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Er miao san(Two Wonderful Herbs Powder) ---二妙散

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【组成】  黄柏(15g) 苍术(15g)
 
【功用】  清热燥湿。
 
【主治】  湿热下注证。筋骨疼痛,或两足痿软,或足膝红肿疼痛,或湿热带下,下部湿疮等,小便短赤,舌苔黄腻者。
 
【歌诀】  二妙散中苍柏兼,若云三妙牛膝添,四妙再加薏苡仁,湿热下注痿痹痊。

Two Wonderful Herbs Powder er miao san

[SOURCE] :Danxi,s Experiential Therapies

[INGREDIENTS]: Phellodendron bark (parched) 15g,  Atractylodes rhizome (soaked in rice-washed water and parched) 15g

[DIRECTIONS]:Ground them into fine powder. The above two herbs are used in same dose. Take 3 to 5 grams each time with boiled water or fresh ginger de­coction. Or make the fine powder into pills. All herbs can also be decocted in wa­ter for oral administration.

[EFFECTS]:Clearing away heat and drying dampness.

[INDICATIONS]: Syndrome of downward flow of damp-heat marked by tired legs, congestion, swelling and pain of the knees and feet, or morbid leukorrhea due to damp-heat, or wet-sores in the lower part of the body, scanty dark urine, yel­lowish and greasy tongue coating.

[ANALYSIS OF FORMULA]: It is a common formula for treatment of syn­drome of downward flow of damp-heat. Phellodendron bark clears heat and dries dampness with its bitter and cold properties, and it enters the lower-jiao. Atrac­tylodes rhizome is good at drying dampness as it has bitter and warm properties.

The combination of these two herbs results in clearing away heat and drying dampness. 

In clinical practice, it is usually modified according to conditions of illness. For flaccid syndrome due to damp-heat, siegesbeckia herb, acanthopanax bark and pyrola can be added to the formula to dispel wind-dampness and strenthen the tendons and bones. For damp-heat beriberi, coix seed, chaenomeles fruit and areca seed can be added to the formula to excrete dampness and resolve the turbidity. For morbid leukorrhea due to damp-heat, euryale seed, ailanthus bark and red po­ria could be added to the formula to strengthen the spleen, ooze dampness and ar­rest morbid leuorrhea. For damp-sores in the lower part, gentian root, coix seed and red bean could be added to clear damp-heat and poison from sores.

ASSOCIATED FORMULAE:

(1)      Three Wonderful Herbs Pills (san miao wan)---三妙散

[SOURCE]: Orthox Medical Book

[INGREDIENTS:]Phellodendron bark (parched with wine) 12g,  Atractylodes rhizome (soaked in rice-washed water and parched) 18g,   Achyranthes root 6g   

[DIRECTIONS]: Grind the above herbs into powder and make into paste pills as big as the seed of Chinese parasol for oral administration 6 to 9 grams each time with warm boiled water or light salt ginger decoction two to three time a day be­fore meal. The herbs can also be decocted in water for oral administration with the dose reduced proportionally to the original formula. 

【EFFCTS】:Clearing away heat and drying dampness.

【INDICATIONS】: Syndrome of sinking of damp-heat marked by numbness of feet with scorching sensation.

(2)      Four Wonderful Herbs Pills (si miao wan)---四妙散

【SOURCE】: Set formulae for Easy Reading

【INGREDIENTS】:Phellodendron bark 12g ,  Coix seed 12g,   Atractylodes rhizome 12g,   Achyranthes root 12g

【DIRECTIONS】: Grind the herbs into fine powder first and then make into small pills with water, Take 6 to 9 grams each time with warm boiled water.

【EFFECTS】:Clearing heat and dampness.   

【INDICATIONS】:Syndrome of sinking of damp-heat marked by numbness, flacidity, swelling and pain of the feet. 

Notes:Three Wonderful Herbs Pill is Two Wonderful Herbs Pill plus achyranthes root which can dispel wind-dampness and tonify the liver and kidney and guide the effect of all herbs downward. This is why it is good at treating syndrome of dampness in the lower-jiao with numbness pain and weakness of the feet. If coix seed is added to Three Wonderful herbs Pill the formula is called Four Won­derful Herbs Pill. This formula increases the functions of removing dampness and heat. Thus it is indicated for syndrome of sinking of damp-heat with symptoms of numbness, flacidity swelling and pain of the feet.


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