HERB FORMULAS

SI SHEN WAN - 四神丸 - FOUR MIRACLE PILL - PSORALIA AND MYRISTICA FORMULA

English: Four Miracle Pill
Also Known As: Four Divinity Pill
Psoralia and Myristica Formula
Pills of Four Miraculous Drugs

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Fr. Psoraliae Bu Gu Zhi 9-120g Tonifies the Kidneys, strengthens Yang, stops diarrhea, tonifies and warms the Spleen and treats Ming Men Deficiency Fire.
With Rou Dou Kou, Wu Wei Zi and Wu Zhu Yu, for daybreak diarrhea with abdominal pain, and borborygmus, better after evacuation, and a deep thready pulse with a white tongue coat.
Fr. Evodiae Wu Zhu Yu 6-30g Warms the Middle Jiao, disperses Cold, warms the Spleen, stops diarrhea, dries Dampness and expels Damp-Cold.
With Wu Wei Zi and Bu Gu Zhi, for daybreak diarrhea associated with Spleen and Kidney Yang Deficiency.
With Sheng Jiang, for vertex migraine headaches.
Sm. Myristicae Rou Dou Kou 6-60g Astringes Intestines, warms the Middle Jiao, stops diarrhea and treats chronic intractable or daybreak diarrhea due to Spleen and Kidney Yang Deficiency.
With Bu Gu Zhi, for daybreak diarrhea due to Spleen and Kidney Deficiency Cold.
With Bu Gu Zhi and Wu Wei Zi, for daybreak diarrhea due to Spleen and Kidney Deficiency Cold.
Fr. Schisandrae Wu Wei Zi 6-60g Replenishes Qi and stops diarrhea.
With Bu Gu Zhi and Rou Dou Kou, for Kidney Deficiency with chronic dysentery and daybreak diarrhea.
With Wu Zhu Yu, fried together as a powder for chronic diarrhea due to Spleen and Kidney Deficiency Cold.
Rz. Zingiberis Recens Sheng Jiang 1-240g Disperses Cold and warms the middle.
With Da Zao, alleviates epigastric pain, nausea and vomiting by strengthening the Spleen, protects Stomach Qi and reduces irritation of the Gastrointestinal tract by other herbs.
Fr. Jujube Da Zao 3-100g Strengthens the Spleen and tonifies Qi.
With Sheng Jiang, alleviates epigastric pain, nausea, and vomiting by strengthening the Spleen and enhances effects of other Qi and Blood tonics by facilitating their digestion and absorption.

FORMULA ACTIONS

  • Warms and Tonifies the Spleen and Kidneys
  • Astringes the Intestines
  • Stops diarrhea

SYNDROMES

  • Diarrhea due to Spleen and Kidney Yang Deficiency

CLINICAL MANIFESTATIONS

  • Daybreak ("cock-crow") diarrhea
  • Low appetite
  • Inability to digest food
  • Sore low back
  • Cold limbs
  • Fatigue
  • Lethargy
  • Periumbilical pain
  • Maybe abdominal pain
  • Borborygmus just before dawn
  • T: Pale
  • C: Thin and white
  • P: Deep, forceless and slow

