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Bi Xie Shen Shi Tang: A Simple Guide to a Classic Heat-Clearing, Dampness-Relieving Herbal Formula

  • Writer: Health Lab
    Health Lab
  • Jan 24
  • 3 min read

Updated: May 5

Bi Xie Shen Shi Tang, or "Dioscorea Dampness-Dispersing Decoction," is a traditional Chinese herbal formula from Yike Xinde Ji·Buyi, a classic text on treating sores, skin conditions, and other ailments.

Bi Xie Shen Shi Tang
Yike Xinde Ji·Buyi

This time-honored remedy targets "damp-heat" conditions, helping with issues like urinary problems, swelling, and skin irritations. Its carefully balanced herbs and proven effectiveness make it a staple in Chinese medicine.


Bi Xie Shen Shi Tang
Bi Xie Shen Shi Tang combines several herbs

What’s in Bi Xie Shen Shi Tang?


This formula combines several herbs, organized by their roles (lead, support, assistant, and guide) for maximum impact:

  • Lead Herb: Chinese Yam (Bi Xie)Sweet and neutral, Chinese yam promotes urination, clears dampness, and detoxifies. It targets the spleen and bladder, easing symptoms like difficult urination, swelling, bloating, eczema, vaginal discharge, bitter taste, or yellow urine.

  • Support Herbs: Job’s Tears (Yi Yi Ren) and Phellodendron (Huang Bai)Job’s tears reduces swelling, strengthens the spleen, clears pus, and cools heat, working hand-in-hand with Chinese yam to flush out dampness. Phellodendron dries dampness, clears heat, and detoxifies, boosting the formula’s ability to tackle inflammation and infections.

  • Assistant Herbs: Red Poria (Chi Fu Ling) and Peony Root (Mu Dan Pi)Red poria promotes urination, supports the spleen, and calms the mind, aiding fluid balance. Peony root cools heat, moves blood, reduces swelling, and clears toxins, helping with skin issues and stagnation.

  • Guide Herbs: Water Plantain (Ze Xie), Talc (Hua Shi), and Rice Paper Plant (Tong Cao)Water plantain clears heat and boosts urination to eliminate excess water and toxins. Talc cools and promotes urination, enhancing dampness relief. Rice paper plant clears lung heat and dampness, ensuring smooth fluid flow.


These herbs are typically boiled into a tea, creating a potent remedy for damp-heat conditions.



How Bi Xie Shen Shi Tang Works


Bi Xie Shen Shi Tang excels at clearing damp-heat and restoring balance. Its key benefits include:

  • Relieves Fluid Retention: Promotes urination to reduce swelling, bloating, and difficult urination.

  • Clears Heat and Toxins: Tackles inflammation, detoxifies, and soothes symptoms like eczema, yellow urine, or bitter taste.

  • Supports Digestion: Strengthens the spleen to improve digestion and prevent dampness buildup.

  • Reduces Infections: Clears pus and heat, aiding conditions like skin irritations or vaginal discharge.


This formula is ideal for damp-heat issues, where excess moisture and inflammation cause discomfort.


What Causes These Problems?


The formula targets three main issues:

  1. Damp-Heat in the Lower Body: When damp-heat settles in the lower body (bladder, pelvis), it can cause cloudy or burning urine, often seen in urinary infections or conditions like leukorrhea. Chinese yam and other herbs clear this heat and dampness.

  2. Spleen and Stomach Imbalance: A weak spleen fails to process fluids, leading to dampness buildup, bloating, or swelling. Job’s tears and red poria strengthen the spleen to restore fluid balance.

  3. Qi and Blood Stagnation: Damp-heat can block energy (qi) and blood flow, worsening symptoms. Peony root and guide herbs like water plantain unblock these pathways.


By addressing these root causes, Bi Xie Shen Shi Tang relieves discomfort and promotes healing.



Modern Uses


Today, Bi Xie Shen Shi Tang is used for:

  • Urinary Issues: Treats infections like cystitis or urethritis, easing burning or cloudy urine.

  • Skin Conditions: Soothes eczema or rashes caused by damp-heat.

  • Women’s Health: Helps with vaginal discharge or infections.

  • Chronic Conditions: Supports management of chronic kidney or liver issues by clearing dampness and toxins.

Its anti-inflammatory and diuretic effects make it a versatile remedy in modern clinics.


Things to Keep in Mind


While effective, Bi Xie Shen Shi Tang requires careful use:

  • Avoid Long-Term Use: Its strong damp-clearing and heat-reducing effects may strain the body if used too long.

  • Eat Light Foods: Stick to a bland diet and avoid spicy or greasy foods, which can worsen damp-heat.

  • Consult a Professional: Always use under a doctor’s guidance, as this formula isn’t suitable for everyone. This article is not medical advice—see a practitioner for personalized care.


Why Bi Xie Shen Shi Tang Matters


Bi Xie Shen Shi Tang is a gem of Chinese medicine, blending herbs like Chinese yam, Job’s tears, and phellodendron to clear dampness, cool heat, and restore balance. From ancient texts to modern clinics, it tackles urinary issues, skin problems, and more with remarkable results. With proper guidance and mindful use, this formula can be a powerful ally for health, carrying forward centuries of wisdom.





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