-IBIS-1.5.0-
rx
formula
Hoelen and Areca C.
chinese formulae

definition

Hoelen and Areca C. = Wu Pi San = "Five-Peel Powder"
sources: Hsu, 1980, p. 519; Yeung, p. 246; Bensky and Barolet, p. 178.
signs and symptoms: Edema with a sensation of heaviness and distention in the epigastrium and abdomen, generalized edema during pregnancy, rapid, labored breathing, and urinary difficulty.
tongue and pulse: White, greasy tongue coating, and deep, moderate pulse.
indications: Edema due to Spleen Qi Xu (Deficiency) with Dampness and Qi Stagnation. With the appropriate presentation, may be used in conditions conventionally diagnosed as generalized edema, asthma, cardiac edema, ascites from cirrhosis, nephritis, edema during pregnancy, protein-deficiency edema, urticaria, and menopausal edema.
cautions and contraindications: Spleen-tonifying herbs should be added for cases with severe Spleen Xu (Deficiency). Contraindicated in cases without edema.
ingredients: dosage for two days:
» 9 grams: poria (fu ling pi), morus bark (sang bai pi), areca peel (da fu pi).
» 6 grams: ginger peel (sheng jiang pi), citrus (chen pi).
modifications:
» for externally-contracted Wind with edema above the waist, add siler (fang feng), perilla leaf (zi su ye), schizonepeta (jing jie), and angelica (bai zhi).
» for internal Damp-Cold, add dried ginger (gan jiang) and aconite (fu zi).
» for marked signs of Spleen Xu (Deficiency), add codonopsis (dang shen) and white atractylodes (bai zhu).
» for constipation due to accumulation in the Stomach and Intestines, add rhubarb (da huang) and chih-shih (zhi shi).
» for edema due to pregnancy, add corn stigma (yu mi xu).


footnotes