HERB FORMULAS

SI MIAO WAN

English: Four-Marvel Pill
Also Known As: Pill of Four Effective Ingredients

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Cx. Phellodendri Huang Bai 24g Drains Damp-Heat, especially from the Lower Jiao and drains Kidney Fire.
Rz. Atractylodis Cang Zhu 12-24g 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 or skin lesions due to Wind-Dampness.
Rx. Achyranthis Bidentatae Niu Xi 12-24g Invigorates the Blood, expels Blood Stasis, clears Damp-Heat in the Lower Jiao and regulates water metabolism.
Sm. Coicis Yi Yi Ren 24g Promotes urination, leaches out Dampness, strengthens the Spleen, expels Wind-Dampness and clears Damp-Heat.
With Huang Bai, Cang Zhu and Niu Xi, for Damp-Heat pouring downward leading to atrophy and weakness of the lower extremities.

FORMULA ACTIONS

  • Eliminates Heat
  • Resolves Dampness

SYNDROMES

  • Damp-Heat in the Lower Jiao
  • Atrophy disorder (Wei syndrome)

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
  • Eczema
  • Painful and swollen feet
  • Pain and swelling of the joints
  • Leukorrhea (thick, yellow and foul-smelling)
  • Sores on lower extremities due to Damp
  • Severe numbness and weakness in lower extremities
  • T: Normal
  • C: Yellow and greasy
  • P: Soft and rapid

TREATS

  • Gonococcal arthritis
  • Low back pain
  • Tinea Pedis
  • Eczema
  • Gonorrhea
  • Fibromyalgia

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

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

NOTES

MODIFICATIONS

For low back and extremity pain: For atrophy disorder:
+ Fr. Chaenomelis Mu Gua + Hb. Siegesbeckiae Xi Xian Cao
+ Cx. Acanthopanacis Wu Jia Pi + Cx. Acanthopanacis Wu Jia Pi
For leukorrhea:
For leg Qi:
+ Poria Fu Ling + Sm. Phaeseoli Chi Xiao Dou
+ Sm. Euryales Qian Shi + Sm. Arecae Bing Lang
or
For tinea pedis:
+ Sm. Euryales Qian Shi
+ Fr. Chaenomelis
+ Cx. Ailanthi Chun Pi + Sm. Arecae Bing Lang
+ Sm. Ginkgo Bai Guo
For purulent otitis media - recovery stage:
For sores on the lower extremities:
 + Rx. Scrophulariae Xuan Shen
+ Rx. Gentianae Long Dan Cao + Rx. Paeoniae Alba Bai Shao
+ Sm. Phaeseoli Chi Xiao Dou + Rx. Trichosanthis Tian Hua Fen
For tendon Bi:
 + Rx. Atractylodis Macrocephalae Bai Zhu
- Sm. Coicis Yi Yi Ren
- Rx. Achyranthis Bidentatae Niu Xi + Poria Fu Ling
For purulent otitis media - recovery stage:
+ 9g Rx. Cyathulae Chuan Niu Xi + Rx. Scrophulariae Xuan Shen
+ 3g Rx. Gentianae Long Dan Cao + Rx. Paeoniae Alba Bai Shao
+ 9g Fr. Chaenomelis Mu Gua + Rx Trichosanthis Tian Hua Fen
+ 9g Cx. Acanthopanacis Wu Jia Pi + Rz. Atractylodis Macrocephalae Bai Zhu
+ 6g Caulis Akebiae Mu Tong
+ 9g Rz. Alismatis Ze Xie + Poria Fu Ling
+ 15g Rz. Smilacis Glabrae Tu Fu Ling    
+ 5g Rx. Glycyrrhizae Recens Sheng Gan Cao