Dampness is synonymous with water. In human body, kidney controls water, spleen controls water, and lung regulates water. Spleen deficiency leads to dampness, kidney deficiency leads to water flooding, and lung failure leads to water and body fluid failure. Therefore, water and dampness are closely related to the above three diseases, and the treatment of dampness should be closely related to all viscera. It is said by predecessors that "treating dampness is not good for urination, but it is not good for it", which means that a certain type of dampness-removing drugs have the effects of promoting urination and eliminating edema. In view of the symptoms such as water swelling and unfavorable urination caused by internal retention of dampness, it is often called diuretic and detumescence drugs. Let's see which practical dampness-removing drugs you know.
Poria cocos-inducing diuresis to reduce swelling, permeating dampness, invigorating spleen, calming the heart and calming the nerves
Poria cocos is sweet, light and flat in nature; Heart, lung, spleen and kidney meridian. This product is good at permeating dampness, promoting diuresis, eliminating water and drinking, strengthening the spleen and promoting the transport of water and dampness, calming the heart, calming the nerves, controlling water and invigorating qi. For wet water and stopping drinking, it is suitable for those with cold and heat or spleen deficiency, especially for those with spleen edema or excessive dampness.
clinically, it is mainly used for edema, dysuria, phlegm, diarrhea due to spleen deficiency, palpitation and insomnia, etc. It is also applicable to heart failure, hypertensive heart disease, chronic pulmonary heart disease and insomnia, and nephrotic syndrome, chronic renal failure, acute glomerulonephritis and chronic diarrhea.
Caution should be given to those who have yin deficiency without damp-heat, those who have deficiency-cold but fine-slippery, and those who have qi deficiency and subsidence.
This combination is often used in clinic:
Poria combined with Alisma orientalis, Polyporus, Atractylodes macrocephala, Cinnamomum cassia twig, etc., such as Wuling powder in Treatise on Febrile Diseases, is good at treating edema and dysuria caused by retention of dampness in water;
Poria combined with aconite and ginger, such as Zhenwu decoction, is used to treat edema due to yang deficiency of spleen and kidney.
Poria cocos mixed with talc, donkey-hide gelatin, Alisma orientalis, etc., such as Zhuling decoction, is used to control water and heat, and urination due to yin deficiency is not conducive to edema;
Poria cocos with Radix Astragali, Radix Angelicae Sinensis, Radix Polygalae, etc., such as Guipi Decoction, can treat palpitation and insomnia and amnesia with deficiency of both heart and spleen and deficiency of qi and blood;
Poria cocos with yam, Atractylodes macrocephala, Coicis Semen, etc., such as Shenling Baizhu Powder, is good at treating diarrhea due to spleen deficiency and dampness.
Coix lachryma-jobi seed-diuresis, dampness absorption, spleen strengthening, diarrhea relieving, arthralgia relieving, pus expelling, detoxification and mass resolving
Coix lachryma-jobi seed is sweet, light and cool; Spleen, stomach and lung meridian; This product is a dry and mature seed kernel of Coix lachryma-jobi, a Gramineae plant, which is also common in daily diet. We all know that it is good at dehumidification, but how can it be used? Coix seed is used raw to clear away damp heat, remove arthralgia and expel pus, and fried to strengthen spleen and stop diarrhea; The main treatment syndromes are dysuria, edema, beriberi swelling and pain; Spleen deficiency diarrhea; Damp-warm disease is caused by qi; Lung abscess, intestinal abscess; Damp-arthralgia and tendon contracture; Wart, cancer, etc.
this product should be used with caution by pregnant women. In daily dietary application, attention should be paid not to add alkali to cook together, which is easy to destroy the vitamins it contains.
how to use it in combination? Here are some Chinese patent medicines:
Simiao Pill-clearing away heat and promoting diuresis. The prescription consists of Rhizoma Atractylodis, salted Cortex Phellodendri, Achyranthes bidentata and Coicis Semen. It is used to treat arthralgia caused by downward flow of damp-heat, characterized by redness and swelling of the feet and knees and pain in the bones and muscles.
shenling Baizhu powder-tonify spleen and stomach, and benefit lung qi. The prescription consists of ginseng, poria cocos, Atractylodis Rhizoma (fried), Coicis Semen (fried), Chinese yam, white lentils (fried), lotus seeds, platycodon grandiflorum, Amomum villosum and licorice. Used to treat spleen and stomach weakness, anorexia, loose stool, shortness of breath, cough and limb fatigue.
