Formulas · Drain Dampness 利水滲濕 · Dansim (丹心)

Five Peels Powder

Opi-san

한글 오피산 · Pinyin Wu Pi San

五皮散

Composition 構成

Daebokpi Da Fu Pi
大腹皮 대복피 · Areca Husk

6 g
Chief 君
Bokryeongpi Fu Ling Pi
茯苓皮 복령피 · Poria Peel

6 g
Chief 君
Saenggangpi Sheng Jiang Pi
生薑皮 생강피 · Ginger Peel

6 g
Deputy 臣
Sangbaekpi Sang Bai Pi
桑白皮 상백피 · Mulberry Root Bark

6 g
Deputy 臣
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

6 g
Assistant 佐

Total 30 g per packet (첩) · representative dosage — verify against source texts.

Received this formula from your practitioner? Amounts shown here are classical reference values — granule and prepared products differ. Always follow your prescribed dosage and directions.

Actions 效能

Disinhibits water and disperses swelling without damaging the qi

Indications 主治

Pattern-based

Water swelling arising as a change from another disease
with floating vacuity

Biomedical correlates

Mild generalized oedema
Oedema in pregnancy
Post-illness fluid retention

Source text 原文

Donguibogam 東醫寶鑑

因他病, 變作水腫, 浮虛. 大腹皮ㆍ茯苓皮ㆍ生薑皮ㆍ桑白皮ㆍ陳皮各一錢半. 右剉, 作一貼, 水煎服. 《丹心》

Translation

For water swelling that has arisen as a change from another disease, with floating vacuity. Areca husk, poria peel, ginger peel, mulberry root bark and tangerine peel 1.5 don each. Cut up, make one packet, decoct in water and take. — Dansim 丹心 (Donguibogam · Bujong)

Clinical commentary 臨床

Five peels, equal weight, and the design principle is in the choice: the outer layer of a plant is held to act on the outer layer of the body, so a formula made entirely of peels treats water lying in the skin and flesh. It is the mildest prescription in the section and the one the chapter names at 2.13 for oedema following malaria or dysentery, and at 2.9 for swelling in pregnancy. Poria peel and ginger peel are registered separately from poria and ginger for exactly this reason — the peel drains where the flesh of the root warms or supplements. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.