A L I S M A . 1 6

General Activities
disperse and drain stagnant moisture

Sample Indications for Use
edema, diarrhea, leukorrhea, excessive sputum, urination disorders, Meniere’s syndrome

To Personalise, Add
Ginseng 18 for spleen damp syndrome
Pyrrosia 14 for kidney/bladder disorder with edema
Chiang Huo 13 for aching in the limbs
Diagnostic Tablets for abdominal swelling

Correcting dampness disorders should be a relatively short-term process, except where there is a constitutional problem. For localised edema, try moisture-resolving herbal therapy for up to 30 days, but discontinue if progress is not seen, for constitutional therapy, use for three months.

Manufacturing Specifications
Crude herbs are powdered, juncus extract is added to the rest of the formulation, and then formed into 700 mg tablets. Bottling of 100 and 250 tablets.

Explanatory Notes
Accumulation of moisture may occur secondary to several organ system imbalances and in association with may diseases. Fundamental prescriptions for draining accumulated moisture include the traditional Hoelen Five Formula (Wuling San), Citrus and Pinellia Combination (Erchen Tang), and Hoelen, Atractylodes and Areca Combination (Daoshui Fuling Tang). Usually, the Chinese moisture-resolving formulas are designed to treat either a specific site of moisture accumulation or to address accompanying syndromes, such as qi stagnation. Alisma 16 is a generalised formulation that can be used as a basis for all moisture-accumulation disorders; site-specifity can be attained by adding a second formulation (eg Siler Tablets for leg edema, Shen Chu 16 for nausea and vomiting, Pinellia 16 or Blue Earth Dragon for watery sputum discharge). The formula might be used along with diuretic drugs; one may find that this formula can replace some diuretic drugs if there is adequate monitoring. Water accumulation may be a symptom of severe disease, including kidney or heart failure or peritonitis secondary to liver inflammation, so appropriate diagnostics should be pursued; the very powerful drug diuretics may need to be used as part of the therapy, at least temporarily. The functional disorder of dampness accumulation, even when there are no obvious signs of edema or excessive moisture discharge, can cause a sense of heaviness in the limbs, difficulty waking in the morning, and dull aching sensations. When water affects the head, there can be dizziness (Meniere’s syndrome), a feeling of heaviness of the head, and confusion. See also: Arisaema Tablets.

Ingredients
English
Alisma, Chaenomeles, Hoelen, Perilla leaf, Astragalus, Polyporus, Atractylodes, Capillaris, Magnolia bark Citrus, Ginger, Pinellia, Cinnamon twig, Licorice, Morus, Juncus (ext)
Pin Yin
zexie, mugua, fuling, zisuye, huangqi, zhuling, baizhu, yinchenhao, houpo, chenpi, ganjiang, banxia, guizhi, gancao, sangbaipi, tengxincao