Si Miao SiMiao Four Marvels Powder 四妙丸 si miao four marvels powder

Si Miao Wan - Four Marvels Powder

四妙丸

Clinical Usage

  • Damp-Heat Bi-Syndromes in Chinese Medicine terms - arthritis with hot swollen joints. With the right underlying diagnosis both osteo-arthritis and rheumatoid arthritis would respond.
  • Gout.
  • Weakness and/or atrophy in the lower body with swelling.
  • Leukorrhea and other heat related discharge.

Cautions & Precautions

  • Avoid in pregnancy.
  • Avoid in deficiency cases.
  • Generally not suitable for arthritis with cold/deficient signs.
Relationships
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Formulas Related by Clinical Functions

Si Miao Wan is in the "Clear Damp-Heat" group within the "Expel Dampness" category.

Other Formulas in "Clear Damp-Heat" (11)

Other Formulas in "Expel Dampness" (21)

Common Formula Ingredients

Si Miao Wan is generally comprised of the following 4 ingredients:

Cang Zhu
Cang Zhu
Atractylodes
  • Strongly dries dampness, strengthens spleen - low appetite, diarrhea, epigastric distention, fatigue, vomiting, greasy tongue coat.
  • Expels wind-damp-cold (bi-syndrome) in extremities.
  • Clears damp-heat from lower burner (combine with clear-heat herbs, however, as this has a warm nature (for example, Er Miao San) - vaginal discharge, swollen and sore joints.
  • Induces sweating, release the exterior.
  • Improves vision.
Cang Zhu is also included in 10 formulas
Huai Niu Xi
Huai Niu Xi
Achyranthes Root
  • Invigorates blood, expels blood stasis - dysmenorrhea, amenorrhea, lochioschesis.
  • Strengthens the sinews, bones, and joints - lower back and knee issues due to deficiency (tonifies the liver and kidneys).
  • Clears damp heat in the lower burner - damp-heat pouring downward manifesting as back and knee pain, w/lin.
  • Brings blood downward - yin deficiency with fire or hot blood in the upper warmer, vomiting blood, toothache, nosebleed, dizziness, headache, blurred vision (yang rising).
Huai Niu Xi is also included in 3 formulas
Huang Bai
Huang Bai
Amur Cork Tree Bark, Phellodendron
  • Drains damp heat from the lower jiao - thick-yellow leukorrhea, foul-smelling diarrhea, dysentery; damp-heat pouring downward or hot leg qi - red, swollen, painful knees, legs, and/or feet; damp-heat jaundice.
  • Drains kidney fire with signs of yin deficiency - steaming bone disorder, night sweats, afternoon fever and sweating, nocturnal emissions, spermatorrhea.
  • Drains fire, relieves toxicity - sores and lesions of the skin.
Huang Bai is also included in 4 formulas
Yi Yi Ren
Seeds of Job's Tears
  • Promotes urination, drains dampness - edema, difficult urination, damp leg qi.
  • Strengthens the spleen, stops diarrhea.
  • Clears heat and expels pus - carbuncles, lung or intestinal abscesses.
  • Expels wind-damp, relieves joint and muscle pain.
  • Clears damp-heat - any damp-heat disorder at any level with greasy tongue coating and digestive problems.
Yi Yi Ren is also included in 5 formulas