Edema Shui Zhong

Question 1

Abrupt onset of edema beginning with the eyelids and face, and gradually spreading to the limbs and entire body; sensitivity to drafts, fever, heavy aching limbs, difficult urination and sore red swollen throat.
Tongue: Red
Pulse: rapid, slippery, floating

Answer 1

Attack by wind-heat
Yue bi Jia Zhu Tang
(Spleen-effusing Decoction plus ovate Atractylodes)
UB13, UB12, LU7, LI4, LI6, SJ5

Question 2

Generalized pitting edema, scanty urine, sensation of heaviness and fatigue, oppression in the chest, loss of appetite, nausea. Exterior patterns are generally not present; onset of illness is relatively slow.
Tongue: white slimy coating
Pulse: deep, tardy

Answer 2

Inundation by Water-Dampness
Wu Pi San (Yin)
(Five-Peel Powder)
UB20, SP9, Ren12, Ren9, ST36, UB22

Question 3

General edema, moist shiny skin, oppression in the chest, fullness and discomfort of the epigastrium, irritability, thirst, dark scanty urine, constipation.
Tongue: yellow slimy coating
Pulse: soft, rapid or deep, rapid

Answer 3

Accumulation of Damp-heat
Shu Zao Yin Zi
(Coursing and Piercing Drink)
SP9, Ren9, UB39, UB53, LI4, LI11, UB22

Question 4

Generalized pitting edema that is more severe in the legs, distention and fullness of the epigastrium and abdomen, loss of appetite, looses stools, sallow complexion, tiredness, lack of warmth in the limbs, scanty urine.
Tongue: pale with a white glossy coating.
Pulse: deep, tardy or deep, weak

Answer 4

Decline of Spleen Yang
Shi Pi Yin
(Spleen-Firming Beverage)
UB20, ST36, Ren6, Ren9, SP9, SP6

Question 5

Generalized pitting edema more severe below the waist, palpitations, shortness of breath, aching, cold and heaviness of the lower back, diminished secretion of urine, cold limbs, lassitude, physical cold, pale or grayish dull complexion.
Tongue: pale, swollen with white coating
Pulse: deep, thready, slow, deep, forceless

Answer 5

Vacuity of Kidney Yang
Zhen Wu Tang
(True Warrior Decoction)
UB23, UB20, Ren4, Ren9, KD7, Ren6