主治。行水。逐湿。平火。滋阴。补脾胃。调中益气。安神止渴。除虚热。通关节。暖
腰膝。利小便。泻膀胱热治五劳七伤。消咳逆。呕吐。惊悸膈中痰水。心下结痛。肺痿痰壅。
大腹水肿。淋沥奔豚。肾积泄泻。妇人热淋。小儿惊痫。补益心脾。白者为宜。清利湿热。
赤者为宜。安定神志。宜用带皮茯神。开腠理。去水肿。宜用皮。 茯苓丸。茯苓人参桂心
(熬)干姜半夏橘皮各一两。白术葛根(煨)炙草枳实各二两。研末。蜜丸梧子大。每服二
三十
丸。日三次。治妊娠恶阻。心烦痰眩。 又方。茯苓一两。半夏二两。枳壳(麸炒)五钱。
风
化硝二钱五分。研末。生姜汁煮神曲糊丸梧子大。空腹姜汤下三五十丸。治中脘痰饮脾弱。
致手臂牵掣。或战掉不能举动。或四肢不能移转。及妇人产后发喘。四肢浮肿。 又方。赤
茯苓防风细辛白术泽泻官桂各五钱。栝蒌根紫菀茸附子(炮)黄 芍药炙草各七钱五分。生
地
牛膝(酒浸)山药独活半夏山茱萸肉各二钱五分。研末。蜜丸梧子大。每服十丸。食前米饮
下。
临卧温酒下。治胞痹。 白茯苓丸。白茯苓覆盆子栝蒌根黄连萆 人参熟地玄参各一两。石
斛蛇床子各七钱五分。鸡 三十具。(微炒)研末。蜜丸梧子大。每服三十丸。食前磁石
汤
下。治消肾。两腿渐细。腰脚无力。 又方。白茯苓熟地各一两。人参桂心远志石菖蒲柏子
仁琥珀各五钱。研末。蜜丸梧子大。每服三十丸。治产后心虚惊悸。 茯苓川芎汤。赤茯苓
一钱五分。川芎一钱二分。桑白皮防风苍术(炒)麻黄赤芍当归(酒洗)各一钱。官桂甘草
各五
分。水煎加大枣。食前服。治着痹麻木不仁及中湿。 茯苓半夏汤。赤茯苓半夏陈皮苍术浓
朴水煎服。治痰饮。 茯苓四逆汤。茯苓四两。人参一两。炙草二两。干姜一两五钱。生附
子一枚。水五升煎至三升。去滓温服七合。日三次。治伤寒太阳证厥。而心下悸。汗下后烦
躁者。 茯苓白术散。茯苓白术人参桂枝各二钱五分。滑石一两。寒水石石膏泽泻甘草各五
钱。研末。每服三钱。生姜汤下。治中暑霍乱烦渴。 茯苓戎盐汤。茯苓六两。戎盐如弹丸
大一枚。白术二两。水煎药后下盐服。治胞中精枯血滞。小便不利。 茯苓茵陈栀子汤。茯
苓五分。茵陈叶一钱。栀子仁苍术(炒)白术各三钱。生黄芩六分。黄连枳壳(麸炒)猪苓
泽泻
陈皮防己各二分。青皮一分。水煎服。治湿热内淫。心下痞满。肢倦身麻。面目俱黄。微见
青黑。 茯苓散。茯苓麦冬各一两五钱。通草升麻各一两二钱五分。紫菀桂心各七钱五分。
知母一两。大枣十二枚。淡竹茹五钱。赤石脂一两七钱五分。研末。每服一两。水煎。治心
经实热。神志恍惚。 又方。茯苓生地各三两。远志白薇龙齿各二两五钱。防风人参独活各
二两。研末。水一斗五升。纳银一大片。煮取七升。入药再煮取三升。分温三服。治产后气
虚。精神昏乱。或发狂语。 又方。白茯苓熟地各一两。当归川芎桂心白芍(炒)炙 各五
钱
。咀。每服五钱。水二盏。入猪肾一双。大枣三枚。生姜三片。煎至一盏。去三物。纳药
煮至七分。食前温服。治蓐劳。 茯苓汤。茯苓研末。每服二钱。乌梅陈艾。煎汤调下。治
虚汗盗汗。 又方。赤茯苓泽漆叶(微炒)白术(微炒)各一两。桑白皮(炙黄)黄芩射干
防己泽
泻各三两。 咀。每服五钱匕。先以大豆一合。水三大盏煮取二盏去豆纳药煎一盏。分二服
。治痢后遍身浮肿。 又方。茯苓川芎苏叶前胡半夏桔梗枳壳干姜陈皮各八分。当归生地白
芍各一钱。党参五分。桑白皮六分。甘草三分。加生姜。水煎空腹服。治经来咳嗽。 茯苓
琥珀汤。茯苓琥珀白术各五钱。炙草桂心各三钱。泽泻一两。滑石七钱。猪苓五钱。研末。
每服五钱。水调下。治湿热内蓄不化。膀胱窍涩。脐腹胀满。腰脚沉重。 茯神汤。茯神茯
苓人参各一两。菖蒲五钱。赤小豆四十粒。水煎。分三服。治心虚神乱烦热惊悸。
[Indications and Actions]
Poria (Fuling) promotes the movement of fluids, expels dampness, calms fire, nourishes Yin, tonifies the Spleen and Stomach, harmonizes the Middle Jiao and benefits Qi, calms the Spirit and relieves thirst, clears deficiency heat, unblocks joints, warms the waist and knees, promotes urination, and drains Heat from the Bladder. It is indicated for Wu Lao Qi Shang (Five Exhaustions and Seven Injuries, referring to various chronic deficiency syndromes), cough with rebellious Qi, vomiting, palpitations with fright, phlegm-fluid retention in the chest and diaphragm, binding pain in the epigastrium, phlegm obstruction due to Lung Wei (Lung Atrophy), massive abdominal edema, dribbling stranguria, Ben Tun (Rushing Pig, a syndrome characterized by a sensation of Qi rushing upward from the lower abdomen), diarrhea due to Kidney accumulation, hot stranguria in women, and infantile convulsions and epilepsy. Additionally, it tonifies the Heart and Spleen.
[Usage and Character Analysis]
