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	Harmonizes the Stomach, Increases Qi and Blood circulation, Reduces Food Stagnation, Relaxes sinews, Transforms Dampness, Unblocks the channels.
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

Nephrosclerosis Chronic nephritis Edema secondary to nephritis Edema secondary to congestive heart failure Obesity Cirrhotic ascites Chronic cholecystitis Gastrointestinal neurosis Edema due to valvular disease Kidney failure Abdominal fullness Cough Anorexia Dyspnea

Dysuria secondary to congestive Heart failure Beriberi Ascites Edema with gasping Flatulence Acute nephritis Duodenal ulcer Anasarca Oliguria Abdominal pain Abdominal Fullness and distention Edema

Contraindications And 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