Si Ling San, Four Ingredient Powder with Poria, is Ze Xie, Fu Ling, Zhu Ling and Bai Zhu. The catalogue classes it among the formulas that promote urination and leach out Dampness, and records it as regulating the movement of water and strengthening the Spleen.

Herb

Amount

4 g

2.3 g

2.3 g

2.3 g

Actions and indications

Regulates water metabolism and drains Damp

Edema from uncomplicated Spleen deficiency, with Damp gathering in the Bladder
Scanty urine that is difficult to pass
Tongue normal with a slippery white coat; pulse floating and rapid

Strengthens the Spleen

Internal Damp brought on by an unsuitable diet
Loose stools

Modern uses

Acute or chronic nephritis
Glomerulonephritis
Pyelonephritis
Nephropyelitis
Nephrotic syndrome
Early-stage renal insufficiency
Chronic renal failure
Uremia
Cystitis
Urinary tract infection
Genitourinary infections
Urolithiasis
Neurogenic bladder syndrome
Benign prostatic hypertrophy
Scrotal hydrocele
Scrotal edema
Edema
Cardiac edema
Congestive heart failure
Pericardial and pleural effusions
Ascites
Ascites in liver cirrhosis
Cirrhosis of the liver
Acute infectious hepatitis
Cholecystitis
Acute or chronic gastroenteritis
Acute enteritis with diarrhea
Cholera
Pseudocholera
Gastroptosis
Gastrectasis
Indigestion
Infantile indigestion
Anorexia
Nausea and vomiting
Cyclic vomiting
Motion sickness
Seasickness
Meniere's disease
Migraine
Headache from raised intracranial pressure
Hydrocephalus
Trigeminal neuralgia
Toxemia of pregnancy
Gestational hypertension
Polyhydramnios
Diabetes
Glaucoma
Central serous retinopathy
Nyctalopia
Catarrhal conjunctivitis
Viral conjunctivitis
Dacryocystitis
Otitis media
Common cold
Influenza
Rhinorrhea
Allergic rhinitis
Diffuse vocal cord polyps
Dyspnea
Aphthous ulcers
Varicella
Herpes zoster
Blisters
Eczema
Urticaria
Cold-type urticaria
Flat warts
Alopecia

Cautions

caution Where Spleen Qi and the Kidneys are deficient, keep the dose low; it can be combined with tonics

caution When difficult urination comes with Yin deficiency, take care to protect the Yin

caution Too much can bring on dizziness, vertigo, a bland taste in the mouth and loss of appetite

caution Not for long-term use

contraindication Body fluids depleted by heavy sweating

contraindication Excessive vomiting

contraindication Excessive diarrhea

contraindication Accumulated Damp-Heat

Pinyin

si ling san

English Name

Four Ingredient Powder with Poria

si ling san

About si ling san

Ingredients

Actions and indications

Regulates water metabolism and drains Damp

Strengthens the Spleen

Modern uses

Symptoms

Modifications

Cautions

Names

Classification