Er Miao San - 二妙散 - Two Marvel Powder

English:	Two-Marvel Powder
Also Known As:	Powder of Two Effective Ingredients

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Cx. Phellodendri	Huang Bai	6-15g	Drains Damp-Heat, especially from the Lower Jiao and drains Kidney Fire.
Rz. Atractylodis	Cang Zhu	6-15g	Strongly dries Dampness, tonifies the Spleen, and clears Dampness from the Lower Jiao. With Huang Bai, for pain, swelling, and weakness of the lower extremities due to Wind-Dampness.

Formula Actions

• Eliminates Heat and Dampness

Syndromes

• Damp-Heat in the Lower Jiao
• Low back pain due to Heat
• Damp-Heat lodging in Lower burner (Secondary source)

Clinical Manifestations

Pain in low back and knees Aches and pains in the bones and sinews Weakness or atrophy of lower extremities Scanty yellow urine Red, hot, swollen and painful feet or knees Edema in lower legs Leukorrhea (thick, yellow, foul-smelling) Sores on lower extremities due to Damp

Redness, swelling and pain of the knees with burning sensations Oliguria Eczema T: Normal C: Yellow and greasy P: Soft and and rapid Heavy sensation in the body Fever No thirst P: Slippery or soggy (Secondary source)

Treats

Arthritis Urinary tract infection Vaginitis Vulvitis Cervicitis Beriberi Rheumatoid arthritis Gouty arthritis Muscle Bi Blepharitis Eczema Erythromelalgia Myasthenia gravis Herpes genitalia Edema Arthralgia Acute nephritis

Gonococcal arthritis Low back pain Knee pain Inflammation of the lower limbs Tinea pedis Eczema Gonorrhea Dysmenorrhea Panarthralgia Ankylosing spondylitis Neurodermatitis Dermatitis Fungal infections Weakness Vaginal discharge Polymyositis Foot pain

Contraindications And Herb/Drug Interactions

Notes

• San Miao San is Er Miao San plus Niu Xi, for stronger downward guiding; Si Miao San is San Miao San plus Yi Yi Ren, for stronger draining of Dampness.

