HERB FORMULAS

YIN CHEN WU LING SAN - 阴陈五苓散 - CAPILLARIS AND HOELEN FORMULA

English: Artemisia Yinchenhao and Five Ingredient Powder with Poria
Also Known As: Capillaris and Hoelen Formula

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Hb. Artemisiae Scopariae Yin Chen Hao 12-65g Clears Damp-Heat from the Liver and Gallbladder, relieves jaundice and is the principle herb for treating jaundice.
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.
Ram. Cinnamomi Gui Zhi 1.5-10g Warms the Ming Men assisting the Bladder in transforming and discharging urine, aids the Spleen to raise up Damp and releases exterior pathogens.
With Bai Zhu, for Heart and Spleen Yang Deficiency with palpitations, edema and shortness of breath.

FORMULA ACTIONS

  • Promotes urination
  • Drains Dampness
  • Strengthens the Spleen
  • Warms Yang
  • Promotes the transforming functions of Qi
  • Clears Damp-Heat
  • Treats jaundice (more Dampness than Heat)

SYNDROMES

  • Damp-Heat Injures the Spleen (jaundice with dysuria)

CLINICAL MANIFESTATIONS

  • Headache
  • Fever (maybe chills)
  • Strong thirst with a desire to drink.
  • Vomits immediately after drinking
  • Urinary difficulty
  • Edema
  • General sensation of heaviness
  • Diarrhea
  • Irritability
  • Simultaneous vomiting and diarrhea
  • Throbbing sensations below umbilicus
  • Vomits frothy saliva
  • Vertigo
  • Abdominal pain and/or distention
  • Dark urine
  • Scanty urine
  • Anxiety
  • Jaundice
  • Yellow sweat
  • Shortness of breath
  • Cough
  • Urinary retention
  • Lower abdominal fullness
  • Extreme thirst
  • Palpitations
  • Lower abdominal distention
  • Lower abdominal palpitations
  • Dizziness
  • Abdominal pain
  • Restlessness
  • Slightly pale skin tone
  • T: Normal
  • C:Thick, yellow and greasy
  • P: Soft and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • With Spleen Qi and Kidney Deficiencies 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.
HERB/DRUG INTERACTIONS

NOTES

  • This formula is considered first choice for Damp-Heat jaundice.

MODIFICATIONS

For fever and thirst: For dysuria:
+ Gypsum Fibrosum Shi Gao + Caulis Akebiae Mu Tong
+ Rz. Anemarrhenae Zhi Mu + Rx. Rehmanniae Sheng Di Huang
For yellow palms and soles: For jaundice:
+ Rz. Imperatae Bai Mao Gen - Poria Fu Ling
+ Rx. Salviae Miltiorrhizae Dan Shen + 30g Poria Rubra Chi Fu Ling
- Polyporus Zhu Ling
+ Talcum Hua Shi + 30g Rx. Salviae Miltiorrhizae Dan Shen
For icteric hepatitis:
+ Rz. Chuanxiong Chuan Xiong + 10-30g Rz. Aconiti Lateralis Preparata Zhi Fu Zi
+ Rx. Angelicae Sinensis Dang Gui
+ Rx. et Rz. Rhei Da Huang + 10-20g Sm. Lepidii/ Descuraniae Ting Li Zi
For jaundice with more Dampness than Heat:
+ 12g Hb. Agastaches Huo Xiang + 10g Rx. Codonopsis Dang Shen
+ 6g Fr. Amomi Rotundus Bai Dou Kou + 10g Rx. Glycyrrhizae Preparata Zhi Gan Cao
or For jaundice with more Dampness than Heat and Food Stagnation:
+ 6g Rx. Scutellariae
For jaundice with more Dampness than Heat and nausea and vomiting: + 12g Hb. Agastaches Huo Xiang
+ 12g Hb. Agastaches Huo Xiang + 6g Fr. Amomi Rotundus Bai Dou Kou
+ 6g Fr. Amomi Rotundus Bai Dou Kou
+ 10g Massa Medicata Fermentata Shen Qu
+ 9g Rz. Pinelliae Preparata Zhi Ban Xia + 10g Fr. Crataegi Shan Zha
+ 9g Per. Citri Reticulatae Chen Pi + 10g Fr. Hordei Germinatus Mai Ya
or
+ 6g Rx. Scutellariae
 For jaundice with more Dampness than Heat and gallstones:
+ 9g Rz. Pinelliae Preparata
Zhi Ban Xia
+ 12g Hb. Agastaches Huo Xiang
+ 9g Per. Citri Reticulatae Chen Pi + 6g Fr. Amomi Rotundus Bai Dou Kou
+ 9g Rx. Aucklandiae
+ Three Gold Decoction
San Jin Tang
For jaundice with more Dampness than Heat and severe abdominal distention:
For yellow sweat:
+ 12g Hb. Agastaches Huo Xiang
- Ram. Cinnamomi
+ 6g Fr. Amomi Rotundus Bai Dou Kou
+ 6g Rx. Scutellariae
+ 9g Fr. Gardeniae
+ 10g Per. Arecae Da Fu Pi
For acute infectious hepatitis with Yin Deficiency associated with Internal Heat:
+ 6g Rx. Aucklandiae Mu Xiang
For acute infectious hepatitis with equal levels of Heat and Dampness:
+ 9g Rx. Rehmanniae Sheng Di Huang
+ 9g Hb. Dendrobii Shi Hu
+ Calm the Stomach Powder
Ping Wei San
For red eyes due to alcohol poisoning:
+ 15g Flos Puerariae Ge Hua
    ++10g Flos Lablab Bai Bian Hua