White Poria is suitable for clearing and draining Damp-Heat; Red Poria is suitable for stabilizing the Spirit. If Fu Shen (Poria with Pine Root) with the peel is used, it helps open the Cou Li (skin texture and interstices) and reduce edema; in such cases, Poria Peel (Fuling Pi) should be used alone.
[Formula 1: Fuling Wan]
Composition: Poria (Fuling), Ginseng (Renshen), Cinnamon Twig (Guixin, boiled), Dried Ginger (Ganjiang), Pinellia (Banxia), Tangerine Peel (Jupi) each 1 liang; Atractylodes Macrocephala (Baizhu), Kudzu Root (Gegen, roasted), Honey-fried Licorice (Zhigancao), Immature Bitter Orange (Zhishi) each 2 liang.
Preparation: Grind into fine powder, make honey pills the size of mulberry seeds.
Dosage: Take 20–30 pills per dose, three times daily.
Indication: Hyperemesis gravidarum (pregnancy-induced nausea and vomiting) accompanied by mental restlessness, phlegm, and dizziness.
[Formula 2]
Composition: Poria (Fuling) 1 liang, Pinellia (Banxia) 2 liang, Immature Bitter Orange (Zhike, bran-fried) 5 qian, Weathered Nitre (Fenghuaxiao) 2.5 qian.
Preparation: Grind into fine powder, use ginger juice to cook Medicated Leaven (Shenqu) into a paste, then form pills the size of mulberry seeds.
Dosage: Take 30–50 pills on an empty stomach with ginger decoction.
Indication: Phlegm-fluid retention in the Zhongwan region with Spleen deficiency, leading to pulling and tension in the arms, or trembling and inability to move the limbs. Also indicates postpartum asthma and edema of the four limbs.
[Formula 3]
Composition: Red Poria (Chifuling), Saposhnikovia (Fangfeng), Asarum (Xixin), Atractylodes Macrocephala (Baizhu), Alisma (Zexie), Official Cinnamon (Guangui) each 5 qian; Trichosanthes Root (Gualougen), Pulsatilla (Ziwanrong), Prepared Aconite (Fuzi, processed), Astragalus (Huangqi), Peony (Shaoyao), Honey-fried Licorice (Zhigancao) each 7.5 qian; Raw Rehmannia (Shengdi), Achyranthes (Niuxi, wine-soaked), Chinese Yam (Shanyao), Angelica Pubescens (Duhuo), Pinellia (Banxia), Cornus (Shanzhuyu) each 2.5 qian.
Preparation: Grind into fine powder, make honey pills the size of mulberry seeds.
Dosage: Take 10 pills per dose. Before meals, take with rice water; before sleep, take with warm wine.
Indication: Bao Bi (Bladder Bi-syndrome, dysfunction of bladder qi transformation).
[Formula 4: Baifuling Wan]
Composition: White Poria (Baifuling), Raspberry (Fupenzi), Trichosanthes Root (Gualougen), Coptis (Huanglian), Dioscorea Hypoglauca (Bixie), Ginseng (Renshen), Prepared Rehmannia (Shudi), Scrophularia (Xuanshen) each 1 liang; Dendrobium (Shihu), Cnidium (Shechuangzi) each 7.5 qian; Chicken Gizzard Lining (Jineijin) 30 pieces (lightly fried).
