Si Miao Yong An Tang, Four-Variant Decoction for Well-being, is Jin Yin Hua, Xuan Shen, Dang Gui and Gan Cao. The catalogue classes it among the formulas that clear Heat and relieve toxicity, and records it as invigorating the Blood to ease pain.

Herb

Amount

90 g

90 g

60 g

30 g

Actions and indications

Clears Heat and resolves toxicity

Fire toxin blocking the Blood vessels and sinews and causing Blood stasis
It seldom has one cause: Kidney weakness of long standing, Bi from Wind, Cold and Damp, rich, greasy or spicy eating, or wrongly used Yang tonics may all play a part
Fever, thirst and restlessness
Given in the acute, inflamed stage while active Heat-toxin remains, not once the tissue has died
Tongue red; pulse rapid, sometimes slippery or forceful as well

Invigorates the Blood and alleviates pain

A limb, most often a finger or toe, that is dark red or purplish, hot, slightly swollen and extremely painful, with burning or throbbing
Ulcerated sores that do not heal, perhaps smelling foul or discharging much pus
Early gangrene of the fingers or toes with a pus-filled abscess
Local inflammation and swelling

Nourishes Yin

Modern uses

Buerger's disease (thromboangiitis obliterans)
Acute thrombotic phlebitis
Thrombophlebitis
Iliofemoral vein thrombosis
Varicose veins in the legs
Vascular Bi
Gangrene
Arteriosclerotic gangrene
Diabetic foot ulcers
Peripheral vascular and ischemic conditions
Sloughing ulcer
Erysipelas
Radiodermatitis
Erythema nodosum
Chronic hepatitis
Viral hepatitis
Cirrhosis of the liver
Chronic gastritis
Benign prostatic hypertrophy
Gout
Sciatica
Carpal tunnel syndrome

Modifications

Acute thrombotic phlebitis: + chi shao, + huai niu xi, + huang bai, + huang qin, + zhi zi, + lian qiao, + cang zhu, + han fang ji, + zi cao, + hong hua

To open the channels and move Blood more strongly: + dan shen, + mao dong qing

Extreme pain: + ru xiang, + mo yao

Severe Heat: + mu dan pi, + sheng di huang

Pronounced obstruction from stasis of Blood: + tao ren, + hong hua

Marked swelling: + huang bai, + ze xie, + guang fang ji

Qi deficiency: + huang qi, + dang shen

Excess Cold with Yang deficiency: + zhi fu zi, + gui zhi, + lu jiao shuang

Severe swelling and inflammation from Damp-Heat: + han fang ji, + huang bai, + cang zhu

