Ascites according to Chinese Medicine
The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
ascites from cirrhosis and cirrhosis with ascites redirect here
Ascites can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.
Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like ascites here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.
A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here ascites is often associated with edema and loose stools in the pattern “Spleen Yang Deficiency”. As you will see below, we have in record two patterns that can cause ascites.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of ascites we’ve identified five herbal formulas that may help treat patterns behind the symptom.
We’ve also selected below the five medicinal herbs that we think are most likely to help treat ascites.
The two "patterns of disharmony" that can cause ascites
In Chinese Medicine ascites is a symptom for 2 patterns that we have on record. Below is a small explanation for each of them with links for more details.
The Spleen is a so-called "Zang" Organ. Learn more about the Spleen in Chinese Medicine
Spleen Yang Deficiency
Pulse type(s): Deep (Chen), Slow (Chi), Weak (Ruo)
Tongue color: Pale
Spleen Yang Deficiency often develops from Spleen Qi Deficiency, but it is more extensive and severe with additional Cold symptoms, such as cold feeling and cold limbs. The causes are similar to these of Spleen Qi Deficiency, along with surplus consumption of cold, raw foods and drinks and overexposure to cold damp environments and climates.
In addition to ascites, other symptoms associated with Spleen Yang Deficiency include edema and loose stools.
Spleen Yang Deficiency is often treated with Zhen Wu Tang, a herbal formula made of 5 herbs (including Prepared Aconite - Zhi Fu Zi - as a key herb). Zhen Wu Tang belongs to the category of "formulas that warm and transform water and dampness", which might be why it is often recommended for this pattern. Its main action as a formula is: "Warms and tonifies the Yang and Qi of the Spleen and Kidneys".
Crow-Dipper Rhizomes (Ban Xia) is the king ingredient for Er Chen Tang, a formula used for Phlegm
Phlegm
Pulse type(s): Slippery (Hua), Wiry (Xian)
Tongue coating: Sticky coating, Thick coating
Tongue shape: Swollen
The concept of Phlegm is much wider and important in Chinese Medicine than in the West. Broadly speaking, Phlegm is a substance produced when the body fails to handle Body Fluids properly.
In addition to ascites, other symptoms associated with Phlegm include dizziness, vertigo and vomiting.
From a Western Medicine standpoint Phlegm is associated with health issues such as Low Breast Milk Supply, Menopausal Syndrome or Morning Sickness.
Phlegm is often treated with Er Chen Tang, a herbal formula made of 5 herbs (including Crow-Dipper Rhizomes - Ban Xia - as a key herb). Er Chen Tang belongs to the category of "formulas that dry dampness and transform phlegm", which might be why it is often recommended for this pattern. Its main action as a formula is: "Dries Damp and dispels Phlegm".
Five herbal formulas that might help with ascites
Zhen Wu Tang
Source date: 220 AD
Number of ingredients: 5 herbs
Key actions: Warms and tonifies the Yang and Qi of the Spleen and Kidneys. Eliminates Dampness.
Why might Zhen Wu Tang help with ascites?
Because it is a formula often recommended to treat the pattern 'Spleen Yang Deficiency' of which ascites from cirrhosis is a symptom.
Er Chen Tang
Source date: 1148 AD
Number of ingredients: 5 herbs
Key actions: Dries Damp and dispels Phlegm. Regulates Qi and harmonizes the Middle Burner (Stomach and Spleen).
Why might Er Chen Tang help with ascites?
Because it is a formula often recommended to treat the pattern 'Phlegm' of which ascites is a symptom.
Liu Jun Zi Tang
Source date: 1107
Number of ingredients: 6 herbs
Key actions: Tonifies Qi. Strengthens the Spleen and Stomach. Clears Phlegm and mucus. Promotes appetite.
Why might Liu Jun Zi Tang help with ascites?
Because it is a formula often recommended to treat the pattern 'Phlegm' of which ascites is a symptom.
Ban Xia Bai Zhu Tian Ma Tang
Source date: 1732 AD
Number of ingredients: 8 herbs
Key actions: Dries and dissolves Phlegm. Strengthens the Spleen. Smoothes the Liver and calms Liver Wind (antispasmodic).
Why might Ban Xia Bai Zhu Tian Ma Tang help with ascites?
Because it is a formula often recommended to treat the pattern 'Phlegm' of which ascites is a symptom.
Acupuncture points used for ascites
The five Chinese Medicinal herbs most likely to help treat ascites
Why might Poria-Cocos Mushroom (Fu Ling) help with ascites?
Because Poria-Cocos Mushroom is an ingredient in several formulas indicated to treat ascites as a symptom, like Wu Pi Yin or Wu Ling San for instance.
Poria-Cocos Mushrooms is a Neutral herb that tastes Sweet. It targets the Heart, the Kidney, the Lung and the Spleen.
Its main actions are: Encourages urination and drains Dampness. Tonic to the Spleen/Stomach. Assists the Heart and calms the Spirit.
Why might Fresh Ginger (Sheng Jiang) help with ascites?
Because Fresh Ginger is an ingredient in several formulas indicated to treat ascites as a symptom, like Er Chen Tang or Zhen Wu Tang for instance.
Fresh Ginger is a Warm herb that tastes Pungent. It targets the Lung, the Spleen and the Stomach.
Its main actions are: Relieves the Exterior and disperses Cold. Warms and circulates Qi in the Middle Burner. Calms a restless fetus and treats morning sickness. Treats seafood poisoning.
Why might Tangerine Peel (Chen Pi) help with ascites?
Because it is a key herb in Er Chen Tang, a herbal formula indicated to treat the pattern 'Phlegm' (a pattern with ascites as a symptom)
Tangerine Peel is a Warm herb that tastes Bitter and Pungent. It targets the Lung and the Spleen.
Its main actions are: Warms the Spleen and regulates the Middle Burner Qi. Dries Dampness and disperses Phlegm from the Lungs and Middle Burner. Reduces the potential for Stagnation caused by tonifying herbs.
Why might Atractylodes Rhizome (Bai Zhu) help with ascites?
Because it is a key herb in Zhen Wu Tang, a herbal formula indicated to treat the pattern 'Spleen Yang Deficiency' (a pattern with ascites as a symptom)
Atractylodes Rhizomes is a Warm herb that tastes Bitter and Sweet. It targets the Spleen and the Stomach.
Its main actions are: Tonifies the Spleen Qi. Fortifies the Spleen Yang and dispels Damp through urination. Tonifies Qi and stops sweating. Calms restless fetus when due to Deficiency of Spleen Qi.
Why might White Peony Root (Bai Shao) help with ascites?
Because it is a key herb in Zhen Wu Tang, a herbal formula indicated to treat the pattern 'Spleen Yang Deficiency' (a pattern with ascites as a symptom)
White Peony Roots is a Neutral herb that tastes Bitter and Sour. It targets the Liver and the Spleen.
Its main actions are: Tonifies the Blood and preserves the Yin. Nourishes the Liver and assists in the smooth flow of Qi. Regulates the meridians and eases the pain.
Other symptoms often associated with ascites
Edema General sensation of heaviness Coughing Dizziness Constipation Vertigo Shortness of breath Sores Abcesses Diarrhea