Fu Ling (茯苓; Fú Líng; Latin: Poria / sclerotium of Wolfiporia cocos; English: poria) is the dried sclerotium of the fungus Wolfiporia cocos (F.A. Wolf) Ryvarden & Gilb. In Chinese medicine it is a dampness-draining herb. It is sweet, bland, and neutral, enters the Heart, Lung, Spleen, and Kidney channels, and its core actions are to promote urination and drain dampness, strengthen the spleen, and calm the Heart. It is mild: it tonifies without force and drains without violence. Older texts call it a “herb for all four seasons.” It is not Zhu Ling (polyporus). It is not Yi Yi Ren (coix). Zhu Ling drains water more purely and barely tonifies the spleen. Coix also treats painful obstruction and expels pus. Fu Ling both strengthens the spleen and drains dampness, and it calms the spirit.
It is used most often for three patterns:
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Internal water-damp — edema, scant urine, phlegm-fluid with dizziness and palpitations
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Spleen deficiency with damp stagnation — poor appetite, loose stools, heaviness
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Unsettled Heart spirit — fright palpitations, insomnia
White Fu Ling (the white inner sclerotium) is the usual piece: it strengthens the spleen, drains dampness, and calms the Heart. Fu Ling Pi (the skin) leans toward promoting urine and reducing swelling. Chi Fu Ling leans toward clearing damp-heat. Fu Shen, which includes the pine root, leans toward calming the spirit. The usual decoction dose is 10–15 g. Deficiency-cold seminal slip, or sinking qi with no water-damp, is a poor match for large amounts. Bland drainage can injure yin if fluids are already scarce.
When damp encumbers the spleen or fluid rebels upward, puffiness, loose stools, palpitations, and poor sleep are common. Fu Ling is sweet, bland, and neutral. It drains, tonifies, and calms, which is why it appears in Si Jun Zi Tang, Wu Ling San, Ling Gui Zhu Gan Tang, and Suan Zao Ren Tang. It is milder than poke root. It still drains. Long use with no dampness can thin the fluids.
Fu Ling is not a catch-all for swelling or insomnia. In yin deficiency with no dampness, or in slippage that will not hold, using it alone can drain yin. White Fu Ling or Fu Shen, and whether to pair it with Gui Zhi or Suan Zao Ren, should be decided by a licensed Chinese medicine practitioner after pattern diagnosis.