HERB FORMULAS

SI MIAO SAN JIA WEI - 四妙散加味 - MODIFIED FOUR MARVEL POWDER

English: Modified Four Marvel Powder
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Isatidis Ban Lan Gen 30g Drains Heat, relieves Fire toxicity and cools the Blood.
Sm. Coicis Yi Yi Ren 30g Promotes urination, leaches out Dampness, strengthens the Spleen 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.
Rz. Smilacis Glabrae Tu Fu Ling 30g Relieves toxicity, eliminates Dampness and clears Damp-Heat from the skin.
With Yi Yi Ren, for joint pain due to Damp-Heat toxin.
With Bi Xie, for joint pain and turbid urine due to Damp-Heat toxin.
Hb. Leonuri Yi Mu Cao 30g Invigorates the Blood, dispels Stasis, promotes urination, reduces swelling and edema, clears Heat and resolves toxicity.
Rz. Atractylodis Cang Zhu 9g 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.
Rz. Atractylodis Macrocephalae Bai Zhu 9g Tonifies the Spleen, augments Qi, dries Dampness and promotes water metabolism.
With Cang Zhu, for Damp Cold Painful Obstruction.
Cx. Phellodendri Huang Bai 9g Drains Damp-Heat, especially from the Lower Jiao, drains Fire and relieves Fire toxicity.
With Cang Zhu and Niu Xi, for Damp-Heat leg Qi.
With Cang Zhu, eliminates Dampness and clears Heat for Damp-Heat sores.
Rx. Achyranthis Bidentatae Niu Xi 9g Invigorates the Blood, expels Blood Stasis, clears Damp-Heat in the Lower Jiao and regulates water metabolism.
With Huang Bai, Cang Zhu and Yi Yi Ren, for red, swollen and painful joints of the lower extremities from Damp-Heat Pouring Downward.
Talcum Hua Shi 18g Drains Damp-Heat.
With Gan Cao, generates fluids.
Rx. Glycyrrhizae Gan Cao 3g Harmonizes the Middle Jiao, mildly clears Heat, and detoxifies.
Rz. Dioscoreae Hypoglaucae Bi Xie 9g Resolves turbid Dampness in the Lower Jiao and clears Damp-Heat from the skin.
With Huang Bai and Yi Yi Ren, for Damp-Heat skin lesions.
Cx. Moutan Mu Dan Pi 9g Clears Heat, cools and harmonizes the Blood, invigorates the Blood and dispels Blood Stasis.
Rx. Lithospermi/Arnebiae Zi Cao 9g Clears Heat, cools the Blood, invigorates Blood circulation, relieves Fire toxins, encourages rashes and clears Damp-Heat from the skin.
With Huang Bai, for Heat in the skin disorders such as boils, eczema and burns.

FORMULA ACTIONS

  • Clears and disinhibits Dampness and Heat
  • Invigorates the Blood
  • Transforms toxins

SYNDROMES

  • Damp-Heat in the Spleen Channel

CLINICAL MANIFESTATIONS

  • Large yellowish, white skin vesicles filled with turbid fluid which easily break and seep
  • Severe aching and pain after the lesions rupture
  • Torpid intake
  • Abdominal distention
  • Loose stools
  • T: Fat and enlarged
  • C: Slippery and white or yellow
  • P: Soggy and rapid or Slippery and rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For marked Spleen Deficiency with fatigue: For a poor appetite:
+ 15g Rx. Astragali Huang Qi + 9g Massa Medicata Fermentata Shen Qi
+ 9g Rx. Codonopsis Dang Shen
For abdominal distention and diarrhea: + 9g Fr. Hordei Germinatus Mai Ya
+ 9g Per. Arecae Da Fu Pi
+ 9g Fr. Aurantii Zhi Ke For marked Dampness Accumulation:
+ 9g Rx. Aucklandiae Mu Xiang + 9g Hb. Agastaches Huo Xiang
For marked Heat: + 9g Per. Arecae Da Fu Pi
+ 15g Flos Lonicerae Jin Yin Hua + 9g Sm. Plantaginis Che Qian Zi
+ 15g Fr. Gardeniae Zhi Zi