HERB FORMULAS

JIA WE ER MIAO WAN - 加味二妙丸 - AUGMENTED TWO-MARVELS PILL

English: Augmented Two-Marvels Pill
Also Known As: Modified Decoction of Two Effective Ingredients

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rz. Atractylodis Cang Zhu 9-120g Clears Dampness from the Lower Jiao.
Cx. Phellodendri Huang Bai 6-60g Drains Damp-Heat especially from the Lower Jiao.
With Cang Zhu, eliminates Dampness and clears Heat for Lower Jiao Damp-Heat with pain, swelling, and weakness in the lower limbs.
Rx. Cyathulae Chuan Niu Xi 30g Invigorates the Blood, dispels Blood Stasis, expels Wind and drains Dampness, tonifies the Kidneys and Liver and strengthens the tendons and bones.
Cauda Rx. Angelicae Sinensis Dang Gui Wei 6-30g Invigorates and harmonizes the Blood, disperses Cold and stops pain due to Blood Stasis.
With Chuan Xiong, harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis.
Rx. Stephaniae Tetrandrae Han Fang Ji 6-30g Promotes urination, reduces edema especially in the lower body, expels Wind-Dampness, purges Damp-Heat and alleviates pain.
Rz. Dioscoreae Hypoglaucae Bei Xie 6-30g Resolves turbid Dampness in the Lower Jiao, expels Wind-Dampness, relaxes the sinews and unblocks the Luo channels.
Processed Plastrum Testudinis Zhi Gui Ban 6-30g Nourishes Yin, anchors Yang, benefits the Kidneys and strengthens the bones.

FORMULA ACTIONS

  • Clears Heat
  • Resolves Dampness
  • Activates the Blood in the channels and collaterals

SYNDROMES

  • Atrophy disorder (Wei Syndrome) due to Damp-Heat
  • Damp-Heat lodged in the Lower Jiao affecting the bones, sinews and lumbar area

CLINICAL MANIFESTATIONS

  • Heaviness of the limbs
  • Weak and flaccid extremities
  • Occasional numbness
  • Slight swelling in the affected extremities
  • Most often affects the lower extremities
  • Possibly fever
  • Stifling sensation in the chest and epigastrium
  • Obesity
  • Lower back pain with a burning sensation
  • Yellow, foul-smelling vaginal discharge
  • Edema
  • Skin problems
  • A dry mouth
  • Irritability
  • A sensation of Heat that begins at the dorsum of the foot and slowly progresses up the leg to the waist
  • Dark, scanty, painful and difficult urination
  • Reddish urine
  • T: Red
  • C: Yellow and greasy
  • P: Soft and rapid and possibly slippery

