Si Miao Wan

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四妙丸 (Four-Marvel Pill)

Source: Cheng Fang Bian Du — Zhang Bing-Cheng (Qing, 1904)

Last updated October 1, 2026

Not yet clinically reviewed

Description

Si Miao Wan (Four-Marvel Pill), from the Cheng Fang Bian Du (Convenient Reader of Established Formulas) by Zhang Bing-Cheng — a variation of Er Miao San.

Actions: Clears heat and dissolves dampness.

Presentation: Damp-heat affecting the lower half of the body: pain and swelling of the joints, muscle atrophy, leg numbness.

Composition: Er Miao San plus Niu Xi and Yi Yi Ren

Source: Chen JK, Chen TT. Chinese Herbal Formulas and Applications: Pharmacological Effects & Clinical Research. Art of Medicine Press, 2009, p. 1190.

Composition

Herb Amount % Role Function
Huang Bai
as printed: Huang Bo (Cortex Phellodendri Chinensis) [12g]
12g 25% —
Yi Yi Ren
as printed: Yi Yi Ren (Semen Coicis) [12g]
12g 25% —
Cang Zhu
as printed: Cang Zhu (Rhizoma Atractylodis) [12g]
12g 25% —
Niu Xi
as printed: Niu Xi (Radix Achyranthis Bidentatae) [12g]
12g 25% —

Energetics dose-weighted

The formula's overall nature, taste balance and channel reach, weighted by each herb's dose. Classical formulas often pair warm and cool herbs on purpose, so a net figure summarises the mix — it doesn't describe every herb in it.

Nature

Cold Cool Neutral Warm Hot

Net slightly cool (-0.50)

From 100% of the weighed grams.

cold cool neutral warm

Grams by band: cold 25%, cool 25%, neutral 25%, warm 25%.

Pairs warm and cool. 25% of the weighed grams are warm or hot and 50% cool or cold — the net is their average, not the whole story.

Taste

pungent sweet sour bitter bland
  • pungent 13%
  • sweet 21%
  • sour 8%
  • bitter 46%
  • bland 13%

From 100% of the weighed grams.

Channels reached

  • Kidney 75%
  • Large intestine 50%
  • Stomach 50%
  • Spleen 50%
  • Liver 50%
  • Lung 25%

Share of the grams entering each channel, from 100% of the weighed grams.

Dose-weighted from each herb's recorded nature, taste and channels (missing values are left out, never counted as neutral). It describes the composition — it is not a recommendation.

Compare side by side with Gun Tan Wan →

Preparation

Powder and form small water pills; take 6-9g per dose with warm water. Today may be decocted with bracketed doses.

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Formula family

Each entry reads as the larger formula written out: “+” adds its other catalogue cores, then the herbs none of them hold. A catalogue formula counts as a core only when at least 80% of its herbs are present, no more than 1 is absent, and the absent herb is not its chief.

Formula Network

Formulas that share herbs with this one — the closer to the centre, the stronger the match. Click a node to explore.

Similar Formulas by composition

Match score combines dosage-weighted composition (cosine, 70%) with shared-herb overlap (Jaccard, 30%).

Traditional formula information is for educational purposes only. Herbal formulas should be prescribed by a qualified practitioner — dosages and combinations are individualized and can interact with medications.

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