qianlieshu pill-strengthening the body resistance, invigorating kidney and diuresis. The prescription consists of Radix Rehmanniae Preparata, Coicis Semen, Alismatis Rhizoma, Poria, Cornus officinalis, Rhizoma Dioscoreae, Semen Benincasae, Cortex Moutan, Radix Aconiti Lateralis Preparata, Herba Epimedii, Rhizoma Atractylodis, Semen Persicae, Ramulus Cinnamomi, Semen Allii Tuberosi and Glycyrrhrizae Radix. Used to treat stranguria caused by kidney deficiency, chronic prostatitis and prostatic hyperplasia, frequent urination, urgency and endless urination.
fengtong' an capsule-clearing heat and promoting diuresis, promoting blood circulation and dredging collaterals. The prescription consists of tetrandra root, medulla tetrapanacis, turmeric, cassia twig, coix seed, gypsum, phellodendron bark, papaya, erythrina bark, honeysuckle stem, talcum powder and forsythia suspensa. It can be used to treat arthralgia and rheumatoid arthritis caused by damp-heat blocking collaterals, and it can be seen that joints are red, swollen, hot and painful, and muscles are sour.
Alisma orientalis-diuresis, dampness absorption, heat release, turbidity removal and lipid reduction
Alisma orientalis is sweet, light and cold in nature; Return to kidney and bladder meridian; This product is effective for treating damp-heat syndrome of lower energizer, phlegm retention and impulsive movement of fire, because it is beneficial for diuresis, watery swelling, turbid stranguria, watery diarrhea, oliguria, dizziness due to phlegm retention, astringent pain due to heat retention and hyperlipidemia.
Alisma orientalis is forbidden to those with kidney deficiency, spermatorrhea and no damp-heat. It should not be used with iron-rich foods such as laver, kelp, egg yolk, spinach and celery during taking; It should not be used with antihypertensive drugs, hypoglycemic drugs, potassium-preserving diuretics such as spironolactone and triamterene. If you are taking the above drugs or other drugs, please be sure to inform your doctor.
what are the common clinical compatibility applications?
Alisma orientalis combined with Atractylodes macrocephala: Alisma orientalis can promote diuresis to reduce turbid yin, Atractylodes macrocephala can strengthen spleen and promote diuresis, and it can be used to treat dysuria, edema and diarrhea, stranguria and leukorrhagia caused by spleen deficiency and dampness stagnation. "synopsis of the golden chamber" puts forward "Alisma orientale and Atractylodes macrocephala. There is a drink under the heart, and the person suffers from dizziness; Also control water and diarrhea. " For example, a Chinese patent medicine:
Xuanyunning tablet-invigorating the spleen and promoting diuresis, nourishing the kidney and calming the liver. The prescription consists of Alisma orientale, Atractylodes macrocephala, Poria, Ligustrum lucidum, Pericarpium Citri Tangerinae, Eclipta prostrata, Rhizoma Pinelliae Preparata, Flos Chrysanthemi, Achyranthis Radix and Glycyrrhrizae Radix. It can be used for dizziness caused by phlegm-dampness obstruction and deficiency of liver and kidney. Note: pregnant women are prohibited; Exogenous and diabetic patients are forbidden to take it.
Alisma orientalis combined with Akebia Akebia: it can enhance the power of diuresis and dampness, and can be used for heat stranguria, blood stranguria, stranguria, short and red urine, pain, edema and jaundice.
Rhizoma Alismatis combined with Cortex Moutan: Treating both liver and kidney can purge deficiency fire, and is suitable for dizziness due to deficiency fire, bone steaming and hot flashes, etc.
Summary of similar drugs, one table can be read: Poria cocos VS Alisma orientalis
Plantain seeds-diuresis, clearing away heat and diuresis, eliminating dampness and stopping diarrhea, improving eyesight, clearing away lung heat and resolving phlegm
Plantain seeds are sweet, light and slightly cold; Return to lung, kidney and liver meridian; When this product enters the kidney meridian, it can not only promote diuresis, clear away heat and relieve stranguria, but also relieve diarrhea by consolidating stool, and treat damp-heat in lower energizer, edema with heat and summer dampness with watery diarrhea. Enter the liver meridian to clear away liver fire and improve eyesight, and treat liver heat and red eyes; Entering the lung, clearing away lung heat and resolving phlegm can relieve cough and treat phlegm-heat cough. Widely used in damp-heat stranguria, liver-heat syndrome and phlegm-heat syndrome.
