HERB FORMULAS

ZHU LING TANG - 猪苓湯 - POLYPORUS DECOCTION

English: Polyporus Decoction
Also Known As: Griffolia Decoction
Polyporus Combination

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Scl. Polypori Zhu Ling 3-15g Promotes urination, leaches out Dampness and dispels Damp-Heat.
With Fu Ling, for Lin syndrome, scanty urine, edema, loose stools, vaginal discharge, jaundice, leg Qi and diarrhea.
With Fu Ling and Ze Xie, for edema due to Spleen Deficiency.
With Fu Ling, Ze Xie, and Hua Shi, resolves clumping of water and Heat, clears Heat and promotes flow in the water pathways.
With Hua Shi and E Jiao, for fever, dysuria, thirst and irritability due to water and Heat Accumulation with Yin Deficiency.
Poria Fu Ling 3-15g Promotes urination, leaches out Dampness, transforms Phlegm, strengthens the Spleen and harmonizes the Stomach.
With Ze Xie, facilitates the removal of water and leaches out Dampness to treat stagnant water and Dampness leading to edema, jaundice, diarrhea, Milky Lin, and scanty, difficult urination with abdominal distention for.
With Zhu Ling, promotes urination for Lin Syndrome, scanty urine, edema, loose stools, vaginal discharge, jaundice, leg Qi and diarrhea.
With Ze Xie and Zhu Ling, strengthens its ability to promote urination and leach out Dampness for dysuria and Phlegm Accumulation.
Rz. Alismatis Ze Xie 3-10g Promotes urination, leaches out Dampness, unblocks deep water pathways involving the Kidneys and promotes water metabolism.
Talcum Hua Shi 3-20g Promotes urination and drains Heat from the Urinary Bladder (aids movement of gravel and stones and expels Damp-Heat).
With Zhu Ling and Ze Xie, for Stone Lin.
Colla Corii Asini E Jiao 3-10g Enriches Yin and prevents excess urination.
With Zhu Ling and Hua Shi, for Yin and Fluid Deficiencies with internal buildup of water and Heat leading to urinary dysfunction.

FORMULA ACTIONS

  • Promotes urination
  • Clears Heat
  • Nourishes the Yin

SYNDROMES

  • Shao Yin Heat Syndrome
  • Yang Ming Syndrome
  • Stagnation of Heat with water retention
  • Hot bloody urinary dysfunction (Blood Lin)
  • Diarrhea in infants due to Damp-Heat

CLINICAL MANIFESTATIONS

  • Urinary difficulty
  • Thirst with a desire to drink
  • Fever
  • Cough
  • Nausea/vomiting
  • Irritability
  • Insomnia
  • Restlessness
  • Diarrhea
  • Anxiety
  • Edema
  • Lower abdominal distention and pain
  • Maybe hematuria
  • Painful urination with Yin Deficiency
  • Urinary dribbling
  • Decreased urination
  • Dry skin
  • Sunken eyes
  • Fever worse at night
  • T: Red or Dark red and dry
  • C: Yellow, thin or none
  • P: Thready and rapid or forceful and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those without Heat.
  • Contraindicated for those with abundant Heat and severely damaged Yin.
  • Contraindicated for those with pronounced Dampness.
HERB/DRUG INTERACTIONS

NOTES

  • This formula is special in its ability to promote urination without damaging the Yin.

