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Five [Ingredients] Poria Powder
This formula comes from Zhang Zhong-jing’s late Han dynasty Shan Han Lun (Treatise on Damage [Due to] Cold). Our version is a 10:1 powdered extract in 500 mg gelatin capsules.

Rx:
Fu Ling (Poria)
Zhu Ling (Polyporus)
Ze Xie (Rhizoma Alismatis)
Bai Zhu (Rhizoma Atractylodis Macrocephalae)
Gui Zhi (Ramulus Cinnamomi)

Functions: Disinhibits water and seeps dampness, warms yang and transforms the qi

Indications: 1) Exterior pattern with interior stoppage of water dampness, 2) water dampness collected internally, or 3) phlegm rheum manifesting as chronic nephritic edema, acute and chronic nephritis, chronic renal failure, acute gastritis, cardiac edema from congestive heart failure, gastroptosis, gastrectasis, ascites due to liver cirrhosis, infectious hepatitis, urinary retention, scrotal hydrocele, acute gastroenteritis with diarrhea, Meniere's disease, genitourinary tract infections, neurogenic bladder syndrome, etc.

Signs and symptoms of exterior pattern with interior stoppage of water dampness include:

• Headache

• Fever

• Vexatious thirst with a desire to drink but vomiting upon entering of water into the stomach

• Inhibited urination

• White tongue fur

• A floating pulse

Signs & symptoms of water dampness collected internally include:

• Edema

• Diarrhea

• Inhibited urination

• Cholera-like vomiting and diarrhea conditions

Signs & symptoms of phlegm rheum include:

• Throbbing palpitation below the umbilicus

• Vomiting of frothy saliva

• Vertigo

• Shortness of breath and coughing

Formula explanation: Within this formula, Ze Xie is the sovereign medicinal. It is sweet, bland, and seeping, while its nature is cold. It out-thrusts the bladder, disinhibits water, and seeps dampness. The minister medicinals are Fu Ling and Zhu Ling which also blandly seep. They help strengthen the disinhibition of water. Bai Zhu is then added to these in order to fortify and supplement the spleen qi and move and transform water dampness. Gui Zhi is the assistant medicine which is a single medicinal with two uses. First, externally, it resolves the tai yang on the exterior. Secondly, it aids the bladder qi internally. When these five medicinals are combined together, water is moved and qi is transformed, the exterior is relieved and the spleen in fortified.

Dosage: According to Him-che Yeung in Handbook of Chinese Herbs and Formulas, Vol. 2, the standard daily dose in decoction for this formula is 45 grams. Because of the 10:1 concentration ratio and the efficiency of our manufacturing process it would take only 6 capsules per day of Blue Poppy's version of this formula to equal the standard daily dose. The actual prescribed dose should be determined by the practitioner on a case by case basis.

My patient does present the signs and symptoms of:

An exterior pattern with interior stoppage of water dampness Yes No
Water dampness collected internally Yes No
Phlegm rheum Yes No

(Patient only needs to present one of these three patterns.)
 

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