This formula was originally used for invasion of the Bladder (the Greater Yang Fu organ) by exogenous Cold. The pathogen impairs the Bladder's Qi transformation function.This formula efficiently addresses underlying pathologies, and so its clinical applications may extend well beyond the original indications. The formula is composed of three groups of herbs: diuretics that expel Damp; Spleen tonics that promote the Spleen's transformation and transportation functions in order to support the overall Damp dispelling action of the formula and Cinnamon twig. Cinnamon twig may release Exterior Wind-Cold and may also activate the Yang and warm the Channels. Thus, it may also promote the Kidney Yang and the Spleen Yang. In so doing it assists the original Qi (yuan qi) to rise up through the Triple Jiao. In terms of the Bladder, it may promote the descending movement of the Qi in the Triple Jiao. In terms of the Spleen, it may promote the Spleen's upward sending (or 'ascending') function. This is the function that controls all of the ascending movements of Qi throughout the body. This function is also central to the Spleen's role in the transformation and transportation of fluids. Moreover, it may also assist in the ascent of the original Qi (yuan qi) from the Kidney through the Triple Jiao. In this way Cinnamon twig (an Exterior-releasing herb) exerts a profound influence on the ascending and descending Qi movements throughout the Triple Jiao. In traditional TCM, the clinical uses of this formula can be divided into four main groups:May assist retained Fluid in the lower Jiao due to dysfunction of the BladderMay assist diarrhoea due to retained Damp from Spleen Qi deficiencyMay assist oedema due to retained WaterMay assist oliguria in a Greater Yang Fu organ syndrome (tai yang fu zheng), due to invasion by exogenous Wind-ColdINDICATIONSTraditionally used in Chinese medicine to dry dampnessTraditionally used in Chinese medicine to dissipate retained-fluidTraditionally used in Chinese medicine to promote Qi transformationTraditionally used in Chinese medicine to warm and nourish yangTCM ACTIONSStrengthens the Spleen and drains Damp, promotes Qi transformation and diuresis.TCM SYNDROMESRetained Fluid or retained Water (due to Spleen deficiency
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