Wu Ling San - 五苓散 - Five Ingredient Formula With Poria - Hoelen Five Herb Formula

English:	Five-Ingredient Formula with Poria
Also Known As:	Hoelen Five Herb Formula Powder of Five 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.
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
• Disperses water accumulation
• Warms the Yang
• Promotes the transforming functions of Qi

Syndromes

• Tai Yang Biao Fu
• Spleen Deficiency Edema
• Lower Jiao Retention of Water (Yi Yin or Zhi Yin)
• Tan Yin
• Water-Damp retention marked by edema; Taiyang Fu syndrome (Secondary source)

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 Loose stools

Shortness of breath Cough Urinary retention Lower abdominal fullness Extreme thirst Palpitations Lower abdominal distention Lower abdominal palpitations Dizziness Abdominal pain T: Normal C: Slippery, white P: Floating and rapid T: Thick white or greasy coat (Secondary source) P: Slippery (Secondary source)

Treats

Acute or chronic nephritis Glomerulonephritis Pyelonephritis Nephrotic syndrome Chronic renal failure Congestive Heart failure Ascites from cirrhosis of the Liver Meniere's disease Chronic hepatitis Viral hepatitis Gastroptosis Gastrectasis Acute gastroenteritis Acute enteritis with diarrhea Genitourinary infections Neurogenic bladder syndrome Scrotal hydrocele Cardiac edema Varicella Cholera Blisters Urolithiasis Urinary tract infection Benign prostatic hypertrophy Infantile indigestion Pericardial and pleural effusions Central serous retinopathy Catarrhal conjunctivitis Aphthous ulcers Flat warts Eczema Vomiting and diarrhea due to a common cold Diabetes Obesity Headache Common cold Dizziness Vaginal discharge Asthma COPD Fever Lupus erythematosus Abdominal pain Bronchitis Anorexia Edema Chronic hepatitis Hernia Dyspnea Hypertension during pregnancy

Dacrystitis Migraine Uremia Toxemia during pregnancy Indigestion Seasickness Trigeminal neuralgia Vital conjunctivitis 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 Gastric relaxation Hypersalivation Recurrent headache Hydrocele Prostatitis Influenza Cough Vertigo Oliguria Emphysema Multiple sclerosis Cholecystitis Diarrhea Pneumonia Hypertension Intestinal tuberculosis Gastritis Impotence Palpitations Edema during pregnancy Low back pain Coronary Heart disease

Contraindications And Herb/Drug Interactions

Notes

• Modification: For urinary difficulty: remove Gui Zhi (Si Ling San)
• Modification: For diarrhea and edema: add Ping Wei San (Wei Ling Tang)
• Tai Yang Fu syndrome: water accumulation is treated with Wu Ling San, Blood accumulation with Tao He Cheng Qi Tang.
• Wu Ling San and Zhu Ling Tang both treat water accumulation in the Lower Jiao: Wu Ling San when there may be external Wind-Cold (T: pale; P: slippery or superficial); Zhu Ling Tang when there is Heat accumulation with injury to Yin (T: red with yellow coat; P: thin, rapid).
• Water accumulation comparison: Wu Ling San - dysfunction of Bladder Qi transformation; Zhu Ling Tang - Heat accumulation causing Yin Deficiency; Wu Pi San - Spleen Qi Deficiency causing skin edema; Zhen Wu Tang - Kidney/Spleen Yang Deficiency causing edema and pain.

