Edema according to Chinese Medicine

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Edema 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 edema 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 edema is often associated with dizziness, scanty periods and late period in the pattern “Phlegm”. As you will see below, we have in record five patterns that can cause edema.

Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of edema 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 edema.

The five "patterns of disharmony" that can cause edema

In Chinese Medicine edema is a symptom for 5 patterns that we have on record. Below is a small explanation for each of them with links for more details.

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 edema, other symptoms associated with Phlegm include dizziness, scanty periods and late period.

From a Western Medicine standpoint Phlegm is associated with health issues such as Low Breast Milk Supply, Late Menstruation or Scanty Menstruation.

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".

Read more about Phlegm here

Water Plantain (Ze Xie) is the king ingredient for Wu Ling San, a formula used for Yin Excess

Yin Excess

Pulse type(s): Slippery (Hua), Tight (Jin), Wiry (Xian), Full (Shi)

Tongue coating: Thick white coating

Tongue color: Pale

Excess Yin is a Full Yin state pattern. Its symptoms are like those of the Cold and Damp Heat Pernicious Influences such as Edema. It is a result of over-exposure to cold environments and bad diet.

In addition to edema, other symptoms associated with Yin Excess include loose stools, frequent urination and feeling of heaviness.

Yin Excess is often treated with Wu Ling San, a herbal formula made of 5 herbs (including Water Plantain - Ze Xie - as a key herb). Wu Ling San belongs to the category of "formulas that promote urination and leach out dampness", which might be why it is often recommended for this pattern. Its main action as a formula is: "Promotes urination,".

Read more about Yin Excess here

The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine

Kidney Yang Deficiency

Pulse type(s): Deep (Chen), Slow (Chi)

Tongue coating: Thin white coating

Tongue color: Pale

Tongue shape: Swollen

Kidney Yang Deficiency causes Internal Cold and weakness.

In addition to edema, other symptoms associated with Kidney Yang Deficiency include dizziness, abdominal pain and scanty periods.

From a Western Medicine standpoint Kidney Yang Deficiency is associated with health issues such as Late Menstruation, Menopausal Syndrome or Irregular Menstruation.

Kidney Yang Deficiency is often treated with Ba Wei Di Huang Wan, a herbal formula made of 8 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Ba Wei Di Huang Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Tonifies Yang".

Read more about Kidney Yang Deficiency here

The Spleen is a so-called "Zang" Organ. Learn more about the Spleen in Chinese Medicine

Spleen Deficiency

Pulse type(s): Weak (Ruo)

Tongue coating: Thick white coating

Tongue color: Pale

In addition to edema, other symptoms associated with Spleen Deficiency include loose stools, cold limbs and amenorrhea.

From a Western Medicine standpoint Spleen Deficiency is associated with health issues such as Abnormal Vaginal Discharge.

Spleen Deficiency is often treated with Wan Dai Tang, a herbal formula made of 10 herbs (including Atractylodes Rhizomes - Bai Zhu - as a key herb). Wan Dai Tang belongs to the category of "formulas that secure irregular uterine bleeding and stop vaginal discharge", which might be why it is often recommended for this pattern. Its main action as a formula is: "Tonifies the Middle Burner".

Read more about Spleen Deficiency here

Dong Quai (Dang Gui) is the king ingredient for Sheng Yu Tang, a formula used for Blood and Qi Deficiency

Blood and Qi Deficiency

Pulse type(s): Weak (Ruo), Fine (Xi)

Tongue coating: Partial absence of coating

Tongue color: Pale

In addition to edema, other symptoms associated with Blood and Qi Deficiency include dizziness, scanty periods and loose stools.

From a Western Medicine standpoint Blood and Qi Deficiency is associated with health issues such as Low Breast Milk Supply, Menstrual Cramps or Absence Of Menstruation.

Blood and Qi Deficiency is often treated with Sheng Yu Tang, a herbal formula made of 6 herbs (including Dong Quai - Dang Gui - as a key herb). Sheng Yu Tang belongs to the category of "formulas that tonify blood", which might be why it is often recommended for this pattern. Its main action as a formula is: "Tonifies Qi and Blood".

Read more about Blood and Qi Deficiency here

Five herbal formulas that might help with edema

Wan Dai Tang

Source date: 1826 AD

Number of ingredients: 10 herbs

Key actions: Tonifies the Middle Burner. Removes Dampness. Stops vaginal discharge. Strengthens the Spleen.

Why might Wan Dai Tang help with edema?

Because it is a formula often recommended to treat the pattern 'Spleen Deficiency' of which edema is a symptom.

According to Chinese Medicine, Spleen Deficiency can contribute to many health issues, including Abnormal Vaginal Discharge.