Preparation: Grind into fine powder, make honey pills the size of mulberry seeds.
Dosage: Take 30 pills per dose before meals with Magnetite Decoction (Cishi Tang).
Indication: Xiao Shen (Kidney Wasting, similar to diabetic nephropathy or Kidney deficiency wasting-thirst), characterized by gradually thinning legs and weakness in the waist and feet.
[Formula 5]
Composition: White Poria (Baifuling), Prepared Rehmannia (Shudi) each 1 liang; Ginseng (Renshen), Cinnamon Twig (Guixin), Polygala (Yuanzhi), Acorus (Shichangpu), Biota Seed (Baiziren), Amber (Hupo) each 5 qian.
Preparation: Grind into fine powder, make honey pills the size of mulberry seeds.
Dosage: Take 30 pills per dose.
Indication: Palpitations and fright due to Heart Qi deficiency after childbirth.
[Formula 6: Fuling Chuanxiong Tang]
Composition: Red Poria (Chifuling) 1.5 qian, Ligusticum (Chuanxiong) 1.2 qian, Mulberry Root Bark (Sangbaipi), Saposhnikovia (Fangfeng), Atractylodes Lancea (Cangzhu, fried), Ephedra (Mahuang), Red Peony Root (Chishao), Angelica Sinensis (Danggui, wine-washed) each 1 qian, Official Cinnamon (Guangui), Licorice (Gancao) each 0.5 qian.
Preparation: Decoct in water, add Jujube (Dazao).
Dosage: Take before meals.
Indication: Numbness and insensitivity due to Zhuo Bi (Bi-syndrome dominated by Dampness, where heaviness predominates), and Zhong Shi (contracting Dampness).
[Formula 7: Fuling Banxia Tang]
Composition: Red Poria (Chifuling), Pinellia (Banxia), Tangerine Peel (Chenpi), Atractylodes Lancea (Cangzhu), Magnolia Bark (Houp).
Preparation: Decoct in water.
Dosage: Take the decoction.
Indication: Tan Yin (Phlegm-Fluid disease).
[Formula 8: Fuling Sini Tang]
Composition: Poria (Fuling) 4 liang, Ginseng (Renshen) 1 liang, Honey-fried Licorice (Zhigancao) 2 liang, Dried Ginger (Ganjiang) 1.5 liang, Raw Aconite (Shengfuzi) 1 piece.
Preparation: Decoct 5 sheng of water until 3 sheng remain, strain.
Dosage: Take 7 he of the warm decoction, three times daily.
Indication: Taiyang syndrome in Cold Damage presenting with cold extremities and palpitations in the epigastrium. Indicated for irritability following sweating or purging therapies.
[Formula 9: Fuling Baizhu San]
Composition: Poria (Fuling), Atractylodes Macrocephala (Baizhu), Ginseng (Renshen), Cinnamon Twig (Guizhi) each 2.5 qian, Talcum (Huashi) 1 liang, Calcitum (Han Shuishi), Gypsum (Shigao), Alisma (Zexie), Licorice (Gancao) each 5 qian.
Preparation: Grind into fine powder.
Dosage: Take 3 qian per dose with Ginger Decoction.
Indication: Heatstroke and Huoluan (cholera-like syndrome) causing mental restlessness and thirst.
[Formula 10: Fuling Rongyan Tang]
Composition: Poria (Fuling) 6 liang, Rongyan (Rock Salt/Qingyan) one piece the size of a bullet, Atractylodes Macrocephala (Baizhu) 2 liang.
Preparation: Decoct the herbs first, then add the salt after cooking.
Dosage: Take the medicine.
Indication: Depletion of essence and stagnation of blood in the Baozhong (uterus/bladder area), leading to difficult urination.
[Formula 11: Fuling Yinchin Zhizi Tang]
Composition: Poria (Fuling) 0.5 fen, Artemisia Capillaris (Yinchenye) 1 qian, Gardenia Seed (Zhiziren), Fried Atractylodes Lancea (Cangzhu), Atractylodes Macrocephala (Baizhu) each 3 qian, Raw Scutellaria (Sheng Huangqin) 0.6 fen, Coptis (Huanglian), Bran-fried Immature Bitter Orange (Zhike), Polyporus (Zhuling), Alisma (Zexie), Tangerine Peel (Chenpi), Podophyllum (Fangji) each 0.2 fen, Green Citrus Peel (Qingpi) 0.1 fen.
Preparation: Decoct in water.
Dosage: Take the decoction.
Indication: Internal invasion of Damp-Heat causing fullness and stuffiness in the epigastrium, limb fatigue, body numbness, yellowing of the face and eyes, with slight bluish-black discoloration.
