Name: si miao wan
Creator: Bencao Index

Si Miao Wan, Four-Marvel Pill, adds Yi Yi Ren to the San Miao Wan base of Huang Bai, Cang Zhu and Huai Niu Xi. The catalogue classes it among the formulas that clear Damp-Heat.

Herb

Amount

240 g

240 g

120 g

120 g

Actions and indications

Clears Heat and resolves Damp

Damp-Heat lodged in the Lower Jiao
Wei (atrophy) syndrome: legs weak or wasting, with marked numbness and weakness
Pain of the low back and knees
Feet or knees red, hot, swollen and painful; swollen, painful joints; swelling of the lower legs
Scanty yellow urine
Vaginal discharge that is thick, yellow and foul-smelling
Eczema, and sores on the legs from Damp
Tongue normal with a greasy yellow coat; pulse soft and rapid

Modern uses

Wei (atrophy) syndrome
Weakness
Myasthenia gravis
Multiple sclerosis
Polyneuritis
Acute infectious multiple neuritis
Guillain-Barre disease
Acute myelitis
Progressive muscular dystrophy
After-effects of poliomyelitis
Polymyositis/dermatomyositis
Periodic paralysis
Hysterical paralysis
Facial paralysis
Peripheral neuropathy
Sciatica
Herniated lumbar disc
Low back pain
Knee pain
Heel pain
Fibromyalgia
Rheumatoid arthritis
Osteoarthritis
Gout
Gouty arthritis
Gonococcal arthritis
Rheumatic fever
Beriberi
Edema
Urinary tract infection
Gonorrhea
Impotence
Vaginitis
Cervicitis
Cervical polyps
Vaginal discharge
Prolonged menstruation
Menorrhagia
Eczema
Tinea pedis
Purulent otitis media

