Herb Formulas Notebook

Er Miao San

(Two Marvel Powder)

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Source: Essential Teachings of Dan-Xi (1481)
Author: Zhu Dan-Xi

Category: Formulas that Expel Dampness

Pattern: Damp-Heat lodged in the Lower Burner

Key Symptoms: Scanty, yellow urine and the presence of any of the four secondary symptoms
Secondary Symptoms: 1. Burning pain in the lower back or extremities or red, hot, swollen and painful feet or knees
3. Weakness or atrophy of the lower extremities
4. Thick, yellow, foul-smelling vaginal discharge
5. Sores or wet, papular rashes on the lower extremities

Tongue: Greasy, yellow coating
Pulse: Slippery, possibly rapid

Huang Bai 9-12g (dry fried)
Cang Zhu 6-9g

Preparation: Decoction.

Actions: Clears Heat, dries Dampness

Contraindications: Lung Heat, Liver and Kidney deficiency

Can be modified to create two other formulas:
Add Yi Yi Ren to create San Miao San (Three Marvel Powder) to enhance its ability to dry Dampness
Add Niu Xi to create Si Miao San to focus on the muscles and sinews in the lower body.

Reference Notes: (click to display)

These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.