HERB FORMULAS

ER MIAO SAN - 二妙散 - TWO MARVEL POWDER

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
  • Aches and pains in the bones and sinews
  • 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
  • Redness, swelling and pain of the knees with burning sensations
  • 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. Phaseoli 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. Phaseoli 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 Alba 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
For eczema:
+ 9g Rz. et Rx. Notopterygii Qiang Huo
+ Dioscorea Decoction to Leach Out Dampness
Bei Xie Shen Shi Tang
+ 9g Rx. Sophorae Flavescentis Ku Shen
For eczema in the upper body:
+ Dioscorea Decoction to Leach Out Dampness
Bei Xie Shen Shi Tang
+ 12g Cx. Acanthopanacis Wu Jia Pi
+ Flos Chrysanthemi Ju Hua
For eczema in the middle body:
+ Periostracum Cicadae Chan Tui
+ Dioscorea Decoction to Leach Out Dampness
Bei Xie Shen Shi Tang
 + Fol. Mori Sang Ye
For eczema in the lower body:
+ Rx. Gentianae Long Dan Cao
+ Dioscorea Decoction to Leach Out Dampness
Bei Xie Shen Shi Tang
+ Rx. Scutellariae Huang Qin
For eczema with severe itching:
+ Sm. Plantaginis Che Qian Zi
+ Dioscorea Decoction to Leach Out Dampness
Bei Xie Shen Shi Tang
 + Rz. Alismatis Ze Xie
For eczema with burning:
+ Fr. Kochiae Di Fu Zi
+ Dioscorea Decoction to Leach Out Dampness
Bei Xie Shen Shi Tang
+ Cx. Dictamni Bai Xian Pi
For Bi Syndrome with more Heat than Dampness:
+ Cx. Moutan Mu Dan Pi
+ Rx., Rehmanniae Sheng Di Huang
+ Rz. Coptidis Huang Lian + Rx. Paeoniae Rubra Chi Shao
+ Rx. Gentianae Long Dan Cao
For Bi Syndrome with more Dampness than Heat:
+ Rx. Sophorae Flavescentis Ku Shen
+ Talcum Hua Shi
For atrophy disorder: + Rx. Stephaniae Tetrandrae Han Fang Ji
+ Hb. Siegesbeckiae Xi Xian Cao
+ Cx. Acanthopanacis
+ Medulla Tetrapanacis Tong Cao
+ Hb. Pyrolae Lu Xian Cao
For leg Qi:
For redness and swelling of the joints:
+ Sm. Coicis
+ Caulis Lonicerae Ren Dong Teng + Fr. Chaenomelis Mu Gua
+ Fr. Chaenomelis Mu Gua
+ Sm. Arecae
+ Rx. Gentianae Macrophyllae Qin Jiao
For arthritis with Heat:
+ Flos Lonicerae Jin Yin Hua
For arthritis with Damp-Heat and Toxins:
 + Hb. Taraxaci Pu Gong Ying
+ Sm. Coicis Yi Yi Ren + Rz. Smilacis Glabrae Tu Fu Ling
+ Hb. Hedyotis Diffusae Bai Hua She She Cao
For arthritis with Yin Deficiency Heat:
+ Rz. Smilacis Glabrae (large dose) Tu Fu Ling + Rx. Rehmanniae Sheng Di Huang
+ Cx. Moutan Mu Dan Pi
For ankylosing spondylitis:
For arthritis with Fluid Accumulation in the joints:
+ Hb. Taxilli Sang Ji Sheng
+ Rx. Glycyrrhizae Gan Cao + Hb. Plantaginis Che Qian Cao
+ Rx. Gentianae Macrophyllae Qin Jiao + Rx. Stephaniae Tetrandrae Han Fang Ji