It should be noted that people with depressed yang, nocturnal emission due to kidney deficiency and no damp-heat inside are forbidden to take plantain seeds; Avoid spicy food during medication, eat more onions, garlic peppers or fried spicy products, and give up smoking and alcohol.
Look at the clinical application compatibility of Semen Plantaginis:
Semen Plantaginis mixed with Herba Plantaginis or Folium Bambusae to treat mild damp-heat stranguria, which is white and turbid and leukorrhagia;
Semen Plantaginis combined with Akebia Akebia, talc, Fructus Gardeniae and Radix et Rhizoma Rhei can clear away heat, purge fire, induce diuresis and treat stranguria, and it is used to treat damp-heat, which is unfavorable for red fever in urine, frequent and urgent micturition, and even no drip.
Semen Plantaginis mixed with Flos Chrysanthemi, Concha Haliotidis, Radix Gentianae, etc. can clear liver, improve eyesight, and treat liver heat, red eyes, swelling and pain; For example, dim eyesight caused by yin deficiency of liver and kidney can be combined with Radix Rehmanniae Preparata and Fructus Sasae;
Semen Plantaginis mixed with Atractylodis Macrocephalae, Poria, Alisma orientalis, and waxgourd peel to strengthen the spleen, promote diuresis, and reduce swelling. It is used to treat edema and oliguria, which is caused by spleen failing to make water. For chronic kidney deficiency and swollen waist and feet, it can be combined with Achyranthes bidentata, Radix Rehmanniae Preparata, Corni Fructus and Cinnamomi.
Let me give some examples of related Chinese patent medicines:
Bazheng mixture-clearing away heat, inducing diuresis and treating stranguria. The prescription consists of Dianthus Dianthi, Semen Plantaginis (parched), Polygonum aviculare, Caulis Clematidis, Fructus Gardeniae, Radix et Rhizoma Rhei, Talcum, Juncus Junci and Glycyrrhrizae Radix. Indications: damp-heat betting, short and red urine, astringent and painful stranguria, dry mouth and dry throat.
Wuzi Yanzong Pill-Bushen Yijing. The prescription is composed of Fructus Lycii, Semen Cuscutae (fried), Rubi Fructus, Fructus Schisandrae Chinensis (steamed) and Semen Plantaginis (fried with salt). It can be used for treating impotence, infertility, nocturnal emission, premature ejaculation, lumbago and residual urination caused by kidney deficiency and essence deficiency.
Jisheng Shenqi Pill —— Warming kidney, transforming qi, inducing diuresis and reducing swelling. The prescription consists of Radix Rehmanniae Preparata, Fructus Corni (processed), Cortex Moutan, Rhizoma Dioscoreae, Poria, Alismatis Rhizoma, Cortex Cinnamomi, Radix Aconiti Lateralis Preparata (processed), Achyranthis Radix and Semen Plantaginis. Indications: Deficiency of kidney yang, edema due to kidney deficiency caused by retention of water and dampness, dysuria, fatigue of waist and knees, cough and asthma due to phlegm retention.
fushenning tablet-clearing away dampness and heat, benefiting kidney and removing blood stasis. The prescription consists of Semen Plantaginis, Rhizoma Anemarrhenae (salt), Herba Polygoni Avicularis, Herba Leonuri, Radix et Rhizoma Rhei (processed), Cortex Moutan, Radix Glycyrrhizae, Fructus Gardeniae, Cortex Phellodendri (salt) and Radix Aconiti Lateralis Preparata (roasted). Indications: Acute and chronic urinary tract infection, acute and chronic cystitis and acute and chronic pyelonephritis caused by downward flow of damp-heat, with symptoms such as frequent urination, dysuria, urgency and low back pain.
The above are the representatives of diuretic and detumescence drugs that Yue Liang said he would share today. Most of these drugs are sweet, mild or slightly cold, and they are often combined with qi-invigorating and spleen-invigorating drugs to treat edema due to spleen deficiency and water-dampness transport weakness. Combined with herbs for warming and tonifying kidney-yang, it can treat edema due to kidney-yang deficiency and retention of water and dampness. Clinical application needs to select drugs according to different diseases and syndromes for targeted compatibility. Damp-removing drugs, diuretic and dampness-permeating drugs are prone to damage vaginal fluid, and should be used with caution for those with yin deficiency, body fluid deficiency and kidney deficiency and nocturnal emission; Please use drugs dialectically under the guidance of professional doctors.