bubble_chart Efficacy

Moving qi and resolving dampness, unblock water and dispersing edema.

bubble_chart Indications

Spleen deficiency with excessive dampness, edema of the head, face, hands, feet, and entire body, labored breathing and inability to change position, inability to lie flat, difficulty in eating, scanty and painful urination, with urine the color of black soybean juice.

bubble_chart Formula Principles

The edema treated by this formula is caused by dysfunction of the spleen in transportation, leading to internal retention of water-dampness that overflows into the skin. When water-dampness is excessive internally and ascends to the lungs, it is accompanied by wheezing and inability to lie flat. The treatment principle is to move qi and resolve dampness, unblock water, and disperse edema. In the formula, Poria and Alisma serve as the sovereign herbs to promote urination and drain dampness. The minister herb White Atractylodes Rhizome invigorates the spleen and dries dampness, assisting in the transformation of water-dampness. Areca Seed and Areca Peel move qi, dry dampness, unblock water, and disperse edema, supporting the sovereign herbs to guide water downward. When qi transformation occurs, water-dampness is also transformed. Therefore, Perilla Leaf, Dried Tangerine Peel, Villous Amomum Fruit, and Aucklandia Root are added to regulate qi and move stagnation, further assisting in the transformation of water-dampness. White Mulberry Root-Bark ventilates the lungs and promotes urination. Floweringqince Fruit expels dampness pathogens. Rush Pith gently promotes urination. Ophiopogon Tuber nourishes yin fluids, ensuring that the diuretic herbs do not damage yin. These herbs serve as assistants and guides. When combined, these herbs promote qi movement and dampness transformation, unblock the water passages, and thus resolve edema. Additionally, since Poria is the sovereign herb in this formula and can guide water downward to reduce swelling, the formula is named after it.

1. Generalized edema.
2. Dyspnea and fullness, unable to lie down.
3. Anorexia.
4. Difficult and painful urination with scanty output.

bubble_chart Formula Modification

1. Edema: Add Chinese Wolfberry Root-bark, Poria.
2. Difficulty in urination: Add Akebia Stem, Plantain Seed, Unprocessed Rehmannia Root.
3. Sinking of middle qi: Combine with Middle-Tonifying Qi-Replenishing Decoction.
4. Abdominal distension and fullness with scanty urine: Add Cinnamon Twig, Poria.

bubble_chart Cautions and Contraindications

It is advisable to have a low-salt diet or consume low-sodium salt.

bubble_chart Modern Application

Acute and chronic nephritis, nephrotic syndrome, urethritis, congestive heart failure, ascites, beriberi, and other conditions caused by spleen deficiency and dampness sinking.