Modified Poria Decoction,From *Proven Tea, Decoction, and Soup Recipes for Common Ailments*,Warms and tonifies heart yang; calms the heart and soothes the spirit. Indicated for arrhythmias caused by fluid accumulation overwhelming the heart.
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Commentary
Poria cocos act as the chief herb; neutral and sweet, bland in character, its action follows the Heart, Lung, Spleen, Kidney meridians, working chiefly to drain dampness, strengthen the spleen and calm the spirit. Alisma orientale (Ze-xie) joins as the supporting deputy, sweet, bland-cold in property, acting through the Kidney, Bladder meridians to promote urination, drain damp-heat and lower lipid. Atractylodes macrocephala (Bai-zhu) reinforces this deputy action, working to tonify the spleen, dry dampness, promote urination and secure the exterior. Among the assistants, Cinnamomum cassia while winter melon peel (Dong-gua-pi) (clear heat and promote urination). No dedicated envoy herb appears in this recipe, the actions being balanced among the active ingredients themselves. Collectively, the combination warm and tonify heart yang, calm the heart and soothe the spirit, addressing the arrhythmia pattern.