HERB FORMULAS

SI LING SAN - 四苓散 - FOUR INGREDIENTS FORMULA WITH PORIA

English: Four-Ingredient Formula with Poria
Also Known As: Hoelen Four Herb Formula
Powder of Four Drugs Containing Poria

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rz. Alismatis Ze Xie 4-15g Promotes urination, resolves Dampness, strengthens the Spleen, harmonizes the Middle Jiao and transforms Phlegm.
Poria Fu Ling 2.3-15g Leeches out Dampness due to deficiency, promotes urination, strengthens the Spleen, and assists the Yang.
With Zhu Ling, promotes urination.
With Bai Zhu, strengthens the Spleen and promotes urination.
With Gui Zhi warms and transforms fluids, unblocks Yang and promotes urination.
With Ze Xie, Gui Zhi and Bai Zhu for Dampness Obstruction causing Lin Syndrome, edema, heaviness of the body, and irritability.
Scl. Polypori Zhu Ling 2.3-15g Promotes urination, leaches out Dampness and dispels Heat.
With Ze Xie, drains Damp, unblocks and drains urinary pathways and drains Heat from the Bladder.
Rz. Atractylodis Macrocephalae Bai Zhu 2.3-10g Strengthens the Spleen, aids transformation and transportation of fluids and resolves Dampness
 With Fu Ling and Gui Zhi, for Spleen Deficiency with chest distention and edema.

FORMULA ACTIONS

  • Regulates water circulation
  • Drains Dampness
  • Strengthens the Spleen

SYNDROMES

  • Uncomplicated Spleen Deficiency Edema leading to Dampness in the Bladder
  • Interior Dampness due to inappropriate diet

CLINICAL MANIFESTATIONS

  • Loose stools
  • Urinary difficulty
  • Scanty urination
  • T: Normal
  • C: Slippery and white
  • P: Floating and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • With Spleen Qi and Kidney Deficiency limit dosage, may combine with tonics.
  • For urinary difficulty with Yin Deficiency, protect Yin.
  • Overdose symptoms include - dizziness, vertigo, a bland taste and anorexia.
  • Avoid long term administration.
  • Contraindicated for those with depleted body fluids from profuse perspiration.
  • Contraindicated for those with excessive vomiting.
  • Contraindicated for those with excessive diarrhea.
  • Contraindicated for those with Damp-Heat Accumulation.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For rhinorrhea due to Spleen and Stomach Damp-Heat:
 
+ 10g Cx. Magnoliae Hou Po    
+ 6g Per. Citri Reticulatae Chen Pi    
+ 10g Hb Agastaches/ Pogostemonis Huo Xiang    
+ 10g Fr. Xanthii Cang Er Zi