Read more about Wan Dai Tang here

Xiang Sha Liu Jun Zi Tang

Source date: 1675 AD

Number of ingredients: 9 herbs

Key actions: Tonifies Spleen and Stomach Qi. Removes Dampness. Moves Qi. Alleviates pain.

Why might Xiang Sha Liu Jun Zi Tang help with edema?

Because it is a formula often recommended to treat the pattern 'Phlegm' of which edema is a symptom.

According to Chinese Medicine, Phlegm can contribute to many health issues, including Late Menstruation.

Read more about Xiang Sha Liu Jun Zi Tang here

Wu Ling San

Source date: 220 AD

Number of ingredients: 5 herbs

Key actions: Promotes urination,. Warms the Yang. Strengthens the Spleen. Promotes Qi transformation function. Drains Dampness. Clears edema.

Why might Wu Ling San help with edema?

Because it is a formula often recommended to treat the pattern 'Yin Excess' of which edema is a symptom.

Other symptoms characteristic of Yin Excess include loose stools, frequent urination and feeling of heaviness.

Read more about Wu Ling San here

Ba Wei Di Huang Wan

Source date: 220 AD

Number of ingredients: 8 herbs

Key actions: Tonifies Yang. Warms the Kidneys and lower extremities.

Why might Ba Wei Di Huang Wan help with edema?

Because it is a formula often recommended to treat the pattern 'Kidney Yang Deficiency' of which edema is a symptom.

According to Chinese Medicine, Kidney Yang Deficiency can contribute to many health issues, including Late Menstruation.

Read more about Ba Wei Di Huang Wan here

Bu Zhong Yi Qi Tang

Source date: 1247

Number of ingredients: 10 herbs

Key actions: Tonifies Qi of the Spleen and Stomach (Middle Burner). Raises the Yang. Detoxifies. Lifts what has sunken.

Why might Bu Zhong Yi Qi Tang help with edema?

Because it is a formula often recommended to treat the pattern 'Blood and Qi Deficiency' of which edema is a symptom.

According to Chinese Medicine, Blood and Qi Deficiency can contribute to many health issues, including Menstrual Cramps.

Read more about Bu Zhong Yi Qi Tang here

The five Chinese Medicinal herbs most likely to help treat edema

Why might Atractylodes Rhizome (Bai Zhu) help with edema?

Because it is both specifically indicated to treat edema and also because it is an ingredient in herbal formulas known to treat edema as a symptom (such as Wan Dai Tang for instance).

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.

Read more about Atractylodes Rhizomes here

Why might Water Plantain (Ze Xie) help with edema?

Because it is both specifically indicated to treat edema and also because it is an ingredient in herbal formulas known to treat edema as a symptom (such as Wu Ling San for instance).

Water Plantain is a Cold herb that tastes Sweet. It targets the Bladder and the Kidney.

Its main actions are: Causes urination and removes Damp-Heat

Read more about Water Plantain here

Why might Milkvetch Root (Huang Qi) help with edema?

Because it is both specifically indicated to treat edema and also because it is an ingredient in herbal formulas known to treat edema as a symptom (such as Bu Zhong Yi Qi Tang for instance).

Milkvetch Roots is a Warm herb that tastes Sweet. It targets the Spleen and the Lung.

Its main actions are: Tonifies the Wei Qi and stops perspiration. Tonifies the Spleen Qi and the Yang Qi of the Earth Element. Tonifies the Qi and Blood. Expels pus and assists in the healing of wounds. Helps to regulate water metabolism in the body and reduce edema.

Read more about Milkvetch Roots here

Why might Plantain Seed (Che Qian Zi) help with edema?

Because it is both specifically indicated to treat edema and also because it is an ingredient in herbal formulas known to treat edema as a symptom (such as Yi Huang Tang for instance).

Plantain Seeds is a Cool herb that tastes Sweet. It targets the Kidney, the Liver, the Lung and the Small intestine.

Its main actions are: Encourages urination and clears Heat. Stops diarrhea by expelling water through urination. Brightens the eyes, used in combination either for Deficiency or Heat. Reduces inflammation of infections. Arrests cough and expectorates Phlegm.

Read more about Plantain Seeds here

Why might Black Atractylodes Rhizome (Cang Zhu) help with edema?

Because it is both specifically indicated to treat edema and also because it is an ingredient in herbal formulas known to treat edema as a symptom (such as Wan Dai Tang for instance).

Black Atractylodes Rhizomes is a Warm herb that tastes Bitter and Pungent. It targets the Spleen and the Stomach.

Its main actions are: Dries Damp and tonifies the Spleen. Relieves the Exterior for invasion of Wind-Cold-Damp. Relieves Wind-Damp painful obstruction. Dries Damp for either Damp-Cold or Damp-Heat when combined with the correct herbs. Clears the eyes and improves sight.

Read more about Black Atractylodes Rhizomes here