Modifications

For ascites:		For severe edema:
+ Regulate the Middle Decoction Li Zhong Tang		+ Cx. Mori	Sang Bai Pi
For Cold-Damp painful obstruction with thirst and urinary difficulty:		+ Per. Citri Reticulatae	Chen Pi (Ju Pi)
+ Rz. et Rx. Notopterygii	Qiang Huo	+ Per. Arecae	Da Fu Pi
For both exterior and interior signs with edema:		Or
+ Maidservant from Yue Decoction Yue Bi Tang		+ Rx. Astragali	Huang Qi
For otitis media:		+ Rx. Stephaniae Tetrandrae	Han Fang Ji
+ Hb. cum Rx. Asari	Xi Xin	For Damp-Heat diarrhea:
+ Rz. Acori Tatarinowii	Shi Chang Pu	- Rz. Atractylodis Macrocephalae	Bai Zhu
For vomiting, diarrhea and abdominal distention:		- Ram. Cinnamomi	Gui Zhi
+ Rz. Atractylodis	Cang Zhu	+ Hb. Artemisiae	Yin Chen Hao
+ Cx. Magnoliae Officinalis	Hou Po	+ Flos Lonicerae	Jin Yin Hua
+ Per. Citri Reticulatae	Ju Pi	For concurrent edema and Qi obstruction due to Excess water retention:
For severe exterior symptoms:		+ Five Peel Decoction Wu Pi Yin
+ Rx. Ephedrae	Ma Huang	For jaundice:
+ Fol. Perillae	Zi Su Ye	+ Hb. Artemisia	Yin Chen Hao
For jaundice and dysuria:		+ Fr. Gardeniae	Zhi Zi
- Ram. Cinnamomi	Gui Zhi	For Cold and Dampness:
For urinary incontinence and Zhong Qi Deficiency:		+ Rz. Atractylodis	Cang Zhu
+ Rx. Codonopsis	Dang Shen	For Damp-Heat jaundice:
For edema due to Spleen Deficiency:		+ Hb. Artemisiae	Yin Chen Hao
+ Five Peel Decoction Wu Pi Yin		For edema due to Kidney Yang Deficiency:
+ Rx. Codonopsis	Dang Shen	+ Five Peel Decoction Wu Pi Yin
For edema due to Liver Qi Stagnation:		+ Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
+ Five Peel Decoction Wu Pi Yin		For diarrhea due to Heat:
+ Per. Citri Reticulatae Viride	Qing Pi	- Ram. Cinnamomi	Gui Zhi
+ Rx. Aucklandiae	Mu Xiang	+ Sm. Plantaginis	Che Qian Zi
For diarrhea due to Summer-Dampness:		+ Caulis Akebiae	Mu Tong
+ Hb. Agastaches	Huo Xiang	For diarrhea due to Summerheat Invasion:
+ Hb. Eupatorii	Pei Lan	+ Mosla Three Decoction San Wu Xiang Ru Yin
For abdominal bloating and distention:		For thirst, and whole body fever due to Summerheat:
+ Cx. Magnoliae Officinalis	Hou Po	+ White Tiger Decoction Bai Hu Tang
+ Per. Citri Reticulatae	Chen Pi	For general thirst:
For thirst with constipation:		+ Gypsum Fibrosum	Shi Gao
+ Rx. Glycyrrhizae	Gan Cao	+ Rz. Anemarrhenae	Zhi Mu
+ Talcum	Hua Shi	Foe body aches due to Cold-Damp Accumulation:
+ Fr. Gardeniae	Zhi Zi	+ Rz. et Rx. Notopterygii	Qiang Huo
+ Medulla Junci	Deng Xin Cao	For painful Wind obstruction contracted during the summer:
For concurrent fever:		+ Rx. Clematidis	Wei Ling Xian
- Ram. Cinnamomi	Gui Zhi	+ Rx. Saposhnikoviae	Fang Feng
+ Rx. Scutellariae	Huang Qin	+ Rx. Stephaniae Tetrandrae	Han Fang Ji
For Summerheat diarrhea:		For Liver/Spleen disharmony and Shao Yang disorders:
+ Talcum	Hua Shi	+ Minor Bupleurum Decoction Xiao Chai Hu Tang
For urinary burning or bleeding:		For nausea and vomiting:
+ Talcum	Hua Shi	+ Rz. Pinelliae Preparatum	Zhi Ban Xia
+ Colla Corii Asini	E Jiao	+ Rz. Zingiberis Recens	Sheng Jiang
For arthralgia with general edema especially in the Lower Jiao:		For abdominal bloating:
+ Rx. Saposhnikoviae	Fang Feng	+ Cx. Magnoliae Officinalis	Hou Po
+ Rx. et Rz. Notopterygii	Qiang Huo	+ Per. Citri Reticulatae	Chen Pi
+ Rx. Codonopsis	Dang Shen	+ Cinnamon Twig Decoction Gui Zhi Tang
For Heart palpitations, insomnia or gastric ulcer:		For glaucoma:
+ Rx. Aucklandiae	Mu Xiang	+ Sm. Plantaginis	Che Qian Zi
+ Rz. Coptidis	Huang Lian	For acute (closed angle) glaucoma increase the dosage of all the herbs as follows:
+ Rz. Zingiberis Recens	Sheng Jiang	Rz. Alismatis (30g)	Ze Xie
For prostatic hypertrophy:		Sm. Plantaginis (30g)	Che Qian Zi
+ Rz. Polygoni Cuspidatae	Hu Zhang	Scl. Polypori (25g)	Zhu Ling
Ram. Cinnamomi (10g)	Gui Zhi