+ Rx. Stephaniae
Tetrandrae		 Han Fang Ji + Sm. Coicis Yi Yi Ren
For erythromalelgia:
+ Rz. Cibotii Gou Ji + Rx. Stephaniae
Tetrandrae		 Han Fang Ji
+ Caulis Piperis Kadsurae Hai Feng Teng
+ Rx. Cyathulae Chuan Niu Xi
+ Rx. Cynanchi Paniculati Xu Chang Qing + Rx. Angelicae Dahuricae Bai Zhi
For myasthenia gravis due to Lung and Stomach Damp Heat with Qi and Blood Stagnation:
For myasthenia gravis due to Lung and Stomach Damp Heat with Qi and Blood Stagnation with Yin Deficiency:
+ 10g Rx. Scutellariae Huang Qin - Rz. Atractylodis Cang Zhu
+ 12g Rz. Dioscoreae Hypoglaucae Bei Xie + 10g Rx. Scutellariae Huang Qin
+ 12g Rx. Stephaniae Tetrandrae Han Fang Ji + 12g Rz. Dioscoreae Hypoglaucae Bei Xie
+ 30g Sm. Coicis Yi Yi Ren + 12g Rx. Stephaniae Tetrandrae Han Fang Ji
+ 15g Rx. Paeoniae Alba Bai Shao + 30g Sm. Coicis Yi Yi Ren
+ 15g Fr. Chaenomelis Mu Gua + 15g Rx. Paeoniae Alba Bai Shao
+ 15g Rx. Glehniae Bei Sha Shen + 15g Fr. Chaenomelis Mu Gua
+ 20g Bombyx Batryticatus Jiang Can + 15g Rx. Glehniae Bei Sha Shen
For myasthenia gravis due to Lung and Stomach Damp Heat with Excess Dampness, epigastric oppression and anorexia:
 + 20g Bombyx Batryticatus Jiang Can
+ 10g Rx. Scutellariae Huang Qin + Gypsum Fibrosum Shi Gao
+ 12g Rz. Dioscoreae Hypoglaucae Bei Xie + Rx. Ophiopogonis Mai Men Dong
+ 12g Rx. Stephaniae Tetrandrae Han Fang Ji + Fr. Trichosanthis Gua Lou
+ 30g Sm. Coicis Yi Yi Ren + Bul. Fritillariae Thunbergii Zhe Bei Mu
+ 15g Rx. Paeoniae Alba Bai Shao
For low back and knee pain:
+ 15g Fr. Chaenomelis Mu Gua +12g Rx. Achyranthis Bidentatae Niu Xi
+ 15g Rx. Glehniae Bei Sha Shen
+ 20g Bombyx Batryticatus Jiang Can + 12g Extremitas Radicis Angelicae Sinensis Dang Gui Wei
+ Cx. Magnoliae Officinalis Hou Po + 10g Rx. Stephaniae Tetrandrae Han Fang Ji
For low back and knee pain due to Wind-Damp-Heat:
 + 12g Rz. Dioscoreae Hypoglaucae Bei Xie
+12g Rx. Achyranthis Bidentatae Niu Xi + 20g Sm. Coicis Yi Yi Ren
+ 6g Rx. Glycyrrhizae Gan Cao
+ 12g Extremitas Radicis Angelicae Sinensis Dang Gui Wei
For severe low back and knee pain:
+12g Rx. Achyranthis Bidentatae Niu Xi
+ 10g Rx. Stephaniae Tetrandrae Han Fang Ji
+ 12g Extremitas Radicis Angelicae Sinensis Dang Gui Wei
+ 12g Rz. Dioscoreae Hypoglaucae Bei Xie + 10g Rx. Stephaniae Tetrandrae Han Fang Ji
+ 12g Rz. Dioscoreae Hypoglaucae Bei Xie
+ 20g Sm. Coicis Yi Yi Ren + 20g Sm. Coicis Yi Yi Ren
+ 6g Rx. Glycyrrhizae Gan Cao + 6g Rx. Glycyrrhizae Gan Cao
+ 12g Rx. Saposhnikoviae Fang Feng + 12g Cx. Erythrinae Hai Tong Pi
+ 15g Caulis Lonicerae Ren Dong Teng
+ 9g Rx. Bupleuri Chai Hu + 9g Rx. Gentianae Macrophyllae Qin Jiao
+ 9g Rz. et Rx. Notopterygii Qiang Huo
For herpes genitalia with Spleen Deficiency:
+ 6g Rz. Chuanxiong Chuan Xiong
+ Licorice Decoction to Drain the Epigastrium
Gan Cao Xie Xin Tang
For herpes genitalia with Spleen Deficiency and infection:
- Fr. Jujube Da Zao
+ Licorice Decoction to Drain the Epigastrium
Gan Cao Xie Xin Tang
 + 9g Rx. Sophorae Flavescentis Ku Shen
- Fr. Jujube Da Zao + 9g Cx. Dictamni Bai Xian Pi
+ 9g Rx. Sophorae Flavescentis Ku Shen For herpes genitalia with Spleen Deficiency and fatigue:
+ 9g Cx. Dictamni Bai Xian Pi
+ Licorice Decoction to Drain the Epigastrium
Gan Cao Xie Xin Tang
+ 15g Rx. Isatidis Ban Lan Gen
For herpes genitalia with Spleen Deficiency and Liver Qi Stagnation: - Fr. Jujube Da Zao
+ 9g Rx. Sophorae Flavescentis Ku Shen
+ Licorice Decoction to Drain the Epigastrium
Gan Cao Xie Xin Tang
+ 9g Cx. Dictamni Bai Xian Pi
- Fr. Jujube Da Zao + 15-30g Rx. Astragali Huang Qi
+ 9g Rx. Sophorae Flavescentis Ku Shen
For low back pain due to Damp-Heat in the Lower Jiao:
+ 9g Cx. Dictamni Bai Xian Pi + Rx. Aristolochiae Fangji Guang Fang Ji
+ 9g Rx. Bupleuri Chai Hu
For low back pain due to Damp-Heat in the Lower Jiao with External Wind:
 + Rz. Dioscoreae Hypoglaucae Bei Xie
+ Rx. Aristolochiae Fangji Guang Fang Ji + Rx. Angelicae Sinensis Dang Gui
+ Rx. Achyranthis Bidentatae Niu Xi
+ Rz. Dioscoreae Hypoglaucae Bei Xie
+ Plastrum Testudinis Gui Ban
+ Rx. Angelicae Sinensis Dang Gui
For low back pain due to Damp-Heat in the Lower Jiao associated with Damp-Heat in the Bladder:
+ Rx. Achyranthis Bidentatae Niu Xi
+ Plastrum Testudinis Gui Ban + Rx. Aristolochiae Fangji Guang Fang Ji
+ Rx. Bupleuri Chai Hu
+ Rx. Angelicae Pubescentis Du Huo + Rz. Dioscoreae Hypoglaucae Bei Xie
+ Rz. Chuanxiong Chuan Xiong + Rx. Angelicae Sinensis Dang Gui
For acute nephritis: + Rx. Achyranthis Bidentatae Niu Xi
+ 10g Rx. Stephaniae Tetrandrae Han Fang Ji
+ Plastrum Testudinis Gui Ban
+ 10g Polyporus Zhu Ling
+ Major Separate the Clear Decoction
Da Fen Qing Yin
+ 10g Rz. Alismatis Ze Xie
+ 15g Per. Arecae Da Fu Pi For pain in the sole of the foot:
+ 10g Caulis Akebiae Mu Tong + 15g Sm. Coicis Yi Yi Ren
+ 30g Sm. Phaseoli Chi Xiao Dou + 10g Poria Fu Ling
+ 30gRz. Imperatae Bai Mao Gen + 10g Rz. Chuanxiong Chuan Xiong
For pain in the sole of the foot with redness and swelling: + 10g Rx. Achyranthis Bidentatae Niu Xi
+ 15g Sm. Coicis Yi Yi Ren + 6g Rx. Glycyrrhizae Gan Cao
+ 10g Poria Fu Ling For burning pain in the sole of the foot:
+ 10g Rz. Chuanxiong Chuan Xiong + 15g Sm. Coicis Yi Yi Ren
+ 10g Rx. Achyranthis Bidentatae Niu Xi + 10g Poria Fu Ling
+ 10g Rz. Chuanxiong Chuan Xiong
+ 6g Rx. Glycyrrhizae Gan Cao + 10g Rx. Achyranthis Bidentatae Niu Xi
+ 15g Rx. Rehmanniae Sheng Di Huang
