.
Actions: Drains and leaches out Damp in the Lower Jiao
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.