HERB FORMULAS

SAN MIAO WAN - 三妙丸 - THREE MARVEL PILL

English: Three Marvel Pill
Also Known As:

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Cx. Phellodendri Huang Bai 12g Drains Damp-Heat especially from the Lower Jiao and drains Kidney Fire.
With Cang Zhu and Chuan Niu Xi, for Damp-Heat leg Qi.
Soaked Rz. Atractylodis Jin Cang Zhu 18g Strongly clears Dampness from the Lower Jiao, expels Wind-Dampness and tonifies the Spleen.
With Cang Zhu, eliminates Dampness and clears Heat.
With Huang Bai, for pain, swelling, and weakness of the lower extremities, atrophy disorder (Wei Syndrome), vaginal discharge and Damp-sores due to Wind-Dampness.
Rx. Cyathulae Chuan Niu Xi 6g Invigorates the Blood, dispels Blood Stasis, expels Wind, drains Dampness, tonifies the Kidneys and Liver and strengthens the tendons and bones.
(Rx. Achyranthis Bidentatae) (Huai Niu Xi) (6g) (Substitutes for Chuan Niu Xi.)
Rz. Zingiberis Recens Sheng Jiang 3g Normalizes the flow of Qi at the center.

FORMULA ACTIONS

  • Clears Heat
  • Dries Dampness

SYNDROMES

  • Damp-Heat in the Lower Jiao
  • Weakness of bones and sinews due to Liver and Kidney Deficiency

CLINICAL MANIFESTATIONS

  • Red hot swollen painful joints
  • Leg numbness and pain
  • Burning sensations in the feet
  • Weak low back
  • Weak lower limbs
  • Atrophy of the lower limbs
  • Scanty, yellow urine
  • Lower back pain
  • Thick, yellow, foul smelling vaginal discharge
  • Lower limb sores due to Dampness
  • T: Pink and maybe swollen
  • C: Yellow and greasy
  • P:Rapid

