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<record type="formula" updated="2026-09-18T16:35:30.786452+00:00">
  <source>Bencao Index</source>
  <source-url>https://bencaoindex.com/</source-url>
  <canonical>https://bencaoindex.com/formulas/si-shen-wan/</canonical>
  <licence>Free to use and republish with visible attribution and a link back to the source page. The catalogue is a reference work and is knowingly incomplete; nothing in it is medical advice.</licence>
  <attribution-html>&lt;a href=&quot;https://bencaoindex.com/formulas/si-shen-wan/&quot;&gt;Bencao Index&lt;/a&gt;</attribution-html>
  <names>
    <name type="pinyin">si shen wan</name>
    <name type="english">Four-Miracle Pill</name>
  </names>
  <category>Restrain Leakage from the Intestines</category>
  <actions>
    <action>
      <summary>Warms and tonifies Kidney and Spleen Yang</summary>
      <indication>Spleen and Kidney Yang deficiency with diarrhea at daybreak: loose stools that come in the hours before dawn and often wake the person, preceded by rumbling of the bowels</indication>
      <indication>Cold, sore or weak low back and knees, cold limbs, tiredness and lethargy, and a liking for warmth</indication>
      <indication>Poor appetite, food passing undigested, and pain around the navel or in the abdomen</indication>
    </action>
    <action>
      <summary>Astringes the Intestines and stops diarrhea</summary>
      <indication>Chronic early-morning diarrhea from Cold and deficiency, not from Damp-Heat or food stagnation</indication>
      <indication>Tongue pale with a thin white coat; pulse deep, slow and weak</indication>
    </action>
    <action>
      <summary>Modern uses</summary>
      <indication>Daybreak diarrhea</indication>
      <indication>Chronic colitis</indication>
      <indication>Allergic colitis</indication>
      <indication>Ulcerative colitis</indication>
      <indication>Crohn&apos;s disease</indication>
      <indication>Irritable bowel syndrome</indication>
      <indication>Chronic dysentery</indication>
      <indication>Tuberculosis of the colon</indication>
      <indication>Intestinal autonomic dystonia</indication>
      <indication>Celiac disease</indication>
      <indication>Chronic pancreatitis</indication>
      <indication>Diarrhea</indication>
      <indication>Constipation</indication>
      <indication>Abdominal Cold</indication>
      <indication>Abdominal fullness and distension</indication>
      <indication>Anorexia</indication>
      <indication>Spermatorrhea</indication>
      <indication>Enuresis</indication>
      <indication>Lumbago</indication>
      <indication>Fatigue</indication>
      <indication>Hepatitis C</indication>
      <indication>AIDS/HIV</indication>
      <indication>Alzheimer&apos;s disease</indication>
      <indication>Tabes dorsalis</indication>
    </action>
  </actions>
  <constituents>
    <herb>bu gu zhi</herb>
    <herb>wu zhu yu</herb>
    <herb>rou dou kou</herb>
    <herb>wu wei zi</herb>
  </constituents>
</record>
