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五苓散 for diarrhea (as in the 霍乱 chapter)

By Karina • Jun 22nd, 2008 • Category: Digestion & Elimination, shanghanlun
“霍乱,头痛发热,身疼痛,热多欲饮水者,五苓散主之。

寒多不用水者,理中丸主之。”

The takeaway here is that 五苓散 can be used to treat diarrhea. If we understand 五苓散 as a diuretic (limiting, but this is what it’s been classically seen as) then the idea of 利小便,实大便 is demonstrated here.

What I see here is a kind of immune reaction where the patient has flu-like symptoms AND also is experience heat and (subsequent or otherwise) thirst.

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