Gangrene of the legs: + huai niu xi, + yi yi ren

Gangrene of the arms: + chuan xiong

Gangrene on the trunk: + du zhong

Show all 64 modifications

Thromboangiitis obliterans: + mao dong qing, + pu gong ying, + dan shen, + chi xiao dou, + chuan shan jia, + di long
Arteriosclerotic gangrene with severe pain: + quan xie, + wu gong, + bai shao
Heat and toxins in arteriosclerotic gangrene: + pu gong ying, + huang bai
Blood stagnation in arteriosclerotic gangrene: + tao ren, + hong hua
Used together with An Gong Niu Huang Wan; placement unclear
Qi deficiency in arteriosclerotic gangrene: + huang qi, + bai zhu, + fu ling
Arteriosclerotic gangrene with constipation: + jue ming zi
Thromboangiitis obliterans, second herb set: + huang qin, + ban lan gen, + chuan niu xi
Thrombophlebitis of the arms: + chuan xiong
Thrombophlebitis of the legs: + huai niu xi
Thrombophlebitis on the trunk: + du zhong
Clear swelling and inflammation in thrombophlebitis: + chuan shan jia
Phlebitis in its early stage: + che qian zi, + bai hua she she cao, + chuan niu xi
Phlebitis in its late stage: + shui zhi, + huang qi, + e zhu
Chronic gastritis: + pu gong ying, + yan hu suo, + sha ren
Chronic gastritis with nausea and a distended abdomen: + pu gong ying, + yan hu suo, + sha ren, + cang zhu, + hou po, + chao lai fu zi
Cold and Qi stagnation in chronic gastritis: + pu gong ying, + yan hu suo, + sha ren, + gao liang jiang, + xiang fu
Chronic gastritis with deficient Spleen and Zong Qi: + pu gong ying, + yan hu suo, + sha ren, + chai hu, + sheng ma, + huang qi
Chronic gastritis with belching and acid reflux (or combined with Zuo Jin Wan): + wa leng zi
Scalds and burns where Fire has damaged the Blood: + sheng di huang
Thromboangiitis of the arms: + gui zhi, + e zhu
Thromboangiitis of the legs: + chuan niu xi, + huang bai
Sciatica: + wei ling xian, + qian nian jian, + chuan niu xi
Sciatica from Damp-Heat with heaviness, soreness and pain: + wei ling xian, + qian nian jian, + chuan niu xi, + huang bai, + di long
Sciatica from Cold-Damp with cold limbs and dislike of cold: + wei ling xian, + qian nian jian, + chuan niu xi, + zhi fu zi, + xi xin
Low back pain along with sciatica: + wei ling xian, + qian nian jian, + chuan niu xi, + du zhong, + sang ji sheng
Sciatica with muscle spasm, cramping or wasting: + wei ling xian, + qian nian jian, + chuan niu xi, + yu zhu, + shen jin cao
Benign prostatic hypertrophy: + tao ren, + huai niu xi, + ze xie, + ju he, + rou gui, + chuan shan jia
Benign prostatic hypertrophy with painful, swollen testicles: + tao ren, + huai niu xi, + ze xie, + ju he, + rou gui, + chuan shan jia, + yan hu suo, + mu xiang
Constipation in benign prostatic hypertrophy: + tao ren, + huai niu xi, + ze xie, + ju he, + rou gui, + chuan shan jia, + mang xiao
Benign prostatic hypertrophy with weak, sore lower back and knees: + tao ren, + huai niu xi, + ze xie, + ju he, + rou gui, + chuan shan jia, + du zhong, + yin yang huo
Benign prostatic hypertrophy with blood in the urine: + tao ren, + huai niu xi, + ze xie, + ju he, + rou gui, + chuan shan jia, + bai mao gen, + mo han lian
Benign prostatic hypertrophy with hard nodules in the prostate area: + tao ren, + huai niu xi, + ze xie, + ju he, + rou gui, + chuan shan jia, + hong hua, + bie jia
Carpal tunnel syndrome: + wei ling xian, + ru xiang, + dan shen
Gout (combined with Si Miao San): + jin qian cao, + ru xiang, + mo yao
Gout with Heat (combined with Si Miao San): + jin qian cao, + ru xiang, + mo yao, + shi gao
Gout with headache (combined with Si Miao San): + jin qian cao, + ru xiang, + mo yao, + bai zhi
Gout with constipation (combined with Si Miao San): + jin qian cao, + ru xiang, + mo yao, + da huang
Vascular Bi from Toxic Heat with Blood stagnation: + sheng gan cao, + pu gong ying, + tu fu ling, + ye ju hua, + sheng shi gao, + zhi mu, + sheng di huang, + mu dan pi, + yu zhu, + di long, + chi shao, − gan cao, − xuan shen, − dang gui
Gout, for a stronger effect (combined with Si Miao San): + jin qian cao, + ru xiang, + mo yao, + wu gong, + chuan shan jia
Gout with urinary stones (combined with Si Miao San): + jin qian cao, + ru xiang, + mo yao
Vascular Bi: + lian qiao, + huang qin, + huang lian, + huang bai, + pu gong ying, + zi hua di ding, + mu dan pi, + bai shao, + chuan xiong, + dan shen, + sheng di huang, + shui niu jiao, − gan cao
Gout with painful, swollen joints (combined with Si Miao San): + jin qian cao, + ru xiang, + mo yao, + tu fu ling
Lupus erythematosus (combined with Yi Guan Jian)
Lupus erythematosus with Blood stagnation (combined with Yi Guan Jian): + san leng, + e zhu, + chi shao
Lupus erythematosus with enlarged liver and spleen and aching in the liver area (combined with Yi Guan Jian): + gui ban, + bie jia, + xiang fu, + yu jin
Lupus erythematosus with marked Spleen deficiency (combined with Yi Guan Jian): + fu ling, + ren shen, + bai zhu
Lupus erythematosus with rising Heat toxins (combined with Yi Guan Jian): + da huang, + long dan cao, + zhi zi
Erythema nodosum: + pu gong ying, + lian qiao, + zi hua di ding, + zhi zi, + huang bai, + han fang ji, + dan shen, + chuan niu xi
Erythema nodosum with fever: + pu gong ying, + lian qiao, + zi hua di ding, + zhi zi, + huang bai, + han fang ji, + dan shen, + chuan niu xi, + shi gao, + chai hu
Erythema nodosum with sore throat: + pu gong ying, + lian qiao, + zi hua di ding, + zhi zi, + huang bai, + han fang ji, + dan shen, + chuan niu xi, + niu bang zi, + shan dou gen
Erythema nodosum with joint pain: + pu gong ying, + lian qiao, + zi hua di ding, + zhi zi, + huang bai, + han fang ji, + dan shen, + chuan niu xi, + wei ling xian, + du huo

Cautions

contraindication Cold patterns, or deficient Qi or Blood

contraindication Sores or gangrene that are cold and deficient in type (pale, neither hot nor throbbing, or long-standing ulcers with no Heat signs)

caution The affected area should not be scratched during treatment

caution The heavy load of cold, bitter herbs can upset a weak or cold Spleen and Stomach, giving loose stools or poor appetite; it is normally given for a short acute course and then reduced

pregnancy Contains the Blood-moving herb Dang Gui; use in pregnancy only under professional guidance

caution Suspected Buerger's disease, gangrene and ulcers that refuse to heal need urgent medical care; use the formula only alongside it

Pinyin

si miao yong an tang

English Name

Four-Variant Decoction for Well-being

si miao yong an tang

About si miao yong an tang

Ingredients

Actions and indications

Clears Heat and resolves toxicity

Invigorates the Blood and alleviates pain

Nourishes Yin

Modern uses

Symptoms

Modifications

Cautions

Preparation

Names

Classification