FORMULAS THAT EXPEL DAMPNESS Flashcards
Name 5 categories within the category of “Formulas that Expel Dampness”
- Formulas that promote urination and leach out dampness
- Formulas that transform damp turbidity and harmonize the stomach
- Formulas that clear damp-heat
- Formulas that warm and transform water and dampness
- Formulas that dispel wind-dampness
Which formulas promote urination and leach out dampness ?
- Fu Ling Formulas (lead herb fu ling):
A. Wu Ling San
B. Zhu Ling Tang
C. Wu Pi San - Huang Qi Formulas (lead herb Huang qi):
A. Fang Ju Huang Qi Tang
Single herbs that make up Wu Ling San ?
- Ze Xie
- Zhu Ling
- Fu Ling
(promote urination and transforms damp) - Bai Zhu
(Tonify and transform damp) - Gui Zhi
(Relieves surface and damp from UB, warms yang and “qi hua” function)
Dx’s for when to use Wu Ling San ?
Dx 1: External and Internal Damp
Dx 2: Damp in UB and Taiyang
Dx 3: Spleen Qi Def and Damp-phlegm
Wu Ling San is used in treatment to:
- Promotes urine
- Drains damp
- Tonifies spleen
- Warms yang
- Promotes Qi transformation
What are the general s/sx for using Wu Ling San ?
Most have edema, fatigue or heavy body, shapeless stools, thirst without desire to drink, urinary difficulty (especially deficient edema in face, eyelids, or lower body, or with swelling in the early morning)
English name for Wu Ling San:
Five Ingredient Powder with Poria
Single herbs that make up Zhu Ling Tang ?
- Ze Xie
- Zhu Ling
- Fu Ling
(promote urination and transform damp) - E Jiao
(tonify yin, blood) - Hua Shi
(cooling)
Dx’s for when to use Zhu Ling Tang ?
Dx 1: Internal heat (in UJ & LJ) with dampness
Dx 2: UB damp-heat with yin deficiency
Dx 3: HT & KD fire with damp
Zhu Ling Tang is used in treatment to:
- Promotes urine
- Clears heat
- Nourishes yin
What are the s/sx for a Zhu Ling Tang type person ?
difficult, urgent, or painful urination, or incontinence, diarrhea, insomnia, irritability, thirst
English name for Zhu Ling Tang:
Polyporus Decoction
Single herbs for Wu Pi San:
- Sang Bai Pi (descend LU qi, open SanJiao)
- Sheng Jiang Pi (reduce damp, create slight sweats)
- Fu Ling Pi (tonify qi, promote urine)
- Chen Pi
- Da Fu Pi
(move qi, transform damp)
Dx’s for when to use Wu Pi San:
SP Qi deficiency with water/damp and Qi Stagnation
Wu Pi San is used in treatment to:
- Resolves Damp
- Reduces Edema
- Regulates Qi
- Tonifies Spleen (mild)
What are the s/sx for a Wu Pi San type of person ?
generalize edema, skin edema, pitting edema, swollen fingers, dyspnea, urinary retention, abdominal and epigastric distention and fullness, labored and heavy breathing, low energy
Tongue and Pulse for Wu Pi San:
t: pale, swollen, teethmarks, sticky or greasy white coat
p: slippery, possibly deep or weak
English name for Wu Pi San:
Five Peel Powder
Single herbs in Fang Ji Huang Qi Tang:
- Han Fang Ji (eliminate wind, heat and damp)
- Huang Qi (tonifiying qi)
- Bai Zhu (resolve damp)
- Gan Cao
(help HQ to tonify the Wei qi) - Sheng Jiang
- Da Zao
(Harmonize Ying and Wei to stabilize)
Dx for when to use Fang Ji Huang Qi Tang:
External wind-damp with Wei Qi deficiency
Fang Ji Huang Qi Tang is used in treatment to:
- Augment Qi
- Promote Urine
- Reduce Edema
- Dispel Wind
What are the s/sx for Fang Ji Huang Qi Tang:
chronic edema in lower extremities below waist and difficulty stretching and muscle weakness, edema (particularly in legs) with knee pain, fatigue, aversion to wind, moist skin with excessive or spontaneous (like sweaty palms), strong body odor, heavy sensation in body, urinary difficulty, pain and welling, reduced joint/muscle/bone mobility (esp knees)
Tongue and Pulse of Fang Ji Huang Qi Tang type person:
t: pale with white coat
p: floating
English name for Fang Ji Huang Qi Tang:
Stephania and Astragalus Decoction
Biomedical list for those who may need Fang Ji Huang Qi Tang:
- Idiopathic edema
- Acute and chronic glomerulonephritis
- chronic thematic heart disease
- pulmonary heart disease
- arthritic knee
- rheumatoid arthritis
- gout
- lumbar disc herniation
- diabetes
- hyperlipidemia
- obesity
- hypertension
- cerebrovascular disease