Wu Ling San

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五苓散 (Five-Ingredient Powder with Poria)

Source: Shang Han Lun — Zhang Zhongjing (Han, 220)

Last updated July 22, 2026

Water accumulation disordersUrinary dysfunctionGeneralized edemaHeadache with water retentionDiarrhea from water-dampVomiting of fluids taken by mouthHangover

Description

Wu Ling San (Five-Ingredient Powder with Poria) is the primary formula for water accumulation and urinary dysfunction in TCM. It treats impaired transformation of water by the Bladder and Kidney, causing retention of water in the interior. The formula warms and promotes the Bladder's transforming function while draining accumulated dampness, making it applicable for a wide range of water metabolism disorders.

Composition

Herb Amount % Role Function
Ze Xie 15g 31.25% Jun (Chief) Promotes urination, drains dampness, clears heat from Bladder.
Zhu Ling 9g 18.75% Chen (Deputy) Drains dampness and promotes urination.
Fu Ling 9g 18.75% Chen (Deputy) Drains dampness, strengthens Spleen.
Bai Zhu 9g 18.75% Zuo (Assistant) Tonifies Spleen, transforms water and dampness.
Gui Zhi 6g 12.5% Shi (Envoy) Warms Yang, promotes Qi transformation in Bladder, releases exterior.

Total weight: 45g

Preparation

Traditional: grind to powder and take with warm water, then drink more water. As decoction: simmer 20 minutes and take warm.

Dosage

Powder: 3g 3x/day with warm water. Decoction: 1 dose/day. Drink plenty of warm water after taking.

Conditions Addressed

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Match score combines dosage-weighted composition (cosine, 70%) with shared-herb overlap (Jaccard, 30%).

Traditional formula information is for educational purposes only. Herbal formulas should be prescribed by a qualified practitioner — dosages and combinations are individualized and can interact with medications.

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