HERB FORMULAS

DAO SHUI FU LING TANG - 导水茯苓汤 - PORIA DECOCTION TO DRAIN WATER

English: Poria Decoction to Drain Water
Also Known As: Hoelen, Atractylodes and Areca Combination
Decoction of Poria for Eliminating Fluid

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Poria Rubra Chi Fu Ling 4-90g Clears Dampness and Heat.
Rz. Alismatis Ze Xie 4-90g Promotes urination and leaches out Dampness.
Rz. Atractylodis Macrocephalae Bai Zhu 4-90g Tonifies the Spleen, augments Qi, dries Dampness and promotes water metabolism.
With Da Fu Pi, strengthens the Spleen, assists transportation, dredges clogged Stagnation, facilitates the removal of pathogenic water and Dampness, and reduces edema for treatment of Spleen Qi Deficiency with Dampness Obstruction.
Fr. Chaenomelis Mu Gua 2-30g Relaxes sinews, increases Qi and Blood circulation, unblocks the channels, harmonizes the Stomach, transforms Dampness and reduces Food Stagnation.
Sm. Arecae Bing Lang 2-30g Regulates Qi, reduces accumulations, drains downward, unblocks the bowels and relieves nausea.
With Chen Pi and Mu Gua, for leg Qi.
Rx. Ophiopogonis Mai Men Dong 4-90g Nourishes Stomach Yin, generates fluids and moistens the Intestines.
Fol. Perillae Zi Su Ye 2-30g Promotes the movement of Spleen and Stomach Qi, harmonizes the Middle Jiao and relieves intestinal gas.
Medulla Junci Deng Xin Cao 1-22.5g Promotes urination, leaches out Dampness.
Per. Citri Reticulatae Chen Pi 1.5-22.5g Regulates Qi, adjusts the Middle, relieves the diaphragm, dries Dampness, transforms Phlegm and descends Qi.
With Bai Zhu, for anorexia and other symptoms of Damp Obstruction due to Spleen Deficiency.
Rx. Aucklandiae Mu Xiang 1.5-22.5g Promotes the movement of Qi, adjusts and regulates stagnant Qi in the Intestines, strengthens the Spleen, prevents Stagnation, dispels Damp-Heat, harmonizes the Liver and Spleen and alleviates pain.
With Sha Ren, for distention, epigastric and abdominal pain, anorexia, nausea, vomiting, diarrhea, dysentery, or tenesmus due to Qi Obstruction and/or Food Stagnation.
With Bai Zhu, for anorexia with epigastric and abdominal pain and distention.
With Bing Lang, for Qi Stagnation in the Stomach and Intestines due to Food Stagnation with abdominal distention, fullness and distention, anorexia, aversion to the smell of food, nausea without the ability to vomit and an uncomfortable urge to defecate which is often unsuccessful.
Fr. Amomi Sha Ren 1.5-22.5g Promotes the movement of Qi, aromatically transforms Dampness, strengthens the Spleen, stops vomiting, warms the Middle and stops diarrhea.
With Mu Xiang, increases the flow of Qi in the digestive system while reducing distention and Food Stagnation, alleviating pain and strengthening the Spleen.
With Chen Pi, for Dampness obstructing the Spleen's transforming and transporting functions with reduced intake of food and diarrhea, belching, nausea, and a stifling sensation in the epigastrium due to Disharmony of the Stomach Qi and vomiting of unadulterated, or scanty but viscous fluids.
Cx. Mori Sang Bai Pi 2-30g Promotes urination and reduces edema.
Per. Arecae Da Fu Pi 1.5-22.5g Descends Qi, eases the Middle, promotes urination and reduces edema.
With Bing Lang, for constipation with bloating.

FORMULA ACTIONS

  • Dispels Stagnant Water
  • Dries Dampness
  • Eliminates water from the Lungs
  • Harmonizes the Spleen
  • Relieves edema
  • Moves Qi

SYNDROMES

  • Severe Fluid Accumulation
  • Stagnation of Qi and Phlegm
  • Turbid Dampness in the San Jiao

CLINICAL MANIFESTATIONS

  • General edema of the body and extremities
  • Dysuria
  • Oliguria
  • Orthopnea
  • Pitting edema
  • Dyspnea
  • Gasping
  • Anorexia
  • Abdominal fullness and pain
  • T: Thick
  • C: White and thick
  • P: Slow or Wiry

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For oliguria: For cough, dyspnea and chest fullness:
+ Caulis Akebiae Mu Tong + Cx. Magnoliae Officinalis Hou Po
+ Sm. Plantaginis Che Qian Zi + Sm. Armeniacae Xing Ren
+ Rx. Rehmanniae Sheng Di Huang For Kidney failure (uremia):
    - Poria Rubra Chi Fu Ling
    + Poria Fu Ling
    - Rx. Ophiopogonis Mai Men Dong
    - Fol. Perillae Zi Su Ye
    - Medulla Junci Deng Xin Cao
    - Rx. Aucklandiae Mu Xiang
    - Fr. Amomi Sha Ren
    + 30g Sm. Plantaginis Che Qian Zi
    + 9g Rx. Achyranthis Bidentatae Niu Xi