+ 10g Rx. Paeoniae Rubra Chi Shao + 6g Rx. Glycyrrhizae Gan Cao
+ 10g Rz. Anemarrhenae Zhi Mu
+ 15g Hb. Taraxaci Pu Gong Ying
For pain in the sole of the foot with itching: + 20g Caulis Lonicerae Ren Dong Teng
+ 15g Sm. Coicis Yi Yi Ren For stabbing pain in the sole of the foot:
+ 10g Poria Fu Ling + 15g Sm. Coicis Yi Yi Ren
+ 10g Rz. Chuanxiong Chuan Xiong + 10g Poria Fu Ling
+ 10g Rx. Achyranthis Bidentatae Niu Xi + 10g Rz. Chuanxiong Chuan Xiong
+ 10g Rx. Achyranthis Bidentatae Niu Xi
+ 6g Rx. Glycyrrhizae Gan Cao
+ 10g Cx. Dictamni Bai Xian Pi + 6g Rx. Glycyrrhizae Gan Cao
+ 10g Rx. Sophorae Flavescentis Ku Shen + 10g Pollen Typhae Pu Huang
+ 10g Rx. Salviae Miltiorrhizae Dan Shen
For a wound on the sole of the foot:
+ 15g Sm. Coicis Yi Yi Ren For pain in the sole of the foot with a fever:
+ 10g Poria Fu Ling + 15g Sm. Coicis Yi Yi Ren
+ 10g Rz. Chuanxiong Chuan Xiong + 10g Poria Fu Ling
+ 10g Rx. Achyranthis Bidentatae Niu Xi + 10g Rz. Chuanxiong Chuan Xiong
+ 10g Rx. Achyranthis Bidentatae Niu Xi
+ 6g Rx. Glycyrrhizae Gan Cao
+ 10g Rx. Notoginseng San Qi + 6g Rx. Glycyrrhizae Gan Cao
For pain in the sole of the foot with a bitter taste in the mouth: + 10g Fr. Gardeniae Zhi Zi
For pain in the sole of the foot with insomnia and restlessness:
+ 15g Sm. Coicis Yi Yi Ren
+ 10g Poria Fu Ling + 15g Sm. Coicis Yi Yi Ren
+ 10g Rz. Chuanxiong Chuan Xiong + 10g Poria Fu Ling
+ 10g Rx. Achyranthis Bidentatae Niu Xi + 10g Rz. Chuanxiong Chuan Xiong
+ 10g Rx. Achyranthis Bidentatae Niu Xi
+ 6g Rx. Glycyrrhizae Gan Cao
+ 5g Rx. Gentianae Long Dan Cao + 6g Rx. Glycyrrhizae Gan Cao
+ 10g Hb. Artemisiae Scopariae Yin Chen Hao + 10g Rz. Coptidis Huang Lian
For pain in the sole of the foot with a poor appetite:
For pain in the sole of the foot with constipation:
+ 15g Sm. Coicis Yi Yi Ren + 15g Sm. Coicis Yi Yi Ren
+ 10g Poria Fu Ling + 10g Poria Fu Ling
+ 10g Rz. Chuanxiong Chuan Xiong + 10g Rz. Chuanxiong Chuan Xiong
+ 10g Rx. Achyranthis Bidentatae Niu Xi + 10g Rx. Achyranthis Bidentatae Niu Xi
+ 6g Rx. Glycyrrhizae Gan Cao + 6g Rx. Glycyrrhizae Gan Cao
+ 10g Rx. et Rz. Rhei Da Huang + 15g Endothelium Corneum Gigeriae Galli Ji Nei Jin
For pain in the sole of the foot with diarrhea with a foul smell or bloody stools:
+ 30g Fr. Hordei Germinatus Mai Ya
+ 15g Sm. Coicis Yi Yi Ren
+ 10g Poria Fu Ling For pain in the sole of the foot with constipation:
+ 10g Rz. Chuanxiong Chuan Xiong + 15g Sm. Coicis Yi Yi Ren
+ 10g Rx. Achyranthis Bidentatae Niu Xi + 10g Poria Fu Ling
+ 10g Rz. Chuanxiong Chuan Xiong
+ 6g Rx. Glycyrrhizae Gan Cao + 10g Rx. Achyranthis Bidentatae Niu Xi
+ 10g Rx. Pulsatillae Bai Tou Weng
    + 6g Rx. Glycyrrhizae Gan Cao
    + 12g Rx. Ophiopogonis Mai Men Dong