For coronary Heart disease:		Poria (25g)	Fu Ling
+ Lepidium/Descurania and Jujube Decoction to Drain the Lungs Ting Li Da Zao Xie Fei Tang		+ 15g Rz. Atractylodis	Cang Zhu
+ 15g Rx. et Rz. Rhei	Da Huang
- Fr. Jujube	Da Zao	For coronary Heart disease without Yang Deficiency:
- Rz. Atractylodis Macrocephalae	Bai Zhu
+ Lepidium/Descurania and Jujube Decoction to Drain the Lungs Ting Li Da Zao Xie Fei Tang
+ 20g Sm. Plantaginis	Che Qian Zi
+ 9g Rx. Cyathulae	Chuan Niu Xi	- Fr. Jujube	Da Zao
+ 15g Rx. Salviae Miltiorrhizae	Dan Shen	- Rz. Atractylodis Macrocephalae	Bai Zhu
+ 9g. Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
+ 20g Sm. Plantaginis	Che Qian Zi
+ 9g Flos Carthami	Hong Hua	+ 15g Rx. Salviae Miltiorrhizae	Dan Shen
For coronary Heart disease with Phlegm-Heat:
+ Lepidium/Descurania and Jujube Decoction to Drain the Lungs Ting Li Da Zao Xie Fei Tang		+ 9g Flos Carthami	Hong Hua
+ 9g Rx. Cyathulae	Chuan Niu Xi
- Fr. Jujube	Da Zao	For coronary Heart disease with Yang Qi Desertion:
- Rz. Atractylodis Macrocephalae	Bai Zhu
+ Lepidium/Descurania and Jujube Decoction to Drain the Lungs Ting Li Da Zao Xie Fei Tang
+ 20g Sm. Plantaginis	Che Qian Zi
+ 15g Rx. Salviae Miltiorrhizae	Dan Shen	- Fr. Jujube	Da Zao
+ 9g Flos Carthami	Hong Hua	- Rz. Atractylodis Macrocephalae	Bai Zhu
+ 9g Rx. Cyathulae	Chuan Niu Xi
+ 9g Rx. Scutellariae	Huang Qin	+ 20g Sm. Plantaginis	Che Qian Zi
+ 15g Hb. Houttuyniae	Yu Xing Cao	+ 9g Rx. Cyathulae	Chuan Niu Xi
+ 12g Per. Trichosanthis	Gua Lou Pi	+ 15g Rx. Salviae Miltiorrhizae	Dan Shen
For coronary Heart disease with marked Blood Stagnation:
+ 9g. Rx. Aconiti Lateralis Preparata	Zhi Fu Zi
+ Lepidium/Descurania and Jujube Decoction to Drain the Lungs Ting Li Da Zao Xie Fei Tang
+ 9g Flos Carthami	Hong Hua
- Fr. Jujube	Da Zao	+ 15g Rx. Ginseng	Ren Shen
- Rz. Atractylodis Macrocephalae	Bai Zhu	+ 9g Rz. Zingiberis	Gan Jiang
For gestational hypertension:
+ 20g Sm. Plantaginis	Che Qian Zi	+ Hb. Taxilli	Sang Ji Sheng
+ 9g Rx. Cyathulae	Chuan Niu Xi	+ Per. Arecae	Da Fu Pi
+ 15g Rx. Salviae Miltiorrhizae	Dan Shen	+ Fr. Chaenomelis	Mu Gua
+ Fr. Amomi	Sha Ren
+ 9g. Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	For Liver cirrhosis and ascites:
+ Rx. Salviae Miltiorrhizae	Dan Shen
+ 9g Flos Carthami	Hong Hua
+ 3g. Rx. Notoginseng	San Qi	+ Sm. Plantaginis	Che Qian Zi
For hydrocephalus:		+ Rz. Imperatae	Bai Mao Gan
+ 10g Sm. Plantaginis	Che Qian Zi	+ Per. Arecae	Da Fu Pi
+ 10g Rx. Achyranthis Bidentatae	Niu Xi	+ Rx. Angelicae Sinensis	Dang Gui
+ Rx. Paeoniae Rubra	Chi Shao
For Meniere's disease:		+ 30g Rx. et Rz. Rhei via rectal enema	Da Huang
+ Rx. Codonopsis	Dang Shen
+ Rx. Astragali	Huang Qi	For ascites due to Spleen and Kidney Ying Deficiency:
For a hernia due to Cold-Dampness:		+ Prepared Aconite Pill to Regulate the Middle Fu Zi Li Zhong Wan
+ 15g Sm. Citri Reticulatae	Ju He
- Rx. Ginseng	Ren Shen
+ 9g Ram. Cinnamomi	Gui Zhi	- Ram. Cinnamomi	Gui Zhi
+ 9g Rx. Aucklandiae	Mu Xiang	+ 15g Rx. Codonopsis	Dang Shen
For a hernia due to severe Cold-Dampness:		+ 6g Cx. Cinnamomi	Rou Gui
+ 15g Sm. Citri Reticulatae	Ju He	For acute infectious hepatitis with equal levels of Heat and Dampness:
+ 9g Rx. Aucklandiae	Mu Xiang	+ Gardenia and Phellodendron Decoction Zhi Zi Bai Pi Tang
+ 6g Cx. Cinnamomi	Rou Gui
+ 6g Fr. Foeniculi	Xiao Hui Xiang	For acute infectious hepatitis with Yin Deficiency associated with Internal Heat:
+ 6g Fr. Evodiae	Wu Zhu Yu
For red vaginal discharge:		+ 9g Rx. Rehmanniae	Sheng Di Huang
- Ram. Cinnamomi	Gui Zhi	+ 9g Hb. Dendrobii	Shi Hu
+ 15g Cx. Cinnamomi	Rou Gui	For acute nephritis:
+ 12g Per. Arecae	Da Fu Pi
+ 15g Per. Poria	Fu Ling Pi
+ 15 Exocarpium Benincasae	Dong Gua Pi
+ 12g Hb. Plantaginis	Che Qian Cao