Modifications

Show all 73 modifications

Heat so strong it damages Yin: + sheng di huang, + gui ban, + mai men dong, + tian hua fen, − cang zhu
Stiff joints and numb limbs; tongue purple, pulse thready and choppy: + chi shao, + dan shen, + tao ren, + hong hua
Damp or rainy weather: + huo xiang, + pei lan
Sciatica: + mu gua, + can sha, + yin chen hao, + guang fang ji, + ku shen, + bei xie, + hai tong pi, + hai feng teng, + luo shi teng, + wei ling xian, + sang zhi
Sciatica from Damp-Heat: + chuan niu xi, + long dan cao, + mu gua, + wu jia pi, + mu tong, + ze xie, + tu fu ling, + gan cao, − yi yi ren, − huai niu xi
Low back pain: + chuan niu xi, + han fang ji, + fu ling, + luo shi teng, − huai niu xi
Thirst, a red tongue and scanty urine with low back pain: + chuan niu xi, + han fang ji, + fu ling, + luo shi teng, + zhi zi, + mu tong, − huai niu xi
Low back pain with stones in the urinary tract: + chuan niu xi, + han fang ji, + fu ling, + luo shi teng, + jin qian cao, + hai jin sha, − huai niu xi
Insomnia and a bitter taste alongside low back pain: + chuan niu xi, + han fang ji, + fu ling, + luo shi teng, + huang lian, − huai niu xi
Urination that is frequent, urgent and painful, with low back pain: + chuan niu xi, + han fang ji, + fu ling, + luo shi teng, + che qian zi, − huai niu xi
Low back pain with blood in the urine: + chuan niu xi, + han fang ji, + fu ling, + luo shi teng, + xiao ji, − huai niu xi
Itching and oozing of the genitals, or leukorrhea, with low back pain: + chuan niu xi, + han fang ji, + fu ling, + luo shi teng, + she chuang zi, − huai niu xi
Polyneuritis: + bei xie, + ze xie, + mu gua, + chi fu ling, + tu fu ling, + xi xian cao
Herniated lumbar disc: + qin jiao
Herniated lumbar disc with marked heaviness and distention of the low back: + qin jiao, + han fang ji, + mu gua
Herniated lumbar disc where Heat predominates, with thirst and red urine: + qin jiao, + lian qiao, + zhi zi, + mu tong
Herniated lumbar disc with Yin deficiency: dry mouth and throat, low back pain worse at night, and heat in the palms, soles and chest: + qin jiao, + sheng di huang, + nu zhen zi, + mo han lian
Herniated lumbar disc with limited mobility: + qin jiao, + luo shi teng, + hai feng teng
Herniated lumbar disc with marked Kidney deficiency: + qin jiao, + gou ji, + xu duan
Spleen deficiency with a herniated lumbar disc: + qin jiao, + bai zhu, + fu ling
Blood stasis with a herniated lumbar disc: + qin jiao, + chi shao, + ru xiang, + mo yao
Paralysis: + mu gua
Severe paralysis: + mu gua, + wu jia pi
Paralysis with heavy, distended legs: + mu gua, + han fang ji, + du huo
Knees and feet red and swollen, urine red and a bitter taste, in paralysis: + mu gua, + mu tong, + che qian zi, + zhi zi
Paralysis with marked numbness and burning pain of the legs: + mu gua, + ren dong teng, + hong teng
Paralysis with swelling of the legs: + mu gua, + zhu ling, + ze xie, + che qian zi
Paralysis with Yin deficiency: + mu gua, + sheng di huang, + nu zhen zi, + mo han lian
Peripheral neuropathy: + dan shen, + ji xue teng, + sang zhi, + fu ling, + du huo, + mu gua, + wei ling xian, + bei xie
Peripheral neuropathy with aching, painful muscles: + dan shen, + ji xue teng, + sang zhi, + fu ling, + du huo, + mu gua, + wei ling xian, + bei xie, + ru xiang, + mo yao
Peripheral neuropathy with fullness, oppression and glomus in the chest: + dan shen, + ji xue teng, + sang zhi, + fu ling, + du huo, + mu gua, + wei ling xian, + bei xie, + hou po, + zhi ke, + qing pi
Peripheral neuropathy with a deviated face, mouth and eyes: + dan shen, + ji xue teng, + sang zhi, + fu ling, + du huo, + mu gua, + wei ling xian, + bei xie, + jiang can, + zhi bai fu zi, + quan xie
Peripheral neuropathy with marked swelling and heaviness of the limbs: + dan shen, + ji xue teng, + sang zhi, + fu ling, + du huo, + mu gua, + wei ling xian, + bei xie, + ze xie
Polymyositis or dermatomyositis: + bei xie, + mu gua, + han fang ji, + mu tong, + can sha
Polymyositis or dermatomyositis where Damp predominates: glomus and oppression of chest and epigastrium, heavy swollen limbs, a glossy slimy coat and a soft pulse: + bei xie, + mu gua, + han fang ji, + mu tong, + can sha, + hou po, + ze xie, + fu ling, + huo xiang, + pei lan
Polymyositis or dermatomyositis with numb, insensitive limbs that bend and straighten poorly, and a purple or spotted tongue: + bei xie, + mu gua, + han fang ji, + mu tong, + can sha, + tao ren, + hong hua, + chi shao, + dan shen
Polymyositis or dermatomyositis with cold, numb, insensitive limbs: + bei xie, + mu gua, + han fang ji, + mu tong, + can sha, + gui zhi, − huang bai
Low back pain from Damp-Heat: + du zhong, + che qian zi, + bei xie, + xu duan, + dang gui, + mu gua, + fu ling, − yi yi ren
Damp-Heat low back pain with marked heaviness and distention of the low back: + qin jiao, + han fang ji, + mu gua
Damp-Heat low back pain with marked heaviness and distention, as an alternative: + qin jiao
Damp-Heat low back pain where Heat predominates, with thirst and red urine: + qin jiao, + lian qiao, + zhi zi, + mu tong
Damp-Heat low back pain with Yin deficiency: + qin jiao, + sheng di huang, + nu zhen zi, + han lian cao
Damp-Heat low back pain with red, swollen feet: + mu tong, + che qian zi, + zhi zi
Damp-Heat low back pain with marked heaviness: + han fang ji, + mu gua
Damp-Heat low back pain with deficiency Heat: + zhi mu, + nu zhen zi, + han lian cao
Gout and heel pain: + fu ling, + chuan xiong, + gan cao
A red, swollen heel in gout and heel pain: + fu ling, + chuan xiong, + gan cao, + sheng di huang, + chi shao, + pu gong ying
Gout and heel pain with burning in the heel: + fu ling, + chuan xiong, + gan cao, + zhi mu
Itching of the heel and feet in gout and heel pain: + fu ling, + chuan xiong, + gan cao, + di gu pi, + ku shen
Stabbing pain of the heel, in gout and heel pain: + fu ling, + chuan xiong, + gan cao, + pu huang, + dan shen
A wound on the heel, in gout and heel pain: + fu ling, + chuan xiong, + gan cao, + san qi
Fever in gout and heel pain: + fu ling, + chuan xiong, + gan cao, + zhi zi
A bitter taste in gout and heel pain: + fu ling, + chuan xiong, + gan cao, + long dan cao, + yin chen hao
Gout and heel pain with restlessness and insomnia: + fu ling, + chuan xiong, + gan cao, + huang lian
Poor appetite in gout and heel pain: + fu ling, + chuan xiong, + gan cao, + ji nei jin, + mai ya
Gout and heel pain with constipation from Heat in the Large Intestine: + fu ling, + chuan xiong, + gan cao, + da huang
Cervicitis or cervical polyps with abdominal pain (combined with Jia Wei Xiao Yao San): + chuan lian zi, + yan hu suo
Cervicitis or cervical polyps where Liver Qi invades the Spleen, with no appetite and a full, painful abdomen (combined with Jia Wei Xiao Yao San): + hu po, + huo xiang, + cang zhu, + qin pi
Spotting and leukorrhea with cervicitis or cervical polyps (combined with Jia Wei Xiao Yao San): + huai hua mi, + di yu, + qian cao gen
Prolonged or heavy periods from Damp-Heat with Heat in the Blood: + di yu, + qian cao gen, + yi mu cao
Wei syndrome: + fu ling, + bei xie, + chi shao, + gan cao, + huang qi

Pinyin

si miao wan

English Name

Four-Marvel Pill

si miao wan

About si miao wan

Ingredients

Actions and indications

Clears Heat and resolves Damp

Modern uses

Symptoms

Modifications

Cautions

Names

Classification