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For ALS due to Damp-Heat: For ALS due to Damp-Heat with Spleen Qi Deficiency:
- Rz. Zingiberis Recens Sheng Jiang
+ 9g Rz. Dioscoreae Hypoglaucae Bei Xie - Rz. Zingiberis Recens Sheng Jiang
+ 9g Rz. Dioscoreae Hypoglaucae Bei Xie
+ 6g Rz. Acori Tatarinowii Shi Chang Pu
+ 6g Rz. Acori Tatarinowii Shi Chang Pu
For ALS due to Damp-Heat with Liver Qi Stagnation:
+ 9g Rz. Atractylodis Macrocephalae Bai Zhu
- Rz. Zingiberis Recens Sheng Jiang
+ 9g Rz. Dioscoreae Hypoglaucae Bei Xie + 9g Poria Fu Ling
+ 9g Rx. Codonopsis Dang Shen
+ 6g Rz. Acori Tatarinowii Shi Chang Pu + 6g Rx. Glycyrrhizae Gan Cao
For ALS due to Damp-Heat with Kidney and Liver Yin Deficiency:
+ 6g Fr. Toosendan Chuan Lian Zi
+ 6g Rx. Curcumae Yu Jin - Rz. Zingiberis Recens Sheng Jiang
+ 6g Rx. Bupleuri Chai Hu + 9g Rz. Dioscoreae Hypoglaucae Bei Xie
+ 12g Rx. Paeoniae Alba Bai Shao
For ALS due to severe Damp-Heat: + 6g Rz. Acori Tatarinowii Shi Chang Pu
- Rz. Zingiberis Recens Sheng Jiang
+ 9g Rz. Dioscoreae Hypoglaucae Bei Xie + 15g Rx. Rehmanniae Preparata Shu Di Huang
+ 6g Rz. Acori Tatarinowii Shi Chang Pu + 9g Cx. Acanthopanacis Wu Jia Pi
+ 6g Rx. Scutellariae Huang Qin For ALS due to severe Damp-Heat with damaged Yin:
+ 9g Poria Fu Ling
+ 9g Rz. Alismatis Ze Xie - Rz. Zingiberis Recens Sheng Jiang
For premenstrual breast distention and fibrocystic breast disease: + 9g Rz. Dioscoreae Hypoglaucae Bei Xie
+ Rz. Cyperi Xiang Fu + 6g Rz. Acori Tatarinowii Shi Chang Pu
For hip pain:
+ White Tiger Plus Cinnamon Twig Decoction
Bai Hu Jia Gui Zhi Tang
+ 9g Rz. Dioscoreae Shan Yao
+ 9g Rx. Glehniae Bei Sha Shen
- Rz. Zingiberis Recens Sheng Jiang + 9g Rx. Trichosanthis Tian Hua Fen
+ 10g Rx. Clematidis Wei Ling Xian For hip pain with a fever:
+ 10g Rx. Stephaniae Tetrandrae Han Fang Ji
+ White Tiger Plus Cinnamon Twig Decoction
Bai Hu Jia Gui Zhi Tang
+ 15g Ram. Mori Sang Zhi - Rz. Zingiberis Recens Sheng Jiang
For hip pain with red, swollen hips: + 10g Rx. Clematidis Wei Ling Xian
+ White Tiger Plus Cinnamon Twig Decoction
Bai Hu Jia Gui Zhi Tang
 + 10g Rx. Stephaniae Tetrandrae Han Fang Ji
- Rz. Zingiberis Recens Sheng Jiang + 15g Ram. Mori Sang Zhi
+ 10g Rx. Clematidis Wei Ling Xian + 10g Flos Lonicerae Jin Yin Hua
+ 10g Rx. Stephaniae Tetrandrae Han Fang Ji + 10g Fr. Forsythiae Lian Qiao
For hip pain with pus in the hip joint:
+ 15g Ram. Mori Sang Zhi
+ White Tiger Plus Cinnamon Twig Decoction
Bai Hu Jia Gui Zhi Tan
+ 10g Rz. Smilacis Glabrae Tu Fu Ling
- Rz. Zingiberis Recens Sheng Jiang
+ 15g Rx. Rehmanniae Sheng Di Huang + 10g Rx. Clematidis Wei Ling Xian
For severe hip pain: + 10g Rx. Stephaniae Tetrandrae Han Fang Ji
+ White Tiger Plus Cinnamon Twig Decoction
Bai Hu Jia Gui Zhi Tan
+ 15g Ram. Mori Sang Zhi
- Rz. Zingiberis Recens Sheng Jiang + 10g Fr. Kochiae Di Fu Zi
+ 10g Rx. Clematidis Wei Ling Xian +10g Rx. Paeoniae Rubra Chi Shao
+ 10g Rx. Stephaniae Tetrandrae Han Fang Ji
For hip pain with a poor appetite:
+ 15g Ram. Mori Sang Zhi
+ White Tiger Plus Cinnamon Twig Decoction
Bai Hu Jia Gui Zhi Tan
+ 10g Rz. Curcumae Longae Huang Jing
- Rz. Zingiberis Recens Sheng Jiang
For hip pain with thirst: + 10g Rx. Clematidis Wei Ling Xian
+ White Tiger Plus Cinnamon Twig Decoction
Bai Hu Jia Gui Zhi Tan
 + 10g Rx. Stephaniae Tetrandrae Han Fang Ji
- Rz. Zingiberis Recens Sheng Jiang + 15g Ram. Mori Sang Zhi
+ 10g Rx. Clematidis Wei Ling Xian + 10g Rz. Pinelliae Preparatum Zhi Ban Xia
+ 10g Rx. Stephaniae Tetrandrae Han Fang Ji
+ 10g Per. Citri Reticulatae Chen Pi
+ 15g Ram. Mori Sang Zhi
+ 10g Rx. Scrophulariae Xuan Shen For hip pain with irritability:
+ 10g Rx. Puerariae Ge Gen
+ White Tiger Plus Cinnamon Twig Decoction
Bai Hu Jia Gui Zhi Tan
For hip pain with constipation:
+ White Tiger Plus Cinnamon Twig Decoction
Bai Hu Jia Gui Zhi Tan
 - Rz. Zingiberis Recens Sheng Jiang
+ 10g Rx. Clematidis Wei Ling Xian
- Rz. Zingiberis Recens Sheng Jiang + 10g Rx. Stephaniae Tetrandrae Han Fang Ji
+ 10g Rx. Clematidis Wei Ling Xian
+ 10g Rx. Stephaniae Tetrandrae Han Fang Ji + 15g Ram. Mori Sang Zhi
+ 15g Medulla Junci Deng Xin Cao
+ 15g Ram. Mori Sang Zhi    
+ 6g Rx. et Rz. Rhei Da Huang    
+ 6g Natrii Sulfas Mang Xiao