Modifications

For low back and extremity pain:		For atrophy disorder:
+ Rx. Achyranthis Bidentatae	Niu Xi	+ Hb. Siegesbeckiae	Xi Xian Cao
+ Fr. Chaenomelis	Mu Gua	+ Cx. Acanthopanacis	Wu Jia Pi
+ Cx. Acanthopanacis	Wu Jia Pi	For leg Qi:
For leukorrhea:		+ Sm. Coicis	Yi Yi Ren
+ Poria	Fu Ling	+ Sm. Phaseoli	Chi Xiao Dou
+ Sm. Euryales	Qian Shi	+ Sm. Arecae	Bing Lang
Or		For tinea pedis:
+ Sm. Euryales	Qian Shi	+ Sm. Coicis	Yi Yi Ren
+ Cx. Ailanthi	Chun Pi	+ Fr. Chaenomelis	Mu Gua
+ Sm. Ginkgo	Bai Guo	+ Sm. Arecae	Bing Lang
For sores on the lower extremities:		For eczema:
+ Rx. Gentianae	Long Dan Cao	+ Dioscorea Seep Damp Decoction Bei Xie Shen Shi Tang
+ Sm. Coicis	Yi Yi Ren	For eczema on the abdominal region:
+ Sm. Phaseoli	Chi Xiao Dou	+ Dioscorea Seep Damp Decoction Bei Xie Shen Shi Tang
For eczema on the lower limbs:		- Cx. Phellodendri	Huang Bai
+ Dioscorea Seep Damp Decoction Bei Xie Shen Shi Tang		+ 10g. Rz. Coptidis	Huang Lian
+ 10g. Rx. Achyranthis Bidentatae	Niu Xi	+ 10g. Rx. Scutellariae	Huang Qin
+ 10g. Sm. Plantaginis	Che Qian Zi	For eczema with upper body lesions:
For eczema on the lower limbs with constipation:		+ Dioscorea Seep Damp Decoction Bei Xie Shen Shi Tang
+ Rz. et Rx. Rhei	Da Huang	- Cx. Phellodendri	Huang Bai
For weakness and pain of the lower back:		+ 10g. Fol. Mori Alba	Sang Ye
+ Rx. Achyranthis Bidentatae	Niu Xi	+ 15g. Flos Chrysanthemi	Ju Hua
For pain ad swelling of the lower limbs:		+ 3g. Periostracum Cicadae	Chan Tui
+ Rx. Achyranthis Bidentatae	Niu Xi	For severe itching and eczema on the lower part of the body:
+ Sm. Coicis	Yi Yi Ren	+ Sm. Arecae	Bing Lang
For leukorrhagia with thick, yellow, foul discharge, itching of the vulva due to Damp-Heat:		+ Rx. Sophorae Flavescentis	Ku Shen
+ Cx. Ailanthi	Chun Pi	For beriberi with oliguria and reddish urine:
For muscle Bi:		+ Sm. Arecae	Bing Lang
+ 9g Rz. Atractylodis Macrocephalae	Bai Zhu	For panarthralgia with red, swollen joints:
+ Rz. Dioscoreae Hypoglaucae	Bei Xie
+ 12g Rx. Clematidis	Wei Ling Xian	+ Sm. Coicis	Yi Yi Ren
+ 12g Rz. Smilacis Glabrae	Tu Fu Ling	+ Rx. Achyranthis Bidentatae	Niu Xi
+ 20g Sm. Coicis	Yi Yi Ren
+ 9g Rx. Angelicae Pubescentis	Du Huo	+ Pheretima	Di Long
For eczema:
+ 9g Rz. et Rx. Notopterygii	Qiang Huo	+ Dioscorea Decoction to Leach Out Dampness Bei Xie Shen Shi Tang
+ 9g Rx. Sophorae Flavescentis	Ku Shen	For eczema in the upper body:
+ Dioscorea Decoction to Leach Out Dampness Bei Xie Shen Shi Tang
+ 12g Cx. Acanthopanacis	Wu Jia Pi
