Si Mo Tang

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四蘑汤 (Four Milled-Herbs Decoction)

Source: Ji Sheng Fang — Yan Yong-He (Song, 1253)

Last updated October 1, 2026

Not yet clinically reviewed

asthmagynecomastia

Description

Si Mo Tang (Four Milled-Herbs Decoction), from the Ji Sheng Fang (Formulas to Aid the Living) by Yan Yong-He.

Actions: Activates qi circulation and redirects abnormal rising qi; Disperses stagnation and expands the chest.

Presentation: Liver qi stagnation from instability of the seven emotions: irritability, oppression in chest and diaphragm, wheezing, hurried respiration, epigastric fullness and distention, loss of appetite.

Source: Chen JK, Chen TT. Chinese Herbal Formulas and Applications: Pharmacological Effects & Clinical Research. Art of Medicine Press, 2009, p. 849.

Composition

Herb Amount % Role Function
Wu Yao
as printed: Wu Yao (Radix Linderae) [9g]
9g 37.5% Jun (Chief) spreads Liver qi, activates qi and disperses qi stagnation
Chen Xiang
as printed: Chen Xiang (Lignum Aquilariae Resinatum) [3g]
3g 12.5% Chen (Deputy) regulates qi, corrects reversed qi flow, relieves wheezing
Bing Lang
as printed: Bing Lang (Semen Arecae) [9g]
9g 37.5% Zuo (Assistant) activates qi and breaks up stagnation to relieve epigastric fullness
Ren Shen
as printed: Ren Shen (Radix et Rhizoma Ginseng) [3g]
3g 12.5% Zuo (Assistant) tonifies qi so the qi-moving herbs do not consume it

Dui Yao — Core Herb Pairs

The classical two-herb combinations at the heart of this formula, as recorded on the herbs' own pages — each pair has an action neither herb has alone.

Chen Xiang沉香 + Wu Yao乌药

Together they move qi and descend rebellion, relieving chest and abdominal fullness from qi counterflow due to emotional constraint.

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 warm (+1.00)

From 100% of the weighed grams.

warm

Grams by band: warm 100%.

Taste

pungent sweet bitter
  • pungent 63%
  • sweet 6%
  • bitter 31%

From 100% of the weighed grams.

Channels reached

  • Spleen 63%
  • Kidney 63%
  • Lung 50%
  • Stomach 50%
  • Large intestine 38%
  • Heart 13%

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 Liu Shen San →

Preparation

Source: mill equal amounts of the herbs, cook with a small bowl of water brought to a boil 3-5 times, take warm. Short cooking preserves the aromatic qi-regulating properties. Today decocted with bracketed doses.

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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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