Poria 9 gm, Peony 9 gm, Atractylodes 6 gm, Fresh Ginger (cut) 9 gm, Aconite 5 gm (prepared)

bubble_chart Preparation and Dosage

Take the above 5 ingredients, decoct with 800 ml of water until reduced to 300 ml, remove the dregs, and administer 100 ml while warm each time.

bubble_chart Efficacy

Warming yang and excreting water.

bubble_chart Indications

Spleen and kidney yang deficiency leads to water retention, difficulty in urination, heavy and painful limbs, abdominal pain and diarrhea, or limb edema, with a white tongue coating and no thirst; in cases of taiyang disease where sweating does not resolve the condition, the patient still has fever, palpitations, dizziness, body tremors, and a tendency to collapse, it is now used for liver and kidney edema, cardiac edema, otogenic vertigo, chronic colitis, and other conditions belonging to spleen-kidney yang deficiency.

bubble_chart Formula Principles

This formula is essential for treating spleen-kidney yang deficiency and internal retention of water-dampness. In the formula, Aconite Lateral Root warms and strengthens kidney yang, White Atractylodes Rhizome invigorates the spleen and dries dampness, Poria promotes urination and drains dampness, Fresh Ginger Rhizome warms and disperses water qi, and Peony Root promotes urination and alleviates abdominal pain. The combination of these five ingredients not only warms and tonifies the yang of the spleen and kidney but also promotes urination and eliminates dampness. Therefore, it is suitable for various symptoms caused by spleen-kidney yang deficiency and the accumulation of water-dampness.

bubble_chart Formula Modification

If there is coughing, add 3 grams each of Schisandra Fruit, Asarum, and Dried Ginger; if urination is smooth, remove Poria; if there is diarrhea, remove Peony Root and add 6 grams of Dried Ginger; if there is vomiting, remove Aconite Lateral Root and increase Fresh Ginger Rhizome to 15 grams.