【Source】　

《Danxi’s Experiential Prescriptions (1347)》, 《Medical Enlightenment (1732)》, Volume 4.

【Composition】　

Rhizoma Dioscoreae Hypoglaucae, Radix Linderae, Fructus Alpiniae Oxyphyllae, Rhizoma Acori Graminei, Radix Glycyrrhizae (tip), Poria. (6)

【Note】　

《Medical Enlightenment》 omits Radix Glycyrrhizae (tip) and Poria.

【Classification Group】　

<Tonify Spleen & Replenish Middle Jiao>: Radix Glycyrrhizae (tip); <Tonify Spleen & Induce Diuresis>: Poria; <Tonify Liver & Kidney>: Fructus Alpiniae Oxyphyllae; <Promote Diuresis & Resolve Dampness>: Rhizoma Dioscoreae Hypoglaucae; <Regulate Qi>: Radix Linderae; <Open Orifices>: Rhizoma Acori Graminei.

【Mnemonic】　

My house often has stagnant sales (Bi-Wu-Chang-Zhi-Shao, referring to the first characters of Dioscorea hypoglauca, Lindera, Acorus gramineus, Alpinia oxyphylla, and Licorice root tip).

【Functions】　

Warm the Kidneys and promote diuresis to resolve dampness, separate the clear from the turbid, and warm the lower Jiao.

【Indications】　

Symptoms such as turbid white urine, frequent and uncontrolled urination, urine resembling rice water, unclear and thick like paste, and painful dripping urination, caused by Kidney Yang deficiency and downward-flowing damp-turbidity.

《Yifang (Medical Prescriptions)》: Turbid white urine due to Yang deficiency, frequent urination, urine like white oil, known as ‘Gao Lin’ (creamy strangury).

【Pharmacology】　

Has antibacterial, hemostatic, antipyretic, and analgesic effects.

【Clinical Applications】　

Nephritis, chronic prostatitis, chyluria, frequent urination, cystitis, urethritis, renal tuberculosis with hematuria, turbid white urine, creamy strangury, etc.

【Contraindications】　

Avoid pungent, raw, cold, greasy foods, tea, vinegar, and irritating foods.

【Formula Principles】　

《Yifang (Medical Prescriptions)》: Medications for Hand Shaoyin, Foot Shaoyin, Foot Jueyin, and Yangming channels. (1)Rhizoma Dioscoreae Hypoglaucae: Drains damp-heat from Yangming and Jueyin channels, clarifying the turbid. (2)Radix Linderae: Dispels pathogenic qi, expels cold, and warms the Kidneys. (3)Fructus Alpiniae Oxyphyllae: A Spleen herb, also enters the Heart and Kidneys, consolidating Kidney Qi and dispersing stagnation. (4)Rhizoma Acori Graminei: Opens the nine orifices and unblocks the Heart. (5)Radix Glycyrrhizae (tip): Reaches the urethra to relieve pain. (6) When damp-heat is removed and the Heart and Kidneys are unblocked, Qi transformation proceeds, and strangury due to turbidity stops. This formula aims to stop the condition through dredging and expelling.

【Modifications】　

(1) If accompanied by Qi deficiency, add Four Gentlemen Decoction to strengthen the Spleen, tonify Qi, and promote diuresis.

(2) If there is cold-damp leukorrhea, add Radix Aconiti Lateralis Praeparata, Cortex Cinnamomi, Semen Cuscutae, Rhizoma Atractylodis, and Poria to enhance the effects of warming the Kidneys and resolving dampness.

(3) If there is lower back soreness and fatigue, add Radix Ginseng and Colla Cornus Cervi to tonify Kidney Qi.