Theory

Si Miao Wan Four Marvels Powder - TCM Herbal Formula


Si Miao Wan Names

  • English Name: Four Marvels Powder
  • Pinyin Name: Si Miao Wan
  • Chinese Character: 四妙丸



Si Miao Wan Clinical Usages and Indications

  • 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.

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Si Miao Wan Cautions

Contraindication Notes:

  • Avoid in pregnancy.
  • Avoid in deficiency cases.
  • Generally not suitable for arthritis with cold/deficient signs.



Si Miao Wan Has 4 Ingredients

Huang Bai

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  • 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.
  • Herbs That Clear Heat and Dry Dampness

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.
  • Herbs That Drain Dampness

Cang Zhu

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  • 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.
  • Aromatic Herbs That Transform Dampness

(Huai) Niu Xi

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  • 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).
  • Herbs That Invigorate Blood
  • Cautions
    • Avoid During Pregnancy



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