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Formula祛湿剂· 利水渗湿

五苓散

Wǔ Líng Sǎn

Five-Ingredient Powder with Poria

The Shang Han Lun formula for greater yang water-amassing (xu shui) syndrome, with impaired Bladder qi transformation causing inhibited urination, headache, mild fever, vexing thirst with immediate vomiting after drinking (water counterflow). The ancestral formula for promoting urination, percolating dampness, and warming yang to transform qi, composed of ze xie, zhu ling, fu ling, bai zhu, and gui zhi.

Source《伤寒论》辨太阳病脉证并治中

Treatment Principle

利水渗湿，温阳化气

Promote urination and leach out dampness; warm yang and transform qi

Formula Rhyme

五苓散治太阳腑，泽泻白术与猪苓。茯苓桂枝温化饮，利水渗湿效堪珍。

—— 方剂学教材

Composition · 组成

Herb	Role	Dosage	Notes
猪苓Zhū Líng	君Sovereign	9g	甘淡渗利膀胱水湿，与泽泻相须为用共为君药，专司利水消肿
泽泻Zé Xiè	君Sovereign	15g	甘淡渗湿，直达膀胱，利水作用最强，为君药
茯苓Fú Líng	臣Minister	9g	健脾渗湿，助泽泻利水消肿
白术Bái Zhú	臣Minister	9g	健脾燥湿，助脾运化水湿
桂枝Guì Zhī	佐Assistant	6g	温阳化气，解太阳之表，使膀胱气化复常而水湿得行

Modifications · 加减

水肿偏阳虚
+ fu_zi
阳虚水泛
兼湿热黄疸
+ yin_chen
湿热蕴蒸

Treats Patterns · 主治证型

Páng Guāng Shī Rè Zhèng

Bladder Damp-Heat Pattern

Preparation · 煎服法

上五味，捣为散，以白饮和服方寸匕，日三服，多饮暖水，汗出愈。

Editor-reviewed· 2026-04-17

PractitionerPatientDate

五苓散Wǔ Líng Sǎn

Five-Ingredient Powder with Poria

Herb	Pinyin	Role	Dose
猪苓	Zhū Líng	Jun (Sovereign)	9g
泽泻	Zé Xiè	Jun (Sovereign)	15g
茯苓	Fú Líng	Chen (Minister)	9g
白术	Bái Zhú	Chen (Minister)	9g
桂枝	Guì Zhī	Zuo (Assistant)	6g

Preparation: 上五味，捣为散，以白饮和服方寸匕，日三服，多饮暖水，汗出愈。

This prescription is provided only by the dispensing TCM practitioner. Take as directed; do not modify the dose or share it. If you experience any adverse effect, stop immediately and contact your practitioner. The content of this platform is educational reference, not medical advice.
Bencao Dian · https://bencaodian.org · CC BY-SA 4.0

Permalink · CC BY-SA 4.0

Cite this entry

@misc{bencaodian-wu-ling-san,
  author       = {{Bencaodian Editorial}},
  title        = {Wǔ Líng Sǎn 五苓散 (Five-Ingredient Powder with Poria)},
  year         = {2026},
  howpublished = {Bencao Dian: A Bilingual Knowledge Graph of Traditional Chinese Medicine},
  url          = {https://bencaodian.org/en/formulas/wu-ling-san},
  urldate      = {2026-04-17},
  note         = {CC BY-SA 4.0}
}

Permalink is fixed

Composition · 组成

Herb	Role	Dosage	Notes
猪苓Zhū Líng	君Sovereign	9g	甘淡渗利膀胱水湿，与泽泻相须为用共为君药，专司利水消肿
泽泻Zé Xiè	君Sovereign	15g	甘淡渗湿，直达膀胱，利水作用最强，为君药
茯苓Fú Líng	臣Minister	9g	健脾渗湿，助泽泻利水消肿
白术Bái Zhú	臣Minister	9g	健脾燥湿，助脾运化水湿
桂枝Guì Zhī	佐Assistant	6g	温阳化气，解太阳之表，使膀胱气化复常而水湿得行

Herb

Pinyin

Role

Dose

猪苓

Zhū Líng

Jun (Sovereign)

泽泻

Zé Xiè

Jun (Sovereign)

15g

茯苓

Fú Líng

Chen (Minister)

白术

Bái Zhú

Chen (Minister)

桂枝

Guì Zhī

Zuo (Assistant)

@misc{bencaodian-wu-ling-san, author = {{Bencaodian Editorial}}, title = {Wǔ Líng Sǎn 五苓散 (Five-Ingredient Powder with Poria)}, year = {2026}, howpublished = {Bencao Dian: A Bilingual Knowledge Graph of Traditional Chinese Medicine}, url = {https://bencaodian.org/en/formulas/wu-ling-san}, urldate = {2026-04-17}, note = {CC BY-SA 4.0} }