Five-Ingredient Powder with Poria

傷寒論

Taiyang disease, after sweating, profuse sweating, dryness in the stomach, restlessness and inability to sleep, if the patient wants to drink water, give small amounts to drink, so that when the stomach qi becomes harmonious, it will heal. If the pulse is floating, urination is not free, slight fever, and wasting-thirst, Wuling Powder governs it. (Shang Han Lun) -- After sweating has been induced, pulse floating and rapid, with vexation and thirst, Wuling Powder governs it. (Shang Han Lun) -- In cold damage with sweating and thirst, Wuling Powder governs it; if there is no thirst, Fuling Gancao Decoction governs it. (Shang Han Lun) -- Wind-strike with fever, unresolved for six or seven days and with vexation, having both exterior and interior patterns, thirst desiring to drink, but vomiting upon drinking water, this is called water counterflow, Wuling Powder governs it. (Shang Han Lun) -- When the disease is in the yang, it should be resolved by sweating; if instead cold water is sprinkled on or poured over the patient, the heat is forcibly suppressed and cannot leave, becoming even more vexing, with goosebumps rising on the flesh, wanting to drink water yet not thirsty, take Wenha Powder; if not cured, give Wuling Powder. (Shang Han Lun) -- Originally purged, hence epigastric stuffiness, given Xiexin Decoction, but the stuffiness is not resolved. If the patient is thirsty with dry mouth and vexation, and urination is not free, Wuling Powder governs it. (Shang Han Lun) -- For cholera with headache, fever, and generalized pain, if heat predominates and the patient wants to drink water, Wuling Powder governs it; if cold predominates and the patient does not want water, Lizhong Pill governs it. (Shang Han Lun) -- Pulse floating, urination not free, slight fever and wasting-thirst, Wuling Powder governs it. (Jin Gui Yao Lue) -- Suppose a thin person has throbbing below the umbilicus, vomits drool and has dizziness, this is water; Wuling Powder governs it. (Jin Gui Yao Lue)

Polyporus umbellatus eighteen zhu, Alisma one liang six zhu, Atractylodes macrocephala eighteen zhu, Poria eighteen zhu, Cinnamomum cassia twig half a liang. The above five ingredients, pound into powder, mix with white rice water and take one square-inch spoonful, three times daily. Drink plenty of warm water; when sweating occurs, it heals. (Shang Han Za Bing Lun)

Powder: take 4-6g each time; Decoction: decoct in water, drink plenty of hot water, seek slight sweating, dosage determined according to the original formula proportions.

湯劑

Promotes urination and drains dampness, warms yang and transforms qi.

1. Exterior pathogenic factors with internal retention of water-dampness. Headache, fever, vexation and thirst desiring to drink, or vomiting immediately upon drinking water, urination not free, white tongue coating, floating pulse. 2. Water-dampness internal retention pattern: edema, diarrhea, urination not free, cholera with vomiting and diarrhea. 3. Phlegm-fluid with throbbing below the umbilicus, vomiting drool and dizziness, or shortness of breath and cough.

Urination not free, painful urination: combine with Zhuling Decoction. -- Concussion with dizziness and headache: combine with Chuanxiong Chatiao Powder. -- Heavy dampness, skin disease mainly in the lower half of the body: add Coix seed: 30. -- Uroschesis, urinary blockage, with Qi deficiency of the spleen: add Ginseng: 10. -- Damp-heat jaundice with dampness predominating, or hyperlipidemia: add Yinchenhao (Artemisia capillaris): 30. -- Cold-dampness: add Cangzhu (Atractylodes lancea): 10. -- Scrotal edema: add Plantago seed: 6, Akebia stem: 6. -- Kidney Yang deficiency: add Prepared aconite: 10. -- Headache, neck, shoulder and back discomfort, or high blood pressure, in alcohol drinkers: add Gegen (Pueraria root): 20. -- Waist and leg pain, high blood pressure: add Huainiuxi (Achyranthes root): 10. -- Eye disease: add Plantago seed: 6. -- Shaoyang disease, bitter taste in the mouth, dry throat, dizziness, poor appetite, vomiting: combine with Minor Bupleurum Decoction.

1. Contraindicated in patients with difficult urination caused by profuse sweating or severe purgation. 2. In those with weak spleen qi and insufficient kidney qi, excessive use of this formula may cause reactions such as dizziness, blurred vision, bland taste in the mouth, decreased appetite, and poor food intake. 3. This formula should not be taken long-term; for weak individuals it is often combined with formulas that tonify and nourish the spleen and stomach. 4. Although this formula has the effect of correcting dehydration, for severe dehydration with serious electrolyte disturbances, one cannot rely on this formula alone; other measures to correct water and electrolyte imbalances, such as fluid replacement, must be combined. 5. The traditional dosage form of this formula is a Powder; after swallowing the powder, drink plenty of water until slight sweating occurs, which is optimal; in modern times, a Decoction is generally used and taken warm, taking care not to decoct for too long, so as to avoid weakening its diuretic properties.