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Properties This classical formula was created for Bladder meridian or Bladder organ dysfunctions, such as neck pain or lower back pain. Contraindications In cases of spleen and/or kidney vacuity, dose and duration should be limited. Chinese Symptomology Fluid retention marked by headache, fever, thirst with vomiting after drinking water; disturbance in urination; edema, diarrhea, fluid-retention syndrome, dizziness, and a feeling of palpitation in the lower abdomen. Western Symptomology Acute gastroenteritis, cyclic vomiting, pseudo cholera, skin eruptions or hives due to cold, initial stage of acute nephritis, edema of scrotum, and retention of urine belonging to the syndrome of fluid retention. Actions Strengthens Urinary Bladder function, promotes urination, helps drain and dry dampness, promotes the transforming functions of Qi. Pattern Fluid retention Branch Bladder Ingredients Fu Ling (Poria) 187.5 mg ~ Zhu Ling (Polyporus) 187.5 mg ~ Ze Xie (Rhizoma Alismatis) 141 mg ~ Bai Zhu (Rhizoma Atractylodis Macrocephalae) 141 mg ~ Gui Zhi (Ramulus Cinnamomi) 93 mg Within this formula, Ze Xie (Rhizoma Alismatis) is the sovereign medicinal. It is sweet, bland, and seeping, while its nature is cold. It outthrusts the bladder, disinhibits water, and seeps dampness. The minister medicinals are Fu Ling (Poria) and Zhu Ling (Polyporus) which also blandly seep. They help strengthen the disinhibition of water. Bai Zhu (Rhizoma Atractylodis Macrocephalae) is then added to these in order to fortify and supplement the spleen qi and move and transform water dampness. Gui Zhi (Ramulus Cinnamomi) is the assistant medicine which is a single medicinal with two uses. First, externally, it resolves the tai yang on the exterior. Secondly, it aids the bladder qi internally. When these five medicinals are combined together, water is moved and qi is transformed, the exterior is relieved and the spleen in fortified. This formula comes from Zhang Zhong-jing’s late Han dynasty Shan Han Lun (Treatise on Damage [Due to] Cold).