+ Flos Chrysanthemi	Ju Hua
For eczema in the middle body:		+ Periostracum Cicadae	Chan Tui
+ Dioscorea Decoction to Leach Out Dampness Bei Xie Shen Shi Tang		+ Fol. Mori	Sang Ye
For eczema in the lower body:
+ Rx. Gentianae	Long Dan Cao	+ Dioscorea Decoction to Leach Out Dampness Bei Xie Shen Shi Tang
+ Rx. Scutellariae	Huang Qin
For eczema with severe itching:		+ Sm. Plantaginis	Che Qian Zi
+ Dioscorea Decoction to Leach Out Dampness Bei Xie Shen Shi Tang		+ Rz. Alismatis	Ze Xie
For eczema with burning:
+ Fr. Kochiae	Di Fu Zi	+ Dioscorea Decoction to Leach Out Dampness Bei Xie Shen Shi Tang
+ Cx. Dictamni	Bai Xian Pi
For Bi Syndrome with more Heat than Dampness:		+ Cx. Moutan	Mu Dan Pi
+ Rx., Rehmanniae	Sheng Di Huang
+ Rz. Coptidis	Huang Lian	+ Rx. Paeoniae Rubra	Chi Shao
+ Rx. Gentianae	Long Dan Cao	For Bi Syndrome with more Dampness than Heat:
+ Rx. Sophorae Flavescentis	Ku Shen
+ Talcum	Hua Shi
For atrophy disorder:		+ Rx. Stephaniae Tetrandrae	Han Fang Ji
+ Hb. Siegesbeckiae	Xi Xian Cao
+ Cx. Acanthopanacis	Wu Jia Pi	+ Medulla Tetrapanacis	Tong Cao
+ Hb. Pyrolae	Lu Xian Cao	For leg Qi:
For redness and swelling of the joints:		+ Sm. Coicis	Yi Yi Ren
+ Caulis Lonicerae	Ren Dong Teng	+ Fr. Chaenomelis	Mu Gua
+ Fr. Chaenomelis	Mu Gua	+ Sm. Arecae	Bing Lang
+ Rx. Gentianae Macrophyllae	Qin Jiao	For arthritis with Heat:
+ Flos Lonicerae	Jin Yin Hua
For arthritis with Damp-Heat and Toxins:		+ Hb. Taraxaci	Pu Gong Ying
+ Sm. Coicis	Yi Yi Ren	+ Rz. Smilacis Glabrae	Tu Fu Ling
+ Hb. Hedyotis Diffusae	Bai Hua She She Cao	For arthritis with Yin Deficiency Heat:
+ Rz. Smilacis Glabrae (large dose)	Tu Fu Ling	+ Rx. Rehmanniae	Sheng Di Huang
+ Cx. Moutan	Mu Dan Pi
For ankylosing spondylitis:		For arthritis withFluid Accumulation in the joints:
+ Hb. Taxilli	Sang Ji Sheng
+ Rx. Glycyrrhizae	Gan Cao	+ Hb. Plantaginis	Che Qian Cao
+ Rx. Gentianae Macrophyllae	Qin Jiao	+ Rx. Stephaniae Tetrandrae	Han Fang Ji
+ Rx. Stephaniae Tetrandrae	Han Fang Ji	+ Sm. Coicis	Yi Yi Ren
For erythromalelgia:
+ Rz. Cibotii	Gou Ji	+ Rx. Stephaniae Tetrandrae	Han Fang Ji
+ Caulis Piperis Kadsurae	Hai Feng Teng
+ Rx. Cyathulae	Chuan Niu Xi
+ Rx. Cynanchi Paniculati	Xu Chang Qing	+ Rx. Angelicae Dahuricae	Bai Zhi
For myasthenia gravis due to Lung and Stomach Damp Heat with Qi and Blood Stagnation:		For myasthenia gravis due to Lung and Stomach Damp Heat with Qi and Blood Stagnation with Yin Deficiency:
+ 10g Rx. Scutellariae	Huang Qin	- Rz. Atractylodis	Cang Zhu
