HERB FORMULAS

WU PI YIN - 五皮飲 - FIVE PEEL DECOCTION

English: Five Peel Decoction
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Cx. Lycii Di Gu Pi 9-15g Cools the Blood, drains Yin Deficiency Fire, drains Floating Fire in the Kidney channel and clears and drains Heat in the Lung.
Cx. Zingiberis Recens Sheng Jiang Pi 3-9g Promotes urination and reduces edema.
Cx. Poria Cocos Fu Ling Pi 9-15g Promotes urination, resolves Dampness, strengthens the Spleen and harmonizes the Middle Jiao.
Cx. Acanthopanacis Wu Jia Pi 6-9g Dispels Wind-Dampness, nourishes the Liver and Kidneys, strengthens sinews and bones, transforms Dampness and reduces swelling.
With Da Fu Pi and Fu Ling Pi, for mild superficial edema.
Per. Arecae Da Fu Pi 9-15g Promotes movement of Qi, descends Qi, expels Dampness, promotes urination and reduces edema.
With Sheng Jiang Pi and Fu Ling Pi, for mild edema or superficial facial edema.

FORMULA ACTIONS

  • Resolves Dampness
  • Reduces edema
  • Regulates Qi
  • Strengthens the Kidneys
  • Reduces swelling

SYNDROMES

  • Spleen Deficiency with vigorous Dampness and Qi Stagnation (Pi Shui - Skin Water)

CLINICAL MANIFESTATIONS

  • Generalized edema
  • Sensation of heaviness, distention and fullness in the epigastrium and abdomen
  • Labored, heavy breathing
  • Urinary difficulty
  • Asthma
  • Chest distention
  • Edema during pregnancy
  • General edema in summer
  • Gasping
  • Rapid breathing
  • T: Normal
  • C: White and slippery
  • P: Thready and moderate or slippery

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • For those with severe Kidney Deficiency use Kidney tonifying herbs.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For chronic glomerulonephritis: For edema in the upper body:
+ Larger dosage of all herbs - 30-60g
 + Rx. Saposhnikoviae Fang Feng
For edema in the lower body:
+ Rz. et Rx. Notopterygii
+ Rx. Stephaniae Tetrandrae Han Fang Ji
or
+ Rz. Alismatis Ze Xie + Rx. Saposhnikoviae Fang Feng
or + Fol. Perillae Zi Su Ye
+ Rx. Stephaniae Tetrandrae Han Fang Ji
+ Flos Schizonepeta
+ Sm. Plantaginis Che Qian Zi + Rx. Angelica Dahuricae Bai Zhi
For Damp-Heat lodged in the Lower Jiao with edema below the waist:
For Internal Cold-Damp:
+ Talcum Hua Shi
+ Rz Zingiberis
+ Sm. Plantaginis
+ Rx. Lateralis Aconiti Preparata Zhi Fu Zi
+ Sm. Coicis Yi Yi Ren
For severe abdominal distention:
For marked Spleen Deficiency: + Sm. Raphani Lai Fu Zi
+ Rx. Codonopsis Dang Shen + Cx. Magnolia Officinalis Hou Po
+ Rz. Atractylodis Macrocephalae Bai Zhu
For edema due to pregnancy:
For edema:
 + Stylus Zea Yu Mi Xu
+ Epicarpium Benincasae Dong Gua Pi
For constipation due to accumulation in the Stomach and intestines:
+ Hb Plantaginis Che Qian Cao + Rx. et Rz. Rhei Da Huang
+ Rx. Astragali Huang Qi + Fr. Aurantii Immaturus Zhi Shi
For edema above the waist:
For edema below the waist:
+ 6g Hb. Ephedrae Ma Huang + 6g Per. Zanthoxyli Chuan Jiao
+ 9g Sm. Armeniacae Xing Ren + 9g Rx. Stephaniae Tetrandrae Han Fang Ji
or
 + 12g Sm. Plantaginis Che Qian Zi
+ Rx. Notopterygii Qiang Huo
For edema:
+ Rx. Saposhnikoviae Fang Feng + Rx. Astragali Huang Qi
For nephrotic syndrome:
+ Rz. Atractylodis Macrocephalae Bai Zhu
+ True Warrior Decoction
Zhen Wu Tang