[Formula 12: Fuling San]
Composition: Poria (Fuling), Ophiopogon (Maidong) each 1.5 liang, Tongcao, Cimicifuga (Shengma) each 1.25 liang, Pulsatilla (Ziwan), Cinnamon Twig (Guixin) each 0.75 liang, Anemarrhena (Zhimu) 1 liang, Jujube (Dazao) 12 pieces, Light Bamboo Shavings (Danzhuru) 0.5 liang, Halloysite (Chishizhi) 1.75 liang.
Preparation: Grind into fine powder.
Dosage: Take 1 liang per dose, decoct in water.
Indication: Excess Heat in the Heart Meridian causing vague spirit and confusion.
[Formula 13]
Composition: Poria (Fuling), Raw Rehmannia (Shengdi) each 3 liang, Polygala (Yuanzhi), Witelia (Baiwei), Dragon Bone (Longgu) each 2.5 liang, Saposhnikovia (Fangfeng), Ginseng (Renshen), Angelica Pubescens (Duhuo) each 2 liang.
Preparation: Grind into fine powder. Add one large slice of silver to 1.5 dou of water, boil down to 7 sheng, add the herbal powder, and boil down to 3 sheng.
Dosage: Divide into three warm doses.
Indication: Qi deficiency after childbirth causing mental confusion, or manic speech and delirium.
[Formula 14]
Composition: White Poria (Baifuling), Prepared Rehmannia (Shudi) each 1 liang, Angelica Sinensis (Danggui), Ligusticum (Chuanxiong), Cinnamon Twig (Guixin), Fried White Peony Root (Baishao), Honey-fried Licorice (Zhigancao) each 5 qian.
Preparation: Coarsely crush the herbs (Ju).
Dosage: Take 5 qian per dose with two cups of water, add one pair of pig kidneys, three jujubes, and three slices of ginger. Boil down to one cup, remove the kidneys, jujubes, and ginger, then add the herbs and boil down to 0.7 cup. Take warm before meals.
Indication: Rulao (Postpartum consumptive disease).
[Formula 15: Fuling Tang]
Composition: Poria (Fuling) ground into powder, combined with Mume Fruit (Wumei) and aged Mugwort (Chen Ai).
Preparation: Decoct to make a soup, mix with the powder.
Dosage: Take 2 qian per dose.
Indication: Deficiency sweating and night sweats.
[Formula 16]
Composition: Red Poria (Chifuling), Euphorbia Helioscopia Leaf (Zeqiye, lightly fried), Fried Atractylodes Macrocephala (Baizhu, lightly fried) each 1 liang, Fried Mulberry Root Bark (Sangbaipi, honey-fried), Scutellaria (Huangqin), Belamcanda (Shegan), Podophyllum (Fangji), Alisma (Zexie) each 3 liang.
Preparation: Coarsely crush the herbs.
Dosage: Take five qian bi per dose. First, boil one he of soybeans in three cups of water until two cups remain, remove the beans, add the herbs, and boil down to one cup. Divide into two doses.
Indication: Generalized edema following dysentery.
[Formula 17]
Composition: Poria (Fuling), Ligusticum (Chuanxiong), Perilla Leaf (Suye), Peucedanum (Qianhu), Pinellia (Banxia), Platycodon (Jiegeng), Immature Bitter Orange (Zhike), Dried Ginger (Ganjiang), Tangerine Peel (Chenpi) each 0.8 fen, Angelica Sinensis (Danggui), Raw Rehmannia (Shengdi), White Peony Root (Baishao) each 1 qian, Codonopsis (Dangshen) 0.5 fen, Mulberry Root Bark (Sangbaipi) 0.6 fen, Licorice (Gancao) 0.3 fen, plus fresh ginger.
Preparation: Decoct in water.
Dosage: Take on an empty stomach.
Indication: Cough occurring during menstruation.
[Formula 18: Fuling Hupo Tang]
Composition: Poria (Fuling), Amber (Hupo), Atractylodes Macrocephala (Baizhu) each 5 qian, Honey-fried Licorice (Zhigancao), Cinnamon Twig (Guixin) each 3 qian, Alisma (Zexie) 1 liang, Talcum (Huashi) 7 qian, Polyporus (Zhuling) 5 qian.
Preparation: Grind into fine powder.
Dosage: Take 5 qian per dose, mixed with water.
Indication: Internal accumulation of Damp-Heat that fails to transform,涩滞 (obstruction) of the Bladder orifices, leading to abdominal distension and fullness, and heaviness in the waist and legs.
[Formula 19: Fushen Tang]
Composition: Fu Shen (Poria with Pine Root), Poria (Fuling), Ginseng (Renshen) each 1 liang, Acorus (Changpu) 5 qian, Adzuki Bean (Chixiaodou) 40 grains.
Preparation: Decoct in water.
Dosage: Divide into three doses.
Indication: Mental disorder, fever, and palpitations with fright due to Heart Qi deficiency.