Fu Ling Si Ni Tang - 茯苓四逆汤 - Poria Four Reversals Decoction

English:	Poria Four Reversals Decoction
Also Known As:	Hoelen, Ginseng, Licorice and Aconite Combination Poria Decoction for Frigid Extremities

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	0.5-1g	Warms the Kidney and Heart Yang, stimulates exhausted Yang, warms the Ming Men Fire and the entire body by traveling through all twelve channels. With Gan Jiang, strengthens the Kidney and Spleen Yang,warms the Spleen and Kidneys, disperses Cold and treats overabundance of Yin fluids due to Deficiency Cold, Devastated Yang and debilitated Spleen and Kidney Yang with incessant diarrhea. With Gan Jiang and Zhi Gan Cao strengthens the actions of fortifying Qi and benefiting the Yang for Cold extremities and diarrhea with undigested food due to Collapse of the Spleen and Kidney Yang.
Rx. Ginseng	Ren Shen	2g	Tonifies Spleen and Stomach Qi and tonifies Qi in Deficiency patients with Exterior conditions. With Zhi Fu Zi, for Collapsed Qi and Devastated Yang with spontaneous sweat, ice cold extremities and shortness of breath. With Gan Jiang and Zhi Gan Cao, strengthens its actions of fortifying Qi and benefiting the Yang for Cold extremities and diarrhea with undigested food due to Collapse of the Spleen and Kidney Yang. With Fu Ling, for lower body edema and dysuria.
Rz. Zingiberis	Gan Jiang	2g	Expels Cold, Rescues Yang, Stops bleeding, Transforms thin mucus, Warms the channels (unblocks the pulse), Warms the Middle Jiao and Lungs. With Zhi Fu Zi, for debilitated Spleen and Kidney Yang with incessant diarrhea. With Zhi Gan Cao, for epigastric pain and vomiting due to Spleen and Stomach Deficiency Cold and detoxifies Zhi Fu Zi.
Poria	Fu Ling	4g	Harmonizes the Middle Jiao, Leaches out Dampness, Promotes urination, Strengthens the Spleen.
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	2g	Tonifies Qi, strengthens the Spleen and moderates the drying properties of the formula.

Formula Actions

• Dispels Dampness
• Warms Yang
• Restores Yang from collapse
• Relieves restlessness

Syndromes

• Yang Deficiency with Dampness

Clinical Manifestations

Chills Diarrhea Vomiting Abdominal distention Cold limbs Palpitations

Anxiety due to stress Edema T: Pale and swollen C: White or White and moist P: Soft and slow

Treats

Influenza Intestinal fever Cholera Diarrhea Neurotic vomiting Anxiety due to stress Palpitations

Gastroenteritis Indigestion Jaundice Ephidrosis Abdominal fullness and distention Edema

Contraindications And Herb/Drug Interactions

Notes

Modifications