+ 12g Rz. Dioscoreae Hypoglaucae	Bei Xie	+ 10g Rx. Scutellariae	Huang Qin
+ 12g Rx. Stephaniae Tetrandrae	Han Fang Ji	+ 12g Rz. Dioscoreae Hypoglaucae	Bei Xie
+ 30g Sm. Coicis	Yi Yi Ren	+ 12g Rx. Stephaniae Tetrandrae	Han Fang Ji
+ 15g Rx. Paeoniae Alba	Bai Shao	+ 30g Sm. Coicis	Yi Yi Ren
+ 15g Fr. Chaenomelis	Mu Gua	+ 15g Rx. Paeoniae Alba	Bai Shao
+ 15g Rx. Glehniae	Bei Sha Shen	+ 15g Fr. Chaenomelis	Mu Gua
+ 20g Bombyx Batryticatus	Jiang Can	+ 15g Rx. Glehniae	Bei Sha Shen
For myasthenia gravis due to Lung and Stomach Damp Heat with Excess Dampness, epigastric oppression and anorexia:		+ 20g Bombyx Batryticatus	Jiang Can
+ 10g Rx. Scutellariae	Huang Qin	+ Gypsum Fibrosum	Shi Gao
+ 12g Rz. Dioscoreae Hypoglaucae	Bei Xie	+ Rx. Ophiopogonis	Mai Men Dong
+ 12g Rx. Stephaniae Tetrandrae	Han Fang Ji	+ Fr. Trichosanthis	Gua Lou
+ 30g Sm. Coicis	Yi Yi Ren	+ Bul. Fritillariae Thunbergii	Zhe Bei Mu
+ 15g Rx. Paeoniae Alba	Bai Shao	For low back and knee pain:
+ 15g Fr. Chaenomelis	Mu Gua	+12g Rx. Achyranthis Bidentatae	Niu Xi
+ 15g Rx. Glehniae	Bei Sha Shen
+ 20g Bombyx Batryticatus	Jiang Can	+ 12g Extremitas Radicis Angelicae Sinensis	Dang Gui Wei
+ Cx. Magnoliae Officinalis	Hou Po	+ 10g Rx. Stephaniae Tetrandrae	Han Fang Ji
For low back and knee pain due to Wind-Damp-Heat:		+ 12g Rz. Dioscoreae Hypoglaucae	Bei Xie
+12g Rx. Achyranthis Bidentatae	Niu Xi	+ 20g Sm. Coicis	Yi Yi Ren
+ 6g Rx. Glycyrrhizae	Gan Cao
+ 12g Extremitas Radicis Angelicae Sinensis	Dang Gui Wei	For severe low back and knee pain:
+12g Rx. Achyranthis Bidentatae	Niu Xi
+ 10g Rx. Stephaniae Tetrandrae	Han Fang Ji
+ 12g Extremitas Radicis Angelicae Sinensis	Dang Gui Wei
+ 12g Rz. Dioscoreae Hypoglaucae	Bei Xie	+ 10g Rx. Stephaniae Tetrandrae	Han Fang Ji
+ 12g Rz. Dioscoreae Hypoglaucae	Bei Xie
+ 20g Sm. Coicis	Yi Yi Ren	+ 20g Sm. Coicis	Yi Yi Ren
+ 6g Rx. Glycyrrhizae	Gan Cao	+ 6g Rx. Glycyrrhizae	Gan Cao
+ 12g Rx. Saposhnikoviae	Fang Feng	+ 12g Cx. Erythrinae	Hai Tong Pi
+ 15g Caulis Lonicerae	Ren Dong Teng
+ 9g Rx. Bupleuri	Chai Hu	+ 9g Rx. Gentianae Macrophyllae	Qin Jiao
+ 9g Rz. et Rx. Notopterygii	Qiang Huo
For herpes genitalia with Spleen Deficiency:
+ 6g Rz. Chuanxiong	Chuan Xiong	+ Licorice Decoction to Drain the Epigastrium Gan Cao Xie Xin Tang
For herpes genitalia with Spleen Deficiency and infection:
- Fr. Jujube	Da Zao
+ Licorice Decoction to Drain the Epigastrium Gan Cao Xie Xin Tang		+ 9g Rx. Sophorae Flavescentis	Ku Shen
- Fr. Jujube	Da Zao	+ 9g Cx. Dictamni	Bai Xian Pi
