Si Shen Wan (Four Miracle Pill)

Si Shen Wan (Four Miracle Pill)

Formula 7 of 17 in Formulas that Stabilize and Bind

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Sub-Category:

  • Formulas that Stabilize the Exterior and the Lungs

Actions:

  • Tonifies and warms the Spleen and Kidneys.
  • Astringes the intestines and stops diarrhea.

Indications:

  • Diarrhea with undigested food that occurs around sunrise (cocks-crow diarrhea).
  • Loss of appetite, cold limbs, soreness in the lower back, fatigue, lethargy, and possible abdominal pain with a sensation of cold.

Possible Tongue Appearance:

  • Pale tongue with thin white coat

Possible Pulse Patterns:

  • Slow, deep, and weak pulse

Western Uses:

  • Chronic or Habitual Diarrhea Before Dawn in Chronic Colitis
  • Chronic Dysentery
  • Intestinal Tuberculosis

Cautions, Contraindications, Herb Drug Interactions:

  • Do not use in cases where diarrhea is due to Damp-Heat or food stagnation

Preparation Notes:

  • Pills. Grind all ingredients into an even powder, cook with 240 grams of Sheng Jiang and 100 pieces of Da Zao. After cooking, remove Sheng Jiang and form the rest of the ingredients into pills.
  • 9-12 grams are taken at bedtime.
  • Can be prepared as a decoction with an appropriate reduction in dosages.

Originally Appeared In:

  • Standards of Patterns and Treatments (Zheng Zhi Zhun Sheng)

Combined Channels of all herbs in this formula:

  • Spleen, Kidneys, Stomach, Liver, Large Intestine, Lungs, Heart

There are 4 Substances in this Chinese Medicne

Bu Gu Zhi (Psoralea Fruit)
Quantity = 120 grams
Warm Bu Gu Zhi (Fructus Psoraleae Corylifoliae)
Channels:
KI, SP
Properties:
Spicy, Bitter, Very Warm
Latin:
Fructus Psoraleae Corylifoliae
Chinese:
补骨脂
Tone Marks:
bŭ gŭ zhī
Translation:
Tonify Bone Resin
Wu Zhu Yu (Evodia Fruit)
Quantity = 30 grams
Hot Wu Zhu Yu (Fructus Evodiae Rutaecarpae)
Channels:
KI, LIV, SP, ST
Properties:
Spicy, Bitter, Hot, Slightly Toxic, Very Dry
Latin:
Fructus Evodiae Rutaecarpae
Chinese:
吴茱萸
Tone Marks:
wú zhū yú
Rou Dou Kou (Nutmeg Seeds)
Quantity = 60 grams
Warm Rou Dou Kou (Semen Myristicae Fragrantis)
Channels:
LI, SP, ST
Properties:
Spicy, Warm
Latin:
Semen Myristicae Fragrantis
Chinese:
肉豆蔻
Tone Marks:
ròu dòu kòu
Translation:
Fleshy Cardamom
Wu Wei Zi (Schisandra Fruit)
Quantity = 60 grams
Warm Wu Wei Zi (Fructus Schisandrae Chinensis)
Photo Note:
Nan Wu Wei Zi (Schisandra Sphenanthera Rehd. et Wils.) Shown
Channels:
HT, KI, LU
Properties:
Sour, Warm
Latin:
Fructus Schisandrae Chinensis
Chinese:
五味子
Tone Marks:
wŭ wèi zĭ
Translation:
Five Flavored Seed

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References Used

The TCM information presented here has been referenced from numerous sources; including teachers, practitioners, class notes from Five Branches University, the following books, as well as other sources. If you have benefited from this information, please consider supporting the authors and their works by purchasing the books below.

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