Wu Pi Yin - 五皮飲 - Five Peel Decoction

English:	Five Peel Decoction
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Cx. Lycii	Di Gu Pi	9-15g	Clears and drains Heat in the Lung, Cools the Blood, Drains Floating Fire in the Kidney channel, Drains Yin Deficiency Fire.
Cx. Zingiberis Recens	Sheng Jiang Pi	3-9g	Promotes urination and reduces edema.
Cx. Poria Cocos	Fu Ling Pi	9-15g	Harmonizes the Middle Jiao, Promotes urination, Resolves Dampness, Strengthens the Spleen.
Cx. Acanthopanacis	Wu Jia Pi	6-9g	Dispels Wind-Dampness, Nourishes the Liver and Kidneys, Reduces swelling, Strengthens sinews and bones, Transforms Dampness. With Da Fu Pi and Fu Ling Pi, for mild superficial edema.
Per. Arecae	Da Fu Pi	9-15g	Descends Qi, Expels Dampness, Promotes movement of Qi, Promotes urination, Reduces edema. With Sheng Jiang Pi and Fu Ling Pi, for mild edema or superficial facial edema.

Formula Actions

• Resolves Dampness
• Reduces edema
• Regulates Qi
• Strengthens the Kidneys
• Reduces swelling

Syndromes

• Spleen Deficiency with vigorous Dampness and Qi Stagnation (Pi Shui - Skin Water)

Clinical Manifestations

Generalized edema Sensation of heaviness, distention and fullness in the epigastrium and abdomen Labored, heavy breathing Urinary difficulty Asthma Chest distention

Edema during pregnancy General edema in summer Gasping Rapid breathing T: Normal C: White and slippery P: Thready and moderate or slippery

Treats

Edema during pregnancy Protein-deficiency edema Ascites from cirrhosis of the Liver Congestive Heart failure Urticaria Obesity Gasping Whole body edema

Menopausal edema Cardiac edema Nephritic edema Dropsy Nephritis Abdominal fullness and distention Edema Kidney failure

Contraindications And Herb/Drug Interactions

Notes

Modifications

For chronic glomerulonephritis:		For edema in the upper body:
+ Larger dosage of all herbs - 30-60g		+ Rx. Saposhnikoviae	Fang Feng
For edema in the lower body:		+ Rz. et Rx. Notopterygii	Qiang Huo
+ Rx. Stephaniae Tetrandrae	Han Fang Ji	Or
+ Rz. Alismatis	Ze Xie	+ Rx. Saposhnikoviae	Fang Feng
Or		+ Fol. Perillae	Zi Su Ye
+ Rx. Stephaniae Tetrandrae	Han Fang Ji	+ Flos Schizonepeta	Jing Jie
+ Sm. Plantaginis	Che Qian Zi	+ Rx. Angelica Dahuricae	Bai Zhi
For Damp-Heat lodged in the Lower Jiao with edema below the waist:		For Internal Cold-Damp:
+ Talcum	Hua Shi	+ Rz Zingiberis	Gan Jiang
+ Sm. Plantaginis	Che Qian Zi	+ Rx. Lateralis Aconiti Preparata	Zhi Fu Zi
+ Sm. Coicis	Yi Yi Ren	For severe abdominal distention:
For marked Spleen Deficiency:		+ Sm. Raphani	Lai Fu Zi
+ Rx. Codonopsis	Dang Shen	+ Cx. Magnolia Officinalis	Hou Po
+ Rz. Atractylodis Macrocephalae	Bai Zhu	For edema due to pregnancy:
For edema:		+ Stylus Zea	Yu Mi Xu
+ Epicarpium Benincasae	Dong Gua Pi	For constipation due to accumulation in the Stomach and intestines:
+ Hb Plantaginis	Che Qian Cao	+ Rx. et Rz. Rhei	Da Huang
+ Rx. Astragali	Huang Qi	+ Fr. Aurantii Immaturus	Zhi Shi
For edema above the waist:		For edema below the waist:
+ 6g Hb. Ephedrae	Ma Huang	+ 6g Per. Zanthoxyli	Chuan Jiao
+ 9g Sm. Armeniacae	Xing Ren	+ 9g Rx. Stephaniae Tetrandrae	Han Fang Ji
Or		+ 12g Sm. Plantaginis	Che Qian Zi
+ Rx. Notopterygii	Qiang Huo	For edema:
+ Rx. Saposhnikoviae	Fang Feng	+ Rx. Astragali	Huang Qi
For nephrotic syndrome:		+ Rz. Atractylodis Macrocephalae	Bai Zhu
+ True Warrior Decoction Zhen Wu Tang