Si Miao San Jia Wei - 四妙散加味 - Modified Four Marvel Powder

English:	Modified Four Marvel Powder
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Isatidis	Ban Lan Gen	30g	Drains Heat, relieves Fire toxicity and cools the Blood.
Sm. Coicis	Yi Yi Ren	30g	Clears Damp-Heat, Leaches out Dampness, Promotes urination, Strengthens the Spleen. With Huang Bai, Cang Zhu and Niu Xi, for Damp-Heat pouring downward leading to atrophy and weakness of the lower extremities.
Rz. Smilacis Glabrae	Tu Fu Ling	30g	Relieves toxicity, eliminates Dampness and clears Damp-Heat from the skin. With Yi Yi Ren, for joint pain due to Damp-Heat toxin. With Bi Xie, for joint pain and turbid urine due to Damp-Heat toxin.
Hb. Leonuri	Yi Mu Cao	30g	Invigorates the Blood, dispels Stasis, promotes urination, reduces swelling and edema, clears Heat and resolves toxicity.
Rz. Atractylodis	Cang Zhu	9g	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 or skin lesions due to Wind-Dampness.
Rz. Atractylodis Macrocephalae	Bai Zhu	9g	Tonifies the Spleen, augments Qi, dries Dampness and promotes water metabolism. With Cang Zhu, for Damp Cold Painful Obstruction.
Cx. Phellodendri	Huang Bai	9g	Drains Damp-Heat, especially from the Lower Jiao, drains Fire and relieves Fire toxicity. With Cang Zhu and Niu Xi, for Damp-Heat leg Qi. With Cang Zhu, eliminates Dampness and clears Heat for Damp-Heat sores.
Rx. Achyranthis Bidentatae	Niu Xi	9g	Invigorates the Blood, expels Blood Stasis, clears Damp-Heat in the Lower Jiao and regulates water metabolism. With Huang Bai, Cang Zhu and Yi Yi Ren, for red, swollen and painful joints of the lower extremities from Damp-Heat Pouring Downward.
Talcum	Hua Shi	18g	Drains Damp-Heat. With Gan Cao, generates fluids.
Rx. Glycyrrhizae	Gan Cao	3g	Harmonizes the Middle Jiao, mildly clears Heat, and detoxifies.
Rz. Dioscoreae Hypoglaucae	Bi Xie	9g	Resolves turbid Dampness in the Lower Jiao and clears Damp-Heat from the skin. With Huang Bai and Yi Yi Ren, for Damp-Heat skin lesions.
Cx. Moutan	Mu Dan Pi	9g	Clears Heat, Cools and harmonizes the Blood, Dispels Blood Stasis, Invigorates the Blood.
Rx. Lithospermi/Arnebiae	Zi Cao	9g	Clears Heat, cools the Blood, invigorates Blood circulation, relieves Fire toxins, encourages rashes and clears Damp-Heat from the skin. With Huang Bai, for Heat in the skin disorders such as boils, eczema and burns.

Formula Actions

• Clears and disinhibits Dampness and Heat
• Invigorates the Blood
• Transforms toxins

Syndromes

• Damp-Heat in the Spleen Channel

Clinical Manifestations

Large yellowish, white skin vesicles filled with turbid fluid which easily break and seep Severe aching and pain after the lesions rupture Torpid intake

Abdominal distention Loose stools T: Fat and enlarged C: Slippery and white or yellow P: Soggy and rapid or Slippery and rapid

Treats

Herpes zoster

Contraindications And Herb/Drug Interactions

Notes

Modifications

For marked Spleen Deficiency with fatigue:		For a poor appetite:
+ 15g Rx. Astragali	Huang Qi	+ 9g Massa Medicata Fermentata	Shen Qi
+ 9g Rx. Codonopsis	Dang Shen
For abdominal distention and diarrhea:		+ 9g Fr. Hordei Germinatus	Mai Ya
+ 9g Per. Arecae	Da Fu Pi
+ 9g Fr. Aurantii	Zhi Ke	For marked Dampness Accumulation:
+ 9g Rx. Aucklandiae	Mu Xiang	+ 9g Hb. Agastaches	Huo Xiang
For marked Heat:		+ 9g Per. Arecae	Da Fu Pi
+ 15g Flos Lonicerae	Jin Yin Hua	+ 9g Sm. Plantaginis	Che Qian Zi
+ 15g Fr. Gardeniae	Zhi Zi