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Stomach or Intestinal Stagnation.
  • Do not eat cold or raw foods while using this formula.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For severe Yang Deficiency with backache, severe abdominal cold pain and cold extremities: For prolapsed rectum:
+ 6g Rx. Lateralis Aconiti Preparata Zhi Fu Zi + Rx. Astragali Huang Qi
+ 3g Cx. Cinnamomi Rou Gui + Rz. Cimicifugae Sheng Ma
or
 + Rx. Codonopsis Dang Shen
Restore the Right Pill
You Gui Wan
or
For lower abdominal pain:
+ Tonify the Middle and Augment Qi Decoction
Bu Zhong Yi Qi Tang
- Fr. Schisandrae Wu Wei Zi
For uncontrolled diarrhea:
- Fr. Evodiae Wu Zhu Yu + Per. Papaveris Ying Su Ke
+ Fr. Foeniculi Xiao Hui Xiang + Fr. Chebulae He Zi
+ Rx. Aucklandiae Mu Xiang
For Interior Cold with abdominal pain and nausea:
For Spleen and Kidney Yang Deficiency with anorexia and incessant enduring diarrhea:
+ Regulate the Middle Pill
Li Zhong Wan
+ 12g Earth stir-fried Rz. Atractylodis Macrocephalae Bai Zhu
For incessant diarrhea:
+ 9g Stir-fried Rx. Dioscoreae Shan Yao + 9g Stir-fried Sm. Nelumbinis Lian Zi
For low back and knee aching and flaccidity:
+ 9g Sm. Euryales Qian Shi
+ 9g Rx. Morindae Officinalis Ba Ji Tian
For impotence:
+ 9g Rz. Cibotii Gou Ji + 9g Rz. Curculiginis Xian Mao
For frequent nocturia and/or dribbling urine:
+ 9g Hb. Epimedii
+ 9g Salt-fried Fr. Alpiniae Oxyphyllae Yi Zhi Ren
For diarrhea:
+ Rz. Zingiberis Preparata Pao Jiang
+ 9g Fr. Rubi Fu Pen Zi
For dysentery:
+ Rz. Atractylodis Macrocephalae Bai Zhu
+ Important Formula for Painful Diarrhea
Tong Xie Yao Fang
+ Rx. Astragali Huang Qi
+ Rx. Aucklandiae Mu Xiang + Rx. Lateralis Aconiti Preparata Zhi Fu Zi
+ Rz. Coptidis Huang Lian
+ Rx. Glycyrrhizae Gan Cao + Cx. Cinnamomi Rou Gui
For irritable bowel syndrome with alternating diarrhea and constipation:
For early-stage colitis:
- Sm. Myristicae Rou Dou Kou
Ginseng, Poria and Atractylodes Macrocephalae Powder
Shen Ling Bai Zhu San
- Rz. Zingiberis Recens Sheng Jiang
+ 5g Rz. Zingiberis Preparata Pao Jiang
For middle-stage colitis:
+ 12g Cx. Phellodendri Huang Bai + 12g Rx. et Rz. Rhei Da Huang
+ 12g Rz. Atractylodis Cang Zhu + 15g Cx. Magnoliae Officinalis Hou Po
+ 15g Rz. Coptidis Huang Lian
For late-stage colitis:
+ 10g Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+ 12g Fr. Chebulae He Zi
+ 10g Per. Papaveris Ying Su Ke
For enuresis:
For seminal emission:
+ Fr. Alpiniae Oxyphyllae Yi Zhi Ren
+ 30g Fr. Corni Shan Zhu Yu
For constipation:
+ 24g Rx. Paeoniae Alba Bai Shao + Per. Zanthoxyli Chuan Jiao
For Spleen and Kidney Yang Deficiency:
+ Sulfur Liu Huang
+ Decoction to Regulate the Middle
Li Zhong Tang
For Spleen and Kidney Yang Deficiency with significant abdominal pain:
- Rz. Zingiberis Sheng Jiang
+ Decoction to Regulate the Middle
Li Zhong Tang
- Fr. Jujube Da Zao
For elderly or severely ill patients with incessant diarrhea and possibly hemorrhoids or rectal prolapse and no remaining pathogen:
- Rz. Zingiberis Sheng Jiang
- Fr. Jujube Da Zao
+ Decoction to Regulate the Middle
Li Zhong Tang
+ 15g dry-fried Fr. Foeniculi Chao Xiao Hui Xiang
- Rz. Zingiberis Sheng Jiang + 9-12g Rz. Alpiniae Officinarum Gao Liang Jiang
- Fr. Jujube Da Zao
+ 30-60g Honey-fried Rx. Astragali Zhi Huang Qi
For Spleen and Kidney Yang Deficiency with severe Cold:
+ Decoction to Regulate the Middle
Li Zhong Tang
+ 12g Fr. Chebulae He Zi
+ 30g Halloysitum Rubrum Chi Shi Zhi - Rz. Zingiberis Sheng Jiang
- Fr. Jujube Da Zao
For Spleen and Kidney Yang Deficiency Jing Deficiency:
+ 6-12g Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+ Decoction to Regulate the Middle
Li Zhong Tang
For Qi Deficiency (the elderly):
+ 9g Rx. Astragali Huang Qi
- Rz. Zingiberis Sheng Jiang + 3g Rz. Zingiberis Gan Jiang
- Fr. Jujube Da Zao
For hepatitis C:
+ 2-3g daily Cornu Cervi Pantotrichum (in capsules) Lu Rong
+ Decoction to Regulate the Middle
Li Zhong Tang
For hepatitis C with severe Yang Deficiency:
+ Decoction to Regulate the Middle
Li Zhong Tang
For hepatitis C with severe Qi Deficiency and enduring diarrhea:
+ Decoction to Regulate the Middle
Li Zhong Tang
+ 6g Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+ 15g Rx. Astragali Huang Qi
For hepatitis C with low back and knee pain and weakness:
+ 6g Per. Citri Reticulatae Chen Pi
+ Decoction to Regulate the Middle
Li Zhong Tang
+ 4.5g Rz. Cimicifugae Sheng Ma
+ 3g Rx. Bupleuri Chai Hu + 9g Rx. Dipsaci Xu Duan
For hepatitis C with scanty urination and edema:
+ 9g Rx. Cibotii Gou Ji
+ Decoction to Regulate the Middle
Li Zhong Tang
For hepatitis C with pain in the Liver area:
+ Decoction to Regulate the Middle
Li Zhong Tang
+ 9g Ram. Cinnamomi Gui Zhi
+ 9g Rz. Alismatis Ze Xie + 9g Rx. Paeoniae Rubra Chi Shao
+ 9g Sm. Plantaginis Che Qian Zi
For hepatitis C with severe Kidney Yang Deficiency:
+ 9g Rx, Salviae Miltiorrhizae Dan Shen
+ Decoction to Regulate the Middle
Li Zhong Tang
 + 9g Rx. Bupleuri Chai Hu
For ulcerative colitis:
+12g Rx. Rehmanniae Preparata Shu Di Huang + 10g Rx. Aconiti Lateralis Preparata Zhi Fu Zi
+ 9g Rx. Dioscoreae Shan Yao + 12g Rx. Codonopsis Dang Shen
+ 9g Fr. Corni Shan Zhu Yu + 12g Rz. Atractylodis Macrocephalae Bai Zhu
+ 6g Fr. Amomi Sha Ren
+ 6g Rx. Aconiti Lateralis Preparata Zhi Fu Zi + 30g Halloysitum Rubrum Chi Shi Zhi
    + 6g Rx. Glycyrrhizae Preparata Zhi Gan Cao