Fang Ji Fu Ling Tang - 防己茯苓湯 - Stephania And Poria Decoction

English:	Stephania and Poria Decoction
Also Known As:	Stephania and Hoelen Combination

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Stephaniae Tetrandrae	Han Fang Ji	9-12g	Promotes urination, reduces edema especially in the lower body, expels Wind-Dampness and alleviates pain. With Fu Ling, Gui Zhi and Gan Cao, for edema in constitutionally weak patients and swelling due to Leg Qi.
Rx. Astragali	Huang Qi	6-15g	Tonifies Wei Qi, stabilizes the Exterior, aids circulation of moisture downward from the face, promotes urination and reduces edema. With Han Fang Ji, for Wind edema with numbness, pain, swelling of the face and extremities, sweating, sensitivity to Wind, and reduced urination. With Han Fang Ji, Gui Zhi and Fu Ling, for superficial floating edema with swelling of the extremities.
Ram. Cinnamomi	Gui Zhi	6-9g	Releases the Exterior, assists Yang, warms and facilitates the flow of Qi through the channels and collaterals and Blood through the vessels, warms the Middle and directs Turbid Yin downward. With Han Fang Ji, for Wind-Cold Damp Bi. With Fu Ling, unblocks Yang and facilitates the removal of congested fluids associated with Yang Deficiency edema.
Poria	Fu Ling	6-18g	Promotes urination, leaches out Dampness and strengthens the Spleen. With Gan Cao, for Spleen and Heart Deficiency causing facial edema, palpitations and shortness of breath.
Rx. Glycyrrhizae	Gan Cao	3-6g	Tonifies the Spleen, augments Qi, moderates and harmonizes the harsh properties of other herbs and guides the herbs to all twelve channels.

Formula Actions

• Augments Qi
• Unblocks Yang
• Promotes urination
• Reduces edema

Syndromes

• Skin edema

Clinical Manifestations

Pitting edema, worse in the extremities A sensation of heaviness in the body and extremities Fibrillations in the skin and muscles of the extremities

Dysuria T: Normal C: White and slippery P: Floating

Treats

Skin edema Cardiac edema Oliguria

Nephritic edema Nephritis

Contraindications And Herb/Drug Interactions

Notes

• Take 3-4 times daily.

Modifications

For more severe Spleen Deficiency:		For Kidney Yang Deficiency:
+ Rx. Codonopsis	Dang Shen	+ Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
For severe edema:
+ Rz. Alismatis	Ze Xie	+ Hb. Epimedii	Yin Yang Huo
+ Polyporus	Zhu Ling