+ 9g Rx. Sophorae Flavescentis	Ku Shen	For herpes genitalia with Spleen Deficiency and fatigue:
+ 9g Cx. Dictamni	Bai Xian Pi	+ Licorice Decoction to Drain the Epigastrium Gan Cao Xie Xin Tang
+ 15g Rx. Isatidis	Ban Lan Gen
For herpes genitalia with Spleen Deficiency and Liver Qi Stagnation:		- Fr. Jujube	Da Zao
+ 9g Rx. Sophorae Flavescentis	Ku Shen
+ Licorice Decoction to Drain the Epigastrium Gan Cao Xie Xin Tang
+ 9g Cx. Dictamni	Bai Xian Pi
- Fr. Jujube	Da Zao	+ 15-30g Rx. Astragali	Huang Qi
+ 9g Rx. Sophorae Flavescentis	Ku Shen	For low back pain due to Damp-Heat in the Lower Jiao:
+ 9g Cx. Dictamni	Bai Xian Pi	+ Rx. Aristolochiae Fangji	Guang Fang Ji
+ 9g Rx. Bupleuri	Chai Hu
For low back pain due to Damp-Heat in the Lower Jiao with External Wind:		+ Rz. Dioscoreae Hypoglaucae	Bei Xie
+ Rx. Aristolochiae Fangji	Guang Fang Ji	+ Rx. Angelicae Sinensis	Dang Gui
+ Rx. Achyranthis Bidentatae	Niu Xi
+ Rz. Dioscoreae Hypoglaucae	Bei Xie
+ Plastrum Testudinis	Gui Ban
+ Rx. Angelicae Sinensis	Dang Gui	For low back pain due to Damp-Heat in the Lower Jiao associated with Damp-Heat in the Bladder:
+ Rx. Achyranthis Bidentatae	Niu Xi
+ Plastrum Testudinis	Gui Ban	+ Rx. Aristolochiae Fangji	Guang Fang Ji
+ Rx. Bupleuri	Chai Hu
+ Rx. Angelicae Pubescentis	Du Huo	+ Rz. Dioscoreae Hypoglaucae	Bei Xie
+ Rz. Chuanxiong	Chuan Xiong	+ Rx. Angelicae Sinensis	Dang Gui
For acute nephritis:		+ Rx. Achyranthis Bidentatae	Niu Xi
+ 10g Rx. Stephaniae Tetrandrae	Han Fang Ji
+ Plastrum Testudinis	Gui Ban
+ 10g Polyporus	Zhu Ling	+ Major Separate the Clear Decoction Da Fen Qing Yin
+ 10g Rz. Alismatis	Ze Xie
+ 15g Per. Arecae	Da Fu Pi	For pain in the sole of the foot:
+ 10g Caulis Akebiae	Mu Tong	+ 15g Sm. Coicis	Yi Yi Ren
+ 30g Sm. Phaseoli	Chi Xiao Dou	+ 10g Poria	Fu Ling
+ 30gRz. Imperatae	Bai Mao Gen	+ 10g Rz. Chuanxiong	Chuan Xiong
For pain in the sole of the foot with redness and swelling:		+ 10g Rx. Achyranthis Bidentatae	Niu Xi
+ 15g Sm. Coicis	Yi Yi Ren	+ 6g Rx. Glycyrrhizae	Gan Cao
+ 10g Poria	Fu Ling	For burning pain in the sole of the foot:
+ 10g Rz. Chuanxiong	Chuan Xiong	+ 15g Sm. Coicis	Yi Yi Ren
+ 10g Rx. Achyranthis Bidentatae	Niu Xi	+ 10g Poria	Fu Ling
+ 10g Rz. Chuanxiong	Chuan Xiong
+ 6g Rx. Glycyrrhizae	Gan Cao	+ 10g Rx. Achyranthis Bidentatae	Niu Xi
+ 15g Rx. Rehmanniae	Sheng Di Huang
+ 10g Rx. Paeoniae Rubra	Chi Shao	+ 6g Rx. Glycyrrhizae	Gan Cao
+ 10g Rz. Anemarrhenae	Zhi Mu
+ 15g Hb. Taraxaci	Pu Gong Ying
For pain in the sole of the foot with itching:		+ 20g Caulis Lonicerae	Ren Dong Teng
