Herb

Amount

niu huang

4.5 g

4.5 g

3 g

3 g

3 g

4.5 g

Actions and indications

Clears Heat and relieves toxicity

Acute, local Heat-toxin of the throat or skin
Wind-Heat attacking the Lungs on top of Heat in the Spleen and Stomach, giving pustular tonsillitis (Phlegm-Fire)
Sudden, severe sore throat that is red and swollen, with difficulty swallowing
Infants with convulsions from high fever
Tongue red with a greasy yellow coat; pulse rapid

Reduces swelling and relieves pain

Early boils, furuncles, carbuncles and abscesses; erysipelas; acute local infection
Red streaks of lymphangitis, or swollen, tender lymph nodes, including mumps
Sores of the mouth or tongue

Modern uses

Acute tonsillitis
Acute laryngitis
Pustular tonsillitis, one or both sides
Acute pharyngitis
Aphthous stomatitis
Lymphangitis
Wound septicemia
Acute hepatitis
Chronic hepatitis
Asthma
Boils
Early rheumatoid arthritis of Heat Bi type
Angina
Cellulitis
Leukemia
Appendicitis
Bronchitis
High fever
Loss of voice
Rheumatic fever
Influenza
Periodontitis
Carbuncles
Furuncles
Abscesses
Diphtheria
Scarlet fever
Breast abscesses
Follicular stomatitis
Mastitis
Nasopharyngeal carcinoma
Lung cancer
Nasopharyngeal cancer
Herpes zoster
Nephritis
Vaginitis
Otitis media
Pulpitis
Osteoarthritis
Sore throat
Common cold
Erysipelas
Mumps

Cautions

contraindication Several ingredients are toxic, tightly restricted, or taken from endangered species; use only under a licensed practitioner, within local law and with verified sourcing

caution Chan Su (toad venom) contains bufadienolides that act on the heart like digitalis; poisoning causes slow or irregular heartbeat and high potassium and has been fatal

caution With digoxin: Chan Su acts like a cardiac glycoside and can give false results on some digoxin blood tests

caution Xiong Huang (realgar) is an arsenic mineral; it is regulated in many countries and carries a risk of liver and kidney harm with long exposure or poor-quality sourcing

caution She Xiang (musk) comes from the endangered, CITES-listed musk deer

caution For short-term use in acute cases only; avoid large doses, prolonged or preventive use

caution Use carefully in people with underlying weakness or deficiency

pregnancy Contraindicated in pregnancy; She Xiang strongly moves the Blood and was traditionally used to bring on miscarriage

paediatric Traditionally contraindicated in infants

Manufactured patent pill: the ingredients are finely powdered and bound with wine into tiny pills, with Chan Su dissolved in the wine; also used as a gargle, and traditionally as a paste on the skin

Pinyin

liu shen wan

English Name

Six Miracle Decoction

liu shen wan

About liu shen wan

Ingredients

Actions and indications

Clears Heat and relieves toxicity

Reduces swelling and relieves pain

Modern uses

Symptoms

Cautions

Preparation

Names

Classification