HERB FORMULAS

ER MIAO SAN

English: Two-Marvel Powder
Also Known As: Powder of Two Effective Ingredients

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Cx. Phellodendri Huang Bai 6-15g Drains Damp-Heat, especially from the Lower Jiao and drains Kidney Fire.
Rz. Atractylodis Cang Zhu 6-15g Strongly dries Dampness, tonifies the Spleen, and clears Dampness from the Lower Jiao.
With Huang Bai, for pain, swelling, and weakness of the lower extremities due to Wind-Dampness.

FORMULA ACTIONS

  • Eliminates Heat and Dampness

SYNDROMES

  • Damp-Heat in the Lower Jiao
  • Low back pain due to Heat

CLINICAL MANIFESTATIONS

  • Pain in low back and knees
  • Weakness or atrophy of lower extremities
  • Scanty yellow urine
  • Red, hot, swollen and painful feet or knees
  • Edema in lower legs
  • Leukorrhea (thick, yellow, foul-smelling)
  • Sores on lower extremities due to Damp
  • Oliguria
  • Eczema
  • T: Normal
  • C: Yellow and greasy
  • P: Soft and and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Modify for those with Lung Heat or Liver and Kidney Deficiency.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For low back and extremity pain: For atrophy disorder:
+ Rx. Achyranthis Bidentatae Niu Xi + Hb. Siegesbeckiae Xi Xian Cao
+ Fr. Chaenomelis
+ Cx. Acanthopanacis
+ Cx. Acanthopanacis Wu Jia Pi
For leg Qi:
For leukorrhea:
+ Sm. Coicis
+ Poria
+ Sm. Phaeseoli Chi Xiao Dou
+ Sm. Euryales Qian Shi
+ Sm. Arecae
or
For tinea pedis:
+ Sm. Euryales
+ Sm. Coicis Yi Yi Ren
+ Cx. Ailanthi Chun Pi
+ Fr. Chaenomelis
+ Sm. Ginkgo
 + Sm. Arecae Bing Lang
For sores on the lower extremities:
For eczema:
+ Rx. Gentianae
+ Dioscorea Seep Damp Decoction
Bei Xie Shen Shi Tang
+ Sm. Coicis Yi Yi Ren
For eczema on the abdominal region:
+ Sm. Phaeseoli Chi Xiao Dou
+ Dioscorea Seep Damp Decoction
Bei Xie Shen Shi Tang
For eczema on the lower limbs:
 - Cx. Phellodendri Huang Bai
+ Dioscorea Seep Damp Decoction
Bei Xie Shen Shi Tang
 + 10g. Rz. Coptidis Huang Lian
+ 10g. Rx. Achyranthis Bidentatae Niu Xi + 10g. Rx. Scutellariae Huang Qin
+ 10g. Sm. Plantaginis Che Qian Zi
For eczema with upper body lesions:
For eczema on the lower limbs with constipation:
+ Dioscorea Seep Damp Decoction
Bei Xie Shen Shi Tang
+ Rz. et Rx. Rhei Da Huang - Cx. Phellodendri Huang Bai
For weakness and pain of the lower back:
 + 10g. Fol. Mori Albae Sang Ye
+ Rx. Achyranthis Bidentatae Niu Xi + 15g. Flos Chrysanthemi Ju Hua
For pain ad swelling of the lower limbs:
 + 3g. Periostracum Cicadae Chan Tui
+ Rx. Achyranthis Bidentatae Niu Xi
For severe itching and eczema on the lower part of the body:
+ Sm. Coicis Yi Yi Ren + Sm. Arecae Bing Lang
For leukorrhagia with thick, yellow, foul discharge, itching of the vulva due to Damp-Heat:
+ Rx. Sophorae Flavescentis Ku Shen
+ Cx. Ailanthi Chun Pi
For beriberi with oliguria and reddish urine:
For muscle Bi:
 + Sm. Arecae Bing Lang
+ 9g Rz. Atractylodis Macrocephalae Bai Zhu
For panarthralgia with red, swollen joints:
+ Rz. Dioscoreae Hypoglaucae Bei Xie
+ 12g Rx. Clematidis Wei Ling Xian + Sm. Coicis Yi Yi Ren
+ 12g Rz. Smilacis Glabrae Tu Fu Ling + Rx. Achyranthis Bidentatae Niu Xi
+ 20g Sm. Coicis Yi Yi Ren
+ 9g Rx. Angelicae Pubescentis Du Huo + Pheretima Di Long
   
+ 9g Rz. et Rx. Notopterygii Qiang Huo    
+ 9g Rx. Sophorae Flavescentis Ku Shen    
   
+ 12g Cx. Acanthopanacis Wu Jia Pi