+ 15g Sm. Coicis	Yi Yi Ren	For stabbing pain in the sole of the foot:
+ 10g Poria	Fu Ling	+ 15g Sm. Coicis	Yi Yi Ren
+ 10g Rz. Chuanxiong	Chuan Xiong	+ 10g Poria	Fu Ling
+ 10g Rx. Achyranthis Bidentatae	Niu Xi	+ 10g Rz. Chuanxiong	Chuan Xiong
+ 10g Rx. Achyranthis Bidentatae	Niu Xi
+ 6g Rx. Glycyrrhizae	Gan Cao
+ 10g Cx. Dictamni	Bai Xian Pi	+ 6g Rx. Glycyrrhizae	Gan Cao
+ 10g Rx. Sophorae Flavescentis	Ku Shen	+ 10g Pollen Typhae	Pu Huang
+ 10g Rx. Salviae Miltiorrhizae	Dan Shen
For a wound on the sole of the foot:
+ 15g Sm. Coicis	Yi Yi Ren	For pain in the sole of the foot with a fever:
+ 10g Poria	Fu Ling	+ 15g Sm. Coicis	Yi Yi Ren
+ 10g Rz. Chuanxiong	Chuan Xiong	+ 10g Poria	Fu Ling
+ 10g Rx. Achyranthis Bidentatae	Niu Xi	+ 10g Rz. Chuanxiong	Chuan Xiong
+ 10g Rx. Achyranthis Bidentatae	Niu Xi
+ 6g Rx. Glycyrrhizae	Gan Cao
+ 10g Rx. Notoginseng	San Qi	+ 6g Rx. Glycyrrhizae	Gan Cao
For pain in the sole of the foot with a bitter taste in the mouth:		+ 10g Fr. Gardeniae	Zhi Zi
For pain in the sole of the foot with insomnia and restlessness:
+ 15g Sm. Coicis	Yi Yi Ren
+ 10g Poria	Fu Ling	+ 15g Sm. Coicis	Yi Yi Ren
+ 10g Rz. Chuanxiong	Chuan Xiong	+ 10g Poria	Fu Ling
+ 10g Rx. Achyranthis Bidentatae	Niu Xi	+ 10g Rz. Chuanxiong	Chuan Xiong
+ 10g Rx. Achyranthis Bidentatae	Niu Xi
+ 6g Rx. Glycyrrhizae	Gan Cao
+ 5g Rx. Gentianae	Long Dan Cao	+ 6g Rx. Glycyrrhizae	Gan Cao
+ 10g Hb. Artemisiae Scopariae	Yin Chen Hao	+ 10g Rz. Coptidis	Huang Lian
For pain in the sole of the foot with a poor appetite:
For pain in the sole of the foot with constipation:
+ 15g Sm. Coicis	Yi Yi Ren	+ 15g Sm. Coicis	Yi Yi Ren
+ 10g Poria	Fu Ling	+ 10g Poria	Fu Ling
+ 10g Rz. Chuanxiong	Chuan Xiong	+ 10g Rz. Chuanxiong	Chuan Xiong
+ 10g Rx. Achyranthis Bidentatae	Niu Xi	+ 10g Rx. Achyranthis Bidentatae	Niu Xi
+ 6g Rx. Glycyrrhizae	Gan Cao	+ 6g Rx. Glycyrrhizae	Gan Cao
+ 10g Rx. et Rz. Rhei	Da Huang	+ 15g Endothelium Corneum Gigeriae Galli	Ji Nei Jin
For pain in the sole of the foot with diarrhea with a foul smell or bloody stools:
+ 30g Fr. Hordei Germinatus	Mai Ya
+ 15g Sm. Coicis	Yi Yi Ren
+ 10g Poria	Fu Ling	For pain in the sole of the foot with constipation:
+ 10g Rz. Chuanxiong	Chuan Xiong	+ 15g Sm. Coicis	Yi Yi Ren
+ 10g Rx. Achyranthis Bidentatae	Niu Xi	+ 10g Poria	Fu Ling
+ 10g Rz. Chuanxiong	Chuan Xiong
+ 6g Rx. Glycyrrhizae	Gan Cao	+ 10g Rx. Achyranthis Bidentatae	Niu Xi
+ 10g Rx. Pulsatillae	Bai Tou Weng
+ 6g Rx. Glycyrrhizae	Gan Cao
+ 12g Rx. Ophiopogonis	Mai Men Dong