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	Harmonizes the Middle Jiao and transforms Phlegm, Promotes urination, Resolves Dampness, Strengthens the Spleen.
Poria	Fu Ling	2.3-15g	Assists the Yang, Leeches out Dampness due to deficiency, Promotes urination, Strengthens the Spleen. 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

Acute or chronic nephritis Glomerulonephritis Pyelonephritis Nephrotic syndrome Chronic renal failure Congestive Heart failure Ascites from cirrhosis of the Liver Meniere’s disease Acute infectious hepatitis Gastroptosis Gastrectasis Acute or chronic gastroenteritis Acute enteritis with diarrhea Genitourinary infections Neurogenic bladder syndrome Scrotal hydrocele Cardiac edema Varicella Cholera Blisters Urolithiasis Urinary tract infection Ascites Benign prostatic hypertrophy Infantile indigestion Pericardial and pleural effusions Central serous retinopathy Catarrhal conjunctivitis Aphthous ulcers Flat warts Eczema Rhinorrhea Common cold Cholecystitis Edema

Dacrocystitis Migraine Uremia Toxemia during pregnancy Indigestion Seasickness Trigeminal neuralgia Viral conjunctivitis Diabetes Nyctalopia Otitis media Nephropyelitis Cyclic vomiting Pseudocholera Cold-type urticaria Scrotal edema Gestational hypertension Cirrhosis of the Liver Hydrocephalus Early-stage renal insufficiency Cystitis Headache from increased cranial pressure Motion sickness Polyhydramnios Glaucoma Allergic rhinitis Diffuse polyps of the vocal cords Urticaria Alopecia Herpes zoster Influenza Nausea/Vomiting Anorexia Dyspnea

Contraindications And 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