Chapter 6 Medicines for diluting water and expelling dampness
1. Meaning
Any medicine that can dilute water channels and exude water and dampness can treat the syndrome of internal stop of water and dampness. The main drug is called a diuretic and dampness-removing drug.
2. Performance characteristics
This type of medicine has a sweet and light taste, which can be exuded; it is neutral or cold in nature and mainly belongs to the bladder, kidney, and spleen meridians.
3. Efficacy and Indications
This type of medicine has the effects of diuresis and swelling, diuresis and stranguria, diuresis and jaundice. It is mainly used for various diseases caused by internal water-dampness such as edema, dysuria, stranguria, jaundice, eczema, eczema, diarrhea, leucorrhea, damp-temperature, and dampness.
IV. Classification
Based on their performance characteristics and clinical applications, these drugs can generally be divided into three categories: diuretic and swelling drugs, diuretic and stranguria drugs, and diuretic and anti-jaundice drugs. kind.
5. Compatibility and application
When applying diuretic and dampness-removing drugs, the drugs must be selected according to different disease syndromes and properly matched. If edema occurs suddenly and there are superficial symptoms, it can be combined with lung-clearing and diaphoretic medicine; if the edema lasts for a long time and the spleen and kidney yang are deficient, it can be combined with medicines that warm and tonify the spleen and kidneys; if dampness and heat accumulate in the lower burner, and the bladder is damp and hot, it can be combined with heat-clearing and purgative medicine; If the blood collaterals are injured and cause hematuria, it can be used together with the medicine for clearing away heat, cooling blood and stopping hemorrhage; for those who cause jaundice due to accumulation of dampness and heat in the liver and gallbladder, it can be used together with medicine for clearing away heat and drying dampness.
In addition, when qi moves, water moves, and when qi stagnates, water stops. Therefore, medicines that diuretic and dampness are often combined with medicines that promote qi to improve the efficacy.
6. Precautions for use
Diuretic and dampness-removing medicines are easy to consume and damage body fluids, so they should be used with caution or avoid use for those with yin deficiency and body fluid injuries.
Section 1: Drugs for Diuretic and Swelling
Most of the drugs in this section are sweet and bland in nature, and bland can diuretic and dampness. After taking the medicine, it can make the urine smooth and increase the urine output. It has diuretic and swelling effect, and is used for edema, difficulty in urination, diarrhea, phlegm and other symptoms caused by internal water-dampness.
Poria (basic medicinal material)
1. Diuretic and dampness? Used for edema and difficulty in urination.
This product is sweet, tonic and light in penetration, with mild effects, no cold or heat bias, enters the heart, spleen, and kidney meridian, has good diuretic and swelling effects, diuresis without damaging righteousness, and is an important medicine for diuresis and dampness. , can be used to treat various edemas caused by cold, heat, deficiency and excess.
(1) Treat the syndrome of water accumulation in the bladder caused by the incomprehensible external evil of the sun and entering the fu organs along the meridians; or edema and difficulty in urination. It is often used with Polyporus polyporus, Atractylodes macrocephala and Alisma, such as Wuling powder.
(2) Treat edema due to spleen and kidney yang deficiency. It is often used with Aconite, Atractylodes, and Ginger, such as Zhenwu Decoction.
(3) Treat water and heat intertwining, heat damaging yin and fluid, difficulty in urination, and edema. It is often used in the same way as talc, Polyporus, and Alisma, such as Polyporus decoction. 2. To invigorate the spleen and nourish the heart? It is used for all syndromes of spleen deficiency.
This product has the effect of strengthening the spleen and replenishing the heart, and is often used for syndromes of spleen deficiency.
(1) Treat weak spleen and stomach, poor appetite, fatigue, loose stools, etc. It is often used with ginseng, atractylodes, and licorice, such as Sijunzi Decoction.
(2) Treat spleen deficiency and stop drinking, fullness of chest and hypochondrium, dizziness and palpitations. Often used together with cinnamon twig, atractylodes, and licorice, such as Ling Guizhu Gan Decoction.
(3) Treat spleen deficiency and diarrhea. It is often used with ginseng, atractylodes, and yam, such as Shenling Atractylodes Powder.
3. Calming the mind and calming the nerves? Used for palpitations and insomnia.
This product can benefit the heart and spleen, calm the mind and calm the mind, and is used for palpitations and insomnia.
(1) Treat heart palpitations, forgetfulness and insomnia caused by deficiency of the heart and spleen, insufficient Qi and blood. It is often used together with Astragalus, Angelicae, and Polygala, such as Guipi Decoction.
(2) Treat palpitations caused by water-qi affecting the heart. Often used together with cassia twig, atractylodes, and ginger, such as Poria cocos and licorice soup.
Porus (medicinal material)
Diuretic and dampness-reducing? Used for edema, difficulty urinating, diarrhea, stranguria, and vaginal discharge.
This product is sweet and bland and enters the kidney and bladder meridians. It has a strong diuretic and dampness effect, and can be used by those with stagnant water and dampness. Often used in conjunction with Poria cocos.
(1) Treat symptoms of bladder water accumulation, edema, and difficulty in urination due to unresolved external evils and internal water-dampness. Often used together with Poria, Guizhi, and Atractylodes, such as Wuling Powder.
(2) Treat the mutual accumulation of water and heat, which will damage Yin and Tianjin due to heat, causing difficulty in urination. It is often used with Poria cocos, Alisma and donkey hide gelatin, such as Zhuling decoction.
