Wu Ling San (Five Ingredient Powder with Poria)
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Wu Ling San (Five Ingredient Powder with Poria)

Formula 4 of 23 in Formulas that Expel Dampness

Sub-Category:

  • Formulas that Promote Urination and Leach out Dampness

Pattern:

  • Water Accumulation

Actions:

  • Promotes urination, drains damp, and strengthens the Spleen
  • Warms the Yang and promotes transformation of Bladder Qi.

Indications:

  • Accumulation of cold water in the Lower Jiao, possibly with external Wind Cold: Difficult urination, fever, irritability, strong thirst with vomiting after drinking, and headache
  • Spleen Qi deficiency causing internal accumulation of water and dampness: General muscle and skin edema with a sensation of heaviness, difficult urination, diarrhea, and vomiting.
  • Accumulation of fluids in the Lower Jiao (Tai Yin Syndrome): A pulsing or throbbing sensation below the umbilicus, frothy saliva, dizziness, vertigo, shortness of breath, and coughing.

Possible Tongue Appearance:

  • Thick white greasy tongue coat

Possible Pulse Patterns:

  • Floating and rapid pulse

Western Uses:

  • Chronic Nephritic Edema
  • Acute Gastritis
  • Cardiac Edema
  • Gastrectasis
  • Ascites due to Liver Cirrhosis
  • Urine Retention
  • Scrotal Hydrocele
  • Acute Enteritis
  • Meniere's Disease
  • Neurogenic Bladder Syndrome

Cautions, Contraindications, Herb Drug Interactions:

  • This formula is warming and drying and should be used with caution in cases of difficult urination presenting with Yin and fluids deficiency
  • Do not use long term with Kidney Qi or Spleen Qi deficiency. Possible side effects may include: Loss of appetite, dizziness, vertigo, and a bland taste in the mouth.

Preparation Notes:

  • Decoction. Modern formulations usually have a 4 fold increase in dosages. Do not cook for more than 20 minutes.

Originally Appeared In:

  • On Cold Damage (Shang Han Lun)

Combined Channels of all herbs in this formula:

  • Bladder, Kidneys, Lungs, Spleen, Heart, Stomach

There are 5 Substances in this Chinese Medicne

Ze Xie (Qty: 4 grams)

Cold Ze Xie (Rhizoma Alismatis)
Channels:
KI, BL
Properties:
Sweet, Bland, Cold
Latin:
Rhizoma Alismatis
Chinese:
泽泻
Tone Marks:
zé xiè
Alt Names:
Fu Ze Xie
Translation:
Marsh Drain

Fu Ling (Qty: 2.3 grams)

Neutral Fu Ling (Scierotium Poriae Cocos)
Channels:
HT, SP, LU
Properties:
Sweet, Bland, Neutral
Latin:
Scierotium Poriae Cocos
Chinese:
茯苓
Tone Marks:
fú líng
Alt Names:
Yun Ling, Bai Fu Ling, Fang Ling Kuai

Zhu Ling (Qty: 2.3 grams)

Cool Zhu Ling (Sclerotium Polypori Umbellati)
Channels:
SP, KI, BL
Properties:
Sweet, Bland, Cool (or Neutral)
Latin:
Sclerotium Polypori Umbellati
Chinese:
猪苓
Tone Marks:
zhū líng

Bai Zhu (Qty: 2.3 grams)

Warm Bai Zhu (Rhizoma Atractylodis Macrocephalae)
Channels:
SP, ST
Properties:
Bitter, Sweet, Warm
Latin:
Rhizoma Atractylodis Macrocephalae
Chinese:
白术
Tone Marks:
bái zhú

Gui Zhi (Qty: 1.5 grams)

Warm Gui Zhi (Ramulus Cinnamomi Cassiae)
Channels:
HT, LU, BL
Properties:
Spicy, Sweet, Warm
Latin:
Ramulus Cinnamomi Cassiae
Chinese:
桂枝
Tone Marks:
guì zhī

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