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Ascites



Ascites is the collection of fluid in the peritoneal cavity, causing abdominal swellings. Symptoms include abdominal swelling, distension and discomfort, increase of weight, and shortness of Breath. It commonly causes bacterial peritonitis.

Causes include Liver Cirrhosis, Cancer, Heart disease, Tuberculosis, Pancreatitis and blockage of the Hepatic Vein. Liver Cirrhosis is the most common cause in the developed world.

Diagnosis is based on examination along with Ultrasound or CT scan.

Treatment with modern medicine involves low salt diet, diuretic and draining the fluid.

In Traditional Medicine, it is universally viewed as accumulation of Water or Damp/Phlegm. In some cases it is also associated with Yang Deficiency (which allows Water/Phlegm/Damp to accumulate). In addition, TCM views some cases as obstruction by Blood Stasis.

In the treatment of Ascites, often Hydragogue Cathartics are used to pass water through the bowels These medicines must only be used in strong individuals and are not suitable for use in the weak. These same Cathartics have sometimes been applied externally to the abdomen to
avoid internal irritation.

Western Tradition

Powder for Ascites (Isaac)
Powder to Purge in Ascites (Nicholas)
Powder of Gum Lacca Lesser (Dialacca Minor) (Mes.)
Powder of Gum Lacca Greater (Dialacca Maj.) (Mes.)
Powder of Gum Lacca Lesser of Rhasis (Dialacca)
Troches of Gum Lacca (Trochisci de Lacca) (Mesue)
Pills for Ascites (Renodeus)

Tincture of Bees

Mandala of the Sun (Se bru nye dkyil) (Tibetan)

TCM Classification

Purge Heat & Water Accumulation

Da Cheng Qi Tang
Zhou Che Wan
Shi Zao Tang


Damp Obstruction

Wu Ling San
Wu Pi San
Fang Ji Huang Ei Tang
Wei Ling Tang
Zhen Wu Tang


Cold Obstruction / Yang Deficiency

Fu Zi Li Zhong Wan
Zhen Wu Tang


Blood Stasis

Ge Xia Zhu Yu Tang
Tong Qiao Huo Xue Tang



Sample Formula

1. External Formulas:
i. Euphorbia Gan Sui with Licorice applied as a plaster to the navel

ii. Xiaozhang Tie (a medicated plaster of TCM
  Euphorbia Gan Sui
  Rhubarb (Da Huang)
  Radish seed (Lai Fu Zi)
  Aloeswood (Chen Xiang)
  Clove (Ding Xiang)
  Borneo Camphor (Bing Pian)
  Artificial Musk (Ren Gong She Xiang)

This has been clinically studied and found effective in Cirrhotic Ascites. (See here)

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  • Home
  • About
  • Resources
    • Brief Overview of Traditional Medicine
    • Timeline
    • Authors and Sources
    • Glossaries
    • Articles on Traditional Medicine
    • Photos
    • Medicine Pictures
    • Substitute Medicines
  • Theory
  • Materia Medica
    • Ayurvedic Materia Medica
    • Chinese Materia Medica
    • Tibetan Materia Medica
    • Unani Materia Medica
    • Materia Medica of Herbal Medicine FREE
    • Materia Medica of Herbal Medicine PRO >
      • *Symphytum, Comfrey
    • Animal Materia Medica
    • Mineral Materia Medica
    • Chinese Classification
    • Western Classification
    • Humoral Medicine
    • Herbal Combinations
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    • Treatment of Specific Conditions
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