Yibian
 Shen Yaozi 
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formula nameFive Stranguries Powder
sourceTaiping Huimin Heji Jufang
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bubble_chart Preparation and Dosage

Red Poria (Poria)
Chinese Angelica (Radix Angelicae Sinensis)
Red paeony root (Radix Paeoniae Rubra)
Gardenia (Fructus Gardeniae)
Liquorice Root (Radix Glycyrrhizae)

bubble_chart Efficacy

Clearing heat and cooling blood, promoting diuresis and relieving stranguria.

bubble_chart Indications

Bladder dampness-heat accumulation, frequent urination, dribbling and painful urination, abdominal distension and fullness with intermittent pain, triggered by overexertion or urine resembling bean juice, or passing sand-like stones, or cold stranguria with turbid urine, or heat stranguria with bloody stools.

bubble_chart Formula Principles

In the formula, Poria Cocos promotes urination and drains dampness; Gardenia clears heat and drains dampness, cools blood to remove toxins; Red Peony Root clears heat and cools blood. The combination of these three herbs clears heat and removes toxins, promotes urination and drains dampness, cools blood and stops bleeding, and eliminates dampness-heat. Additionally, Chinese Angelica is used to nourish blood and regulate blood; Liquorice Root tonifies the spleen and replenishes qi, alleviates spasms and pain, clears heat and removes toxins. The combination of these five herbs reinforces healthy qi and eliminates pathogenic factors. Although the anti-inflammatory effect is not strong, it takes into account both qi and blood, making it suitable for chronic inflammation or stones in the urinary system.

bubble_chart Pattern Identification

  1. Chronic urethral pain.
  2. Hematuria.
  3. Urinary tract stones.

bubble_chart Formula Modification

  1. Acute inflammation: Combine with Eight-Ingredient Rectification Powder.
  2. Fire-heat thirst: Add Talc, Gypsum.
  3. Dampness-heat jaundice: Add Virgate Wormwood, Skullcap Root.
  4. Dysuria: Add Akebia Stem, Stephania Tetrandra.
  5. Static blood: Add Peach Kernel, Peony Bark, Amber.
  6. Urolithic stranguria: Add Sea Gold Sand, Christina Loosestrife or combine with Polyporus Decoction.
  7. Blood stranguria: Add Small Thistle, Yerbadetajo Herb, Lalang Grass Rhizome.
  8. Heat stranguria: Add Coptis Rhizome.
  9. Qi deficiency or elderly: Add Ginseng, Astragalus Root, Cimicifuga Rhizome.
  10. Bladder heat accumulation: Combine with Redness-Removing Powder.

bubble_chart Modern Application

Chronic urethritis, cystitis, urinary tract stones, hematuria, gonorrhea.

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