Jia We Er Miao Wan - 加味二妙丸 - Augmented Two-Marvels Pill

English:	Augmented Two-Marvels Pill
Also Known As:	Modified Decoction of Two Effective Ingredients

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rz. Atractylodis	Cang Zhu	9-120g	Clears Dampness from the Lower Jiao.
Cx. Phellodendri	Huang Bai	6-60g	Drains Damp-Heat especially from the Lower Jiao. With Cang Zhu, eliminates Dampness and clears Heat for Lower Jiao Damp-Heat with pain, swelling, and weakness in the lower limbs.
Rx. Cyathulae	Chuan Niu Xi	30g	Dispels Blood Stasis, Expels Wind and drains Dampness, Invigorates the Blood, Strengthens the tendons and bones, Tonifies the Kidneys and Liver.
Cauda Rx. Angelicae Sinensis	Dang Gui Wei	6-30g	Invigorates and harmonizes the Blood, disperses Cold and stops pain due to Blood Stasis. With Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis.
Rx. Stephaniae Tetrandrae	Han Fang Ji	6-30g	Expels Wind-Dampness, Promotes urination, Purges Damp-Heat and alleviates pain, Reduces edema especially in the lower body.
Rz. Dioscoreae Hypoglaucae	Bei Xie	6-30g	Expels Wind-Dampness, Relaxes the sinews, Resolves turbid Dampness in the Lower Jiao, Unblocks the Luo channels.
Processed Plastrum Testudinis	Zhi Gui Ban	6-30g	Anchors Yang, Benefits the Kidneys, Nourishes Yin, Strengthens the bones.

Formula Actions

• Clears Heat
• Resolves Dampness
• Activates the Blood in the channels and collaterals

Syndromes

• Atrophy disorder (Wei Syndrome) due to Damp-Heat
• Damp-Heat lodged in the Lower Jiao affecting the bones, sinews and lumbar area

Clinical Manifestations

Heaviness of the limbs Weak and flaccid extremities Occasional numbness Slight swelling in the affected extremities Most often affects the lower extremities Possibly fever Stifling sensation in the chest and epigastrium Obesity Lower back pain with a burning sensation Yellow, foul-smelling vaginal discharge Edema

Skin problems A dry mouth Irritability A sensation of Heat that begins at the dorsum of the foot and slowly progresses up the leg to the waist Dark, scanty, painful and difficult urination Reddish urine T: Red C: Yellow and greasy P: Soft and rapid and possibly slippery

Treats

Atrophy (Wei) Syndrome Myasthenia gravis Multiple sclerosis Polyneuritis Guillain-Barre disease Acute myelitis (inflammation of the spinal cord) Progressive muscular dystrophy The sequelae of poliomyelitis Eczema Chronic nephritis Weakness Urinary tract infection

Vaginitis Acute infectious multiple neuritis Progressive myodystrophy Progressive myodystrophia Hysterical paralysis Periodic paralysis Facial paralysis Low back pain Vaginal discharge Gout Beriberi Edema