(3) Treat edema and diarrhea caused by spleen deficiency and excess dampness. Often used with Poria, Atractylodes, and Alisma, such as Siling Powder.
(4) Treat water-dampness diarrhea caused by heat stroke and dampness damage. It is often used with Poria cocos, Atractylodes macrocephala and Magnolia officinalis, such as Weiling decoction.
(5) Treat hot stranguria. Often used with Akebia, Talc, and Rehmannia glutinosa, such as Shiwei Daochi Decoction.
(6) Treat leukorrhagia. Often used together with Poria, Plantago, and Phellodendron.
Comparison of the functions of Poria and Polyporus
Both Poria and Polyporus can diuretic and dampness, and treat edema and difficulty in urination caused by internal stasis of water and dampness. However, Poria cocos has mild medicinal properties, diuresis without damaging righteousness, and is an important medicine for diuresis and dampness. It can also strengthen the spleen and calm the nerves, and is commonly used to treat spleen deficiency syndromes, palpitations and insomnia. However, Polyporus cocos mainly promotes leakage and water, and its diuretic effect is stronger than that of Poria cocos. It is suitable for those with water-dampness retention. If you want to treat edema due to spleen deficiency and dampness, Poria cocos and Polyporus cocos are often used together to diuretic without damaging the healthy energy.
Alisma (basic medicinal material)
1. Diuretic and dampness? Used for edema, difficulty in urination, phlegm and diarrhea.
This product is sweet and slightly cold, enters the kidney and bladder meridians, and has a strong diuretic and dampness effect. It is commonly used to treat edema, difficulty in urination, diarrhea, stranguria, vaginal discharge and phlegm caused by internal stasis of water and dampness.
(1) Treat edema and difficulty in urination caused by internal water-dampness. It is often used with Poria cocos, Polyporus cocos and Atractylodes macrocephala, namely Siling powder.
(2) Treat pregnancy edema and shortness of breath in women. Often used with mulberry white bark, betel nut, and red poria cocos.
(3) Treat dizziness caused by water, dampness and phlegm. It is often used together with Atractylodes macrocephala, namely Alisma decoction.
2. To relieve heat? Used in humid tropical areas to treat turbidity.
This product is cold in nature and has the effect of releasing heat. It can relieve the heat of the kidneys and bladder, and is especially suitable for those with damp heat in the lower Jiao. It is often used together with gentian, plantain and akebia, such as Gendan Xiegan Decoction, to treat yellow and white discharge caused by dampness and heat in the lower part of the body, as well as stranguria and stranguria.
In addition, this product is often added to yin-nourishing medicines to purge fire and maintain yin. It can be used to treat spermatorrhea, night sweats, tinnitus, and backache due to insufficient kidney yin and excessive excess fire. It is often used together with rehmannia glutinosa, dogwood, and yam, such as Liuwei Dihuang Pills.
Coix seed (basic medicinal material)
1. Diuretic and dampness? Used for edema and difficulty in urination.
This product is sweet, slightly cold, and returns to the spleen, stomach, and lung meridians. It can not only diuretic and dampness, but also strengthen the spleen, and its functions are similar to Poria. It is used for edema and difficulty in urination, especially for those with spleen deficiency and dampness stagnation.
(1) Treat edema and difficulty in urination caused by internal water-dampness. Often used together with Poria, Alisma, and Polyporus.
(2) Treat edema, abdominal distension and less food due to spleen deficiency and excess dampness. Often used with Poria, Atractylodes, and Astragalus.
2. Strengthen the spleen and stop diarrhea? It is used for diarrhea due to spleen deficiency.
This product has the effect of strengthening the spleen and stopping diarrhea. To treat diarrhea due to spleen deficiency and excessive dampness, it is often used with Codonopsis pilosula, Atractylodes macrocephala, and Chinese yam, such as Shenling Baizhu powder.
3. Clear away heat and expel pus? Used for lung and intestinal abscesses.
This product clears the heat of Feijin on the upper side and relieves the dampness of the intestines and stomach on the lower side. It has the effect of clearing away heat and draining pus. It is used for lung abscess and intestinal carbuncle.
(1) Treat lung abscess, chest pain, cough and vomiting purulent sputum. It is often used with reed stems, winter melon kernels, and peach kernels to form reed stem soup.
(2) Treat intestinal carbuncle. It is often used in the same way as Aconite and Aconite, such as Coix, Aconite and Baijiang Powder.
4. To remove paralysis? It is used to treat spasm of muscles due to dampness.
This product has the effect of expelling dampness and removing paralysis, and is cold in nature, so it is suitable for treating damp-heat paralysis.
(1) Treat rheumatic arthralgia due to dampness stagnation in the meridians, and muscle spasm. Often used together with cinnamon twig, atractylodes, and angelica, such as coix seed decoction.
(2) Treat rheumatism and heat paralysis. It is often used in the same way as Fangji, Talc, and Gardenia, such as Xuanbi Decoction.
(3) Treat dampness and stagnation of meridians, body pain caused by warming up, and benefit from sweating. It is often used with bamboo leaves, talc and Tongcao, such as Coix and Bamboo Leaf Powder.
(4) Treat rheumatism, body pain and fever. It is often used with ephedra, almond, and licorice, such as ephedra, almond, coix, and licorice decoction.
(5) Treat rheumatism, tendon spasm, and edema over time. It is often used with japonica rice to make porridge, such as coix seed porridge.
(6) Treat the general pain caused by the initial onset of dampness and warmth and the combination of summer heat and dampness. It is often used with almonds, white cardamom, and talc, such as Sanren Decoction.