Yin Chen Wu Ling San - 阴陈五苓散 - Capillaris And Hoelen Formula

English:	Artemisia Yinchenhao and Five Ingredient Powder with Poria
Also Known As:	Capillaris and Hoelen Formula

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Hb. Artemisiae Scopariae	Yin Chen Hao	12-65g	Clears Damp-Heat from the Liver and Gallbladder, relieves jaundice and is the principle herb for treating jaundice.
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
• Warms Yang
• Promotes the transforming functions of Qi
• Clears Damp-Heat
• Treats jaundice (more Dampness than Heat)

Syndromes

• Damp-Heat Injures the Spleen (jaundice with dysuria)

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 Abdominal pain and/or distention Dark urine Scanty urine Anxiety

Jaundice Yellow sweat Shortness of breath Cough Urinary retention Lower abdominal fullness Extreme thirst Palpitations Lower abdominal distention Lower abdominal palpitations Dizziness Abdominal pain Restlessness Slightly pale skin tone T: Normal C:Thick, yellow and greasy P: Soft and rapid

Treats

Acute or chronic nephritis Chronic renal failure Congestive Heart failure Ascites from liver cirrhosis of the Liver Meniere’s disease Infectious hepatitis Gastroptosis Gastrectasis Acute gastroenteritis Enteritis Acute genitourinary infections Neurogenic bladder syndrome Scrotal hydrocele Cardiac edema Chicken pox Renal cirrhosis Headache Cough Gastralgia Common cold Dysentery Oliguria AIDS/HIV Constipation Diarrhea Acute pancreatitis Hypertension Fatigue Enuresis Herpes simplex Infertility Obesity Palpitations Spermatorrhea Urinary tract infection

Fever Edema Jaundice Cholera Blisters Dacrocystitis Migraine Uremia Toxemia during pregnancy Indigestion Motion sickness Trigeminal neuralgia Viral conjunctivitis Diabetes Nyctalopia Peritonitis Renal atrophy Hyperlipoproteinemia Cholecystitis Influenza Dizziness Lower abdominal fullness and distention Vertigo Nausea/Vomiting Abdominal fullness and distention Abdominal pain Anorexia Allergic purpura Hernia Herpes zoster Vaginal discharge Bad breath Yellow perspiration Dyspnea Red eyes

Contraindications And Herb/Drug Interactions

Notes

• This formula is considered first choice for Damp-Heat jaundice.

Modifications

For fever and thirst:		For dysuria:
+ Gypsum Fibrosum	Shi Gao	+ Caulis Akebiae	Mu Tong
+ Rz. Anemarrhenae	Zhi Mu	+ Rx. Rehmanniae	Sheng Di Huang
For yellow palms and soles:		For jaundice:
+ Rz. Imperatae	Bai Mao Gen	- Poria	Fu Ling
+ Rx. Salviae Miltiorrhizae	Dan Shen	+ 30g Poria Rubra	Chi Fu Ling
- Polyporus	Zhu Ling
+ Talcum	Hua Shi	+ 30g Rx. Salviae Miltiorrhizae	Dan Shen
For icteric hepatitis:
+ Rz. Chuanxiong	Chuan Xiong	+ 10-30g Rz. Aconiti Lateralis Preparata	Zhi Fu Zi
+ Rx. Angelicae Sinensis	Dang Gui
+ Rx. et Rz. Rhei	Da Huang	+ 10-20g Sm. Lepidii/ Descuraniae	Ting Li Zi
For jaundice with more Dampness than Heat:
+ 12g Hb. Agastaches	Huo Xiang	+ 10g Rx. Codonopsis	Dang Shen
+ 6g Fr. Amomi Rotundus	Bai Dou Kou	+ 10g Rx. Glycyrrhizae Preparata	Zhi Gan Cao
Or		For jaundice with more Dampness than Heat and Food Stagnation:
+ 6g Rx. Scutellariae	Huang Bai
For jaundice with more Dampness than Heat and nausea and vomiting:		+ 12g Hb. Agastaches	Huo Xiang
+ 12g Hb. Agastaches	Huo Xiang	+ 6g Fr. Amomi Rotundus	Bai Dou Kou
+ 6g Fr. Amomi Rotundus	Bai Dou Kou
+ 10g Massa Medicata Fermentata	Shen Qu
+ 9g Rz. Pinelliae Preparata	Zhi Ban Xia	+ 10g Fr. Crataegi	Shan Zha
+ 9g Per. Citri Reticulatae	Chen Pi	+ 10g Fr. Hordei Germinatus	Mai Ya
Or
+ 6g Rx. Scutellariae	Huang Bai	For jaundice with more Dampness than Heat and gallstones:
+ 9g Rz. Pinelliae Preparata	Zhi Ban Xia
+ 12g Hb. Agastaches	Huo Xiang
+ 9g Per. Citri Reticulatae	Chen Pi	+ 6g Fr. Amomi Rotundus	Bai Dou Kou
+ 9g Rx. Aucklandiae	Mu Xiang	+ Three Gold Decoction San Jin Tang
For jaundice with more Dampness than Heat and severe abdominal distention:
For yellow sweat:
+ 12g Hb. Agastaches	Huo Xiang	- Ram. Cinnamomi	Gui Zhi
+ 6g Fr. Amomi Rotundus	Bai Dou Kou	+ 6g Rx. Scutellariae	Huang Qin
+ 9g Fr. Gardeniae	Zhi Zi
+ 10g Per. Arecae	Da Fu Pi	For acute infectious hepatitis with Yin Deficiency associated with Internal Heat:
+ 6g Rx. Aucklandiae	Mu Xiang
For acute infectious hepatitis with equal levels of Heat and Dampness:		+ 9g Rx. Rehmanniae	Sheng Di Huang
+ 9g Hb. Dendrobii	Shi Hu
+ Calm the Stomach Powder Ping Wei San		For red eyes due to alcohol poisoning:
+ 15g Flos Puerariae	Ge Hua
++10g Flos Lablab	Bai Bian Hua