Contraindications And Herb/Drug Interactions

Notes

Modifications

For a stronger Heat clearing effect:		For Dampness predominant:
+ Caulis Akebiae	Mu Tong	+ 9g Cx. Magnoliae Officinalis	Hou Po
+ Rx. Aristolochiae Fangji	Guang Fang Ji
+ 12g Poria	Fu Ling
+ Rz. Dioscoreae Hypoglaucae	Bei Xie	+ 12g Talcum	Hua Shi
For eliminating Dampness:
For excessive Heat injuring the Yin:		- Rx. Angelicae Sinensis	Dang Gui
- Rz. Atractylodis	Cang Zhu	+ 30g Sm. Coicis	Yi Yi Ren
+ 9g Rx. Rehmanniae	Sheng Di Huang	+ 9g Caulis Akebiae	Mu Tong
+ 9g Plastrum Testudinis	Gui Ban	+ 9g Faeces Bombycis	Can Sha
+ 9g Fr. Chaenomelis	Mu Gua
+ 9g Rx. Ophiopogonis	Mai Men Dong	For numbness of the limbs with limited range of motion in the affected joints, a purple tongue and a thready choppy pulse:
+ 12g Rx. Trichosanthis	Tian Hua Fen
For Damp or rainy weather:		+ 9g Rx. Paeoniae Rubra	Chi Shao
+ 9g Rx. Agastaches	Huo Xiang	+ 9g Rx. Salviae Miltiorrhizae	Dan Shen
+ 9g Hb. Eupatorii	Pei Lan
For Wind-Damp-Heat:		+ 6g Sm. Persicae	Tao Ren
- Rx. Cyathulae	Chuan Niu Xi	+ 6g Flos Carthami	Hong Hua
- Plastrum Testudinis	Zhi Gui Ban	For Wind-Damp-Heat with severe anorexia:
+ 9g Rx. Achyranthis Bidentatae	Niu Xi	- Rx. Cyathulae	Chuan Niu Xi
- Plastrum Testudinis	Zhi Gui Ban
+ 9g Ram. Mori	Sang Zhi	+ 9g Rx. Achyranthis Bidentatae	Niu Xi
+ 6g Caulis Lonicerae	Ren Dong Teng
+ 9g Rx. Gentianae	Qin Jiao	+ 9g Ram. Mori	Sang Zhi
For Wind-Damp-Heat with inhibited defecation of loose stools:		+ 6g Caulis Lonicerae	Ren Dong Teng
+ 9g Rx. Gentianae	Qin Jiao
- Rx. Cyathulae	Chuan Niu Xi	+ 9g Rz. Acori Tatarinowii	Shi Chang Pu
- Plastrum Testudinis	Zhi Gui Ban
+ 9g Rx. Achyranthis Bidentatae	Niu Xi	For Wind-Damp-Heat with severe Damp-Heat:
- Rx. Cyathulae	Chuan Niu Xi
+ 9g Ram. Mori	Sang Zhi	- Plastrum Testudinis	Zhi Gui Ban
+ 6g Caulis Lonicerae	Ren Dong Teng	+ 9g Rx. Achyranthis Bidentatae	Niu Xi
+ 9g Rx. Gentianae	Qin Jiao
+ 12g Fr. Aurantii Immaturus	Zhi Shi	+ 9g Ram. Mori	Sang Zhi
+ 6g Caulis Lonicerae	Ren Dong Teng
For Wind-Damp-Heat with sliminess and a bland taste in the mouth:		+ 9g Rx. Gentianae	Qin Jiao
+ 6g Rz. Coptidis	Huang Lian
- Rx. Cyathulae	Chuan Niu Xi	+ 9g Hb. Eupatorii	Pei Lan
- Plastrum Testudinis	Zhi Gui Ban	For Wind-Damp-Heat with nausea and vomiting:
+ 9g Rx. Achyranthis Bidentatae	Niu Xi	- Rx. Cyathulae	Chuan Niu Xi
- Plastrum Testudinis	Zhi Gui Ban
+ 9g Ram. Mori	Sang Zhi	+ 9g Rx. Achyranthis Bidentatae	Niu Xi
+ 6g Caulis Lonicerae	Ren Dong Teng
+ 9g Rx. Gentianae	Qin Jiao	+ 9g Ram. Mori	Sang Zhi
+ 6g Hb. Agastaches	Huo Xiang	+ 6g Caulis Lonicerae	Ren Dong Teng
+ 9g Hb. Eupatorii	Pei Lan	+ 9g Rx. Gentianae	Qin Jiao
For Wind-Damp-Heat with fever:		+ 9g Mix-fried Caulis Bambusae in Taeniam	Chao Zhu Ru
- Rx. Cyathulae	Chuan Niu Xi
- Plastrum Testudinis	Zhi Gui Ban	+ 9g Hb. Agastaches	Huo Xiang
+ 9g Rx. Achyranthis Bidentatae	Niu Xi	For multiple sclerosis with severe Damp-Heat:
+ 6g Rx. Scutellariae	Huang Qin
+ 9g Ram. Mori	Sang Zhi	+ 9g Poria	Fu Ling
+ 6g Caulis Lonicerae	Ren Dong Teng	+ 9g Rz. Alismatis	Ze Xie
+ 9g Rx. Gentianae	Qin Jiao	For multiple sclerosis with Damp-Heat damaging Yin:
+ 6g Rx. Scutellariae	Huang Qin
+ 6g Rz. Coptidis	Huang Lian	+ 9g Rz. Dioscoreae	Shan Yao
+ 6g Hb. Agastaches	Huo Xiang	+ 9g Rx. Glehniae	Bei Sha Shen
For multiple sclerosis with Liver and Kidney Deficiency:		+ 9g Rx. Trichosanthis	Tian Hua Fen
For multiple sclerosis with abnormal vaginal discharge:
+ 15g Rx. Rehmanniae Preparata	Shu Di Huang
+9g Poria	Fu Ling
+ 9g Cx. Acanthopanacis	Wu Jia Pi	+ Cx. Ailanthi	Chun Pi