TREATS

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For a stronger Heat clearing effect: For Dampness predominant:
+ Caulis Akebiae Mu Tong + 9g Cx. Magnoliae Officinalis Hou Po
+ Rx. Aristolochiae Fangji Guang Fang Ji
+ 12g Poria Fu Ling
+ Rz. Dioscoreae Hypoglaucae Bei Xie + 12g Talcum Hua Shi
For eliminating Dampness:
For excessive Heat injuring the Yin: - Rx. Angelicae Sinensis Dang Gui
- Rz. Atractylodis Cang Zhu + 30g Sm. Coicis Yi Yi Ren
+ 9g Rx. Rehmanniae Sheng Di Huang + 9g Caulis Akebiae Mu Tong
+ 9g Plastrum Testudinis Gui Ban + 9g Faeces Bombycis Can Sha
+ 9g Fr. Chaenomelis Mu Gua
+ 9g Rx. Ophiopogonis Mai Men Dong For numbness of the limbs with limited range of motion in the affected joints, a purple tongue and a thready choppy pulse:
+ 12g Rx. Trichosanthis Tian Hua Fen
For Damp or rainy weather: + 9g Rx. Paeoniae Rubra Chi Shao
+ 9g Rx. Agastaches Huo Xiang + 9g Rx. Salviae Miltiorrhizae Dan Shen
+ 9g Hb. Eupatorii Pei Lan
For Wind-Damp-Heat: + 6g Sm. Persicae Tao Ren
- Rx. Cyathulae Chuan Niu Xi + 6g Flos Carthami Hong Hua
- Plastrum Testudinis Zhi Gui Ban For Wind-Damp-Heat with severe anorexia:
+ 9g Rx. Achyranthis Bidentatae Niu Xi - Rx. Cyathulae Chuan Niu Xi
- Plastrum Testudinis Zhi Gui Ban
+ 9g Ram. Mori Sang Zhi + 9g Rx. Achyranthis Bidentatae Niu Xi
+ 6g Caulis Lonicerae Ren Dong Teng
+ 9g Rx. Gentianae Qin Jiao + 9g Ram. Mori Sang Zhi
For Wind-Damp-Heat with inhibited defecation of loose stools: + 6g Caulis Lonicerae Ren Dong Teng
+ 9g Rx. Gentianae Qin Jiao
- Rx. Cyathulae Chuan Niu Xi + 9g Rz. Acori Tatarinowii Shi Chang Pu
- Plastrum Testudinis Zhi Gui Ban
+ 9g Rx. Achyranthis Bidentatae Niu Xi For Wind-Damp-Heat with severe Damp-Heat:
- Rx. Cyathulae Chuan Niu Xi
+ 9g Ram. Mori Sang Zhi - Plastrum Testudinis Zhi Gui Ban
+ 6g Caulis Lonicerae Ren Dong Teng + 9g Rx. Achyranthis Bidentatae Niu Xi
+ 9g Rx. Gentianae Qin Jiao
+ 12g Fr. Aurantii Immaturus Zhi Shi + 9g Ram. Mori Sang Zhi
+ 6g Caulis Lonicerae Ren Dong Teng
For Wind-Damp-Heat with sliminess and a bland taste in the mouth: + 9g Rx. Gentianae Qin Jiao
+ 6g Rz. Coptidis Huang Lian
- Rx. Cyathulae Chuan Niu Xi + 9g Hb. Eupatorii Pei Lan
- Plastrum Testudinis Zhi Gui Ban For Wind-Damp-Heat with nausea and vomiting:
+ 9g Rx. Achyranthis Bidentatae Niu Xi - Rx. Cyathulae Chuan Niu Xi
- Plastrum Testudinis Zhi Gui Ban
+ 9g Ram. Mori Sang Zhi + 9g Rx. Achyranthis Bidentatae Niu Xi
+ 6g Caulis Lonicerae Ren Dong Teng
+ 9g Rx. Gentianae Qin Jiao + 9g Ram. Mori Sang Zhi
+ 6g Hb. Agastaches Huo Xiang + 6g Caulis Lonicerae Ren Dong Teng
+ 9g Hb. Eupatorii Pei Lan + 9g Rx. Gentianae Qin Jiao
For Wind-Damp-Heat with fever: + 9g Mix-fried Caulis Bambusae in Taeniam Chao Zhu Ru
- Rx. Cyathulae Chuan Niu Xi
- Plastrum Testudinis Zhi Gui Ban + 9g Hb. Agastaches Huo Xiang
+ 9g Rx. Achyranthis Bidentatae Niu Xi For multiple sclerosis with severe Damp-Heat:
+ 6g Rx. Scutellariae Huang Qin
+ 9g Ram. Mori Sang Zhi + 9g Poria Fu Ling
+ 6g Caulis Lonicerae Ren Dong Teng + 9g Rz. Alismatis Ze Xie
+ 9g Rx. Gentianae Qin Jiao For multiple sclerosis with Damp-Heat damaging Yin:
+ 6g Rx. Scutellariae Huang Qin
+ 6g Rz. Coptidis Huang Lian + 9g Rz. Dioscoreae Shan Yao
+ 6g Hb. Agastaches Huo Xiang + 9g Rx. Glehniae Bei Sha Shen
For multiple sclerosis with Liver and Kidney Deficiency: + 9g Rx. Trichosanthis Tian Hua Fen
For multiple sclerosis with abnormal vaginal discharge:
+ 15g Rx. Rehmanniae Preparata Shu Di Huang
+9g Poria Fu Ling
+ 9g Cx. Acanthopanacis Wu Jia Pi + Cx. Ailanthi Chun Pi