formula name | Five-Peel Decoction |
bubble_chart Preparation and Dosage bubble_chart Efficacy
Moving qi and resolving dampness, unblock water and dispersing edema.
bubble_chart Indications
- Generalized edema, chest and abdominal distension and fullness, scanty urine, and pregnancy edema.
- In summer with excessive dampness, the person has swelling of the dorsum of the foot.
bubble_chart Formula Principles
In the formula, tuckahoe peel invigorates the spleen and drains dampness; Dried Tangerine Peel regulates qi, enlivens the spleen, and resolves dampness, so that dampness does not accumulate and turn into water; White Mulberry Root-Bark ventilates the lung and disinhibits water; Areca Peel promotes water circulation and relieves distension; ginger peel disperses stomach yang to dissipate water, so that water does not overflow and cause swelling. The combination of these five peels has the effect of transporting the spleen and promoting water circulation.
bubble_chart Syndrome Differentiation
- Systemic edema (spleen deficiency dampness injury, qi stagnation water retention).
- Beriberi.
- Pregnancy edema.
bubble_chart Formula Modification
- For severe swelling above the waist: add Perilla Leaf, Schizonepeta, Saposhnikovia Root, Gentian.
- For severe swelling below the waist: add Rice Bean, Poria, Alisma, Stephania Tetrandra, Plantain Seed.
- For constipation: add Rhubarb Rhizoma, Immature Orange Fruit.
- For abdominal distension: add Magnolia Bark, green tangerine peel, radish seed.
- For those with weak constitution: add Tangshen, White Atractylodes Rhizome, Astragalus Root.
- For yin-type edema: add Aconite Lateral Root, Dried Ginger, Cassia Bark.
- For yang-type edema: add Phelloendron Bark, Plantain Seed, Alisma.
- For severe edema: combine with Five Ingredients with Poria Powder.
bubble_chart Modern Application
Edema, panting, nephritis, cardiac edema, pregnancy edema, liver cirrhosis ascites, beriberi.