Wu Ling San (Five Ingredient Powder with Poria)

Wu Ling San (Five Ingredient Powder with Poria)

Formula 4 of 23 in Formulas that Expel Dampness

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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 (Water Plantain Rhizome, Alisma)
Quantity = 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 (Sclerotium of Tuckahoe, China Root, Poria, Hoelen)
Quantity = 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 (Polyporus Sclerotium)
Quantity = 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 (White Atractylodes Rhizome)
Quantity = 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 (Cinnamon Twig, Cassia Twig)
Quantity = 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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References Used

The TCM information presented here has been referenced from numerous sources; including teachers, practitioners, class notes from Five Branches University, the following books, as well as other sources. If you have benefited from this information, please consider supporting the authors and their works by purchasing the books below.

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