MODIFICATIONS

For severe thirst from Yin Deficiency: For bloody, painful urinary dysfunction ( Xue Lin):
+ Rx. Adenophorae/ Glehniae Sha Shen + Rz. Imperatae Bai Mao Gen
+ Rx. Trichosanthis Tian Hua Fen + Hb. Dianthi Qu Mai
For hot, painful urinary dysfunction:
 + Hb. Cirsii Xiao Ji
+ Fr. Gardenia Zhi Zi
or
+ Hb. Polygoni Avicularis Bian Xu + Rz. Imperatae Bai Mao Gen
For severe diarrhea with urinary difficulty:
+ Hb. Cirsii Xiao Ji
- Colla Corii Asini E Jiao
or
+ Rz. Cimicifugae Sheng Ma
+ Cirsium Decoction
Xiao Ji Yin Zi
For hematuria:
For stone (Shi) Lin:
+ Rz. Imperatae Bai Mao Gen + Spora Lygodii Hai Jin Sha
+ Hb. Cirsii Xiao Ji + Hb. Lysimachiae Jin Qian Cao
+ Hb. Siva Rx. Cirsii Japonici Da Ji
For severe dysuria:
For Heat (Re) Lin:
+ Caulis Akebiae Mu Tong
+ Fr. Gardenia Zhi Zi + Rx. Rehmanniae Sheng Di Huang
+ Sm. Plantaginis Che Qian Zi
For frequent urination:
or
 + Rz. Atractylodis Cang Zhu
+ Eight Herb Powder for Rectification
Ba Zheng San
+ Rz. Atractylodis Macrocephalae Bai Zhu
For insomnia with irritability:
For restlessness, irritability and thirst:
+ Succinum Hu Po + Gypsum Fibrosum Shi Gao
+ Fr. Gardenia Zhi Zi + Rz. Anemarrhenae Zhi Mu
or
For postpartum retention of urine with fullness and spasm of the lower abdomen, irritability, thirst and a red uncoated tongue due to due to Bladder dysfunction and Blood Deficiency:
+ Lotus Seed Decoction to Clear the Heart
Qing Xin Lian Zi Yin
For urolithiasis with hematuria:
+ Ram. Cinnamomi Gui Zhi
+ Pollen Typhae Pu Huang
For urolithiasis with severe colicky pain:
+ Hb. Sive Cirsii Japonici Da Ji + Rx. Paeoniae Alba Bai Shao
+ Hb. Cirsii Xiao Ji + Fr. Chaenomelis Mu Gua
+ Pheretima Di Long
For urinary retention with aversion to Cold and low back and knee pain:
For urinary retention with a soft weak voice:
+ Rx. Ginseng Ren Shen + Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+ Rx. Astragali Huang Qi
For urinary retention with dysuria and lower abdominal fullness and distention:
+ Cx. Cinnamomi Rou Gui
For urinary retention with a poor appetite:
+ Squama Manitis Chuan Shan Jia + Endothelium Corneum Gigeriae Galli Ji Nei Jin
+ Hb. Lysimachiae Jin Qian Cao
For hydronephrosis with urolithiasis:
+ Massa Medicata Fermentata Preparata Jian Shen Qu
+ Hb. Lysimachiae Jin Qian Cao
+ Spora Lygodii Hai Jin Sha
For hydronephrosis with frequent, urgent and painful urination:
+ Fol. Pyrrosiae Shi Wei
+ Sm. Vaccariae Wang Bu Liu Xing + Caulis Akebiae Mu Tong
+ Rx. Achyranthis Bidentatae Niu Xi + Hb. Polygoni Avicularis Bian Xu
For hydronephrosis with constipation:
+ Endothelium Corneum Gigeriae Galli Ji Nei Jin + Rx. et Rz. Rhei Da Huang
For hydronephrosis with hematuria:
For hydronephrosis with prostatic hypertrophy:
+ Rx. Rubiae Qian Cao Gen
+ Hb. Lycopi Ze Lan + Hb. Ecliptae Mo Han Lian
+ Hb. Leonuri Yi Mu Cao + Rz. Imperatae Bai Mao Gen
+ Ram. Cinnamomi Gui Zhi
For galacturia:
For jaundice:
+ Cx. Phellodendri Huang Bai
+ Hb. Artemisiae Scopariae Yin Chen + Rz. Imperatae Bai Mao Gen
+ Hb. Polygoni Avicularis Bian Xu
For interstitial cystitis:
For interstitial cystitis with Damp-Heat:
+ Six Ingredient Pill with Rehmannia
Liu Wei Di Huang Wan
+ Six Ingredient Pill with Rehmannia
Liu Wei Di Huang Wan
For interstitial cystitis with Qi Stagnation:
+ 9g Rz. Anemarrhenae Zhi Mu
+ Six Ingredient Pill with Rehmannia
Liu Wei Di Huang Wan
 + 9g Cx. Phellodendri Huang Bai
   
+ 6g Rx. Linderae Wu Yao    
+ 6g Fr. Toosendan Chuan Lian Zi    
+ 9g Rz. Cyperi Xiang Fu