HomeTraditional Chinese Medicine FormulasTwo Mysterious Powder

Two Mysterious Powder

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Two Mysterious PowderPrescription Information

Chinese Name

二妙散

Classification

Dampclearing formulas

Combination

Phellodendri Chinensis Cortex (Huang Bai dry-fried) 15g, Atractylodis Rhizoma (Cang Zhu dry-fried after soaked in rice-washed water) 15g

Method

Grind the medicinals into powder and divide them equally, mix with ginger juice and take 3-5g. It can also be prepared into pills, or as a decoction.

Action

Clears heat and dries dampness.

Indication

Er Miao San is indicated for damp-heat pouring downward. The symptoms are pain of the sinews and bone, flaccidity of feet, swelling and pain of feet and knee, vaginal discharge, eczema, sores on the lower body, and scanty dark urine. The tongue coating is yellow and greasy.

Pathogenesis

Er Miao San is a basic formula applicable to the pattern of damp-heat pouring downward. Damp-heat pouring downward into lower limbs causes a slackening of the sinews which resulting in flaccidity and weakness of the feet. This disease process is referred to as wei syndrome. Damp-heat blockage in the tendons and channels causes pain of the sinews and bone, redness and swelling of the feet and knees, or may even develop into jiao qi. Damp-heat pouring downward into the dai mai and female external genitalia causes turbid vaginal discharge with an unpleasant odor and sores in the lower body. Scanty dark urine and a yellow and greasy tongue coating are also signs of damp-heat. The therapeutic methods are to clear heat and dry dampness.

Application

1. Essential pattern differentiation Er Miao San is a basic formula applicable for wei, bi, jiao qi, leucorrhagia, and sores due to damp-heat pouring downward. The damp heat is excessive with equal amounts of dampness and heat. It has powerful actions to clear heat and dry dampness. This clinical pattern is marked by swelling and pain of the feet and knees, scanty dark urine, yellow, greasy tongue coating. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of damp-heat pouring downward: rheumatic arthritis, scrotum eczema, and vaginitis.

Additonal formulae

1. San Miao Wan (Wonderfully Effective Three Pill 三妙丸)

Source

《Teachings of [Zhu] Dan-xi》Dan Xi Xin Fa《丹溪心法》

Two Mysterious PowderFormulation composition herbal medicine

Amur Corktree Bark

Phellodendri Chinensis Cortex

Functions：Clears heat, dried dampness, drains fire, eliminates steaming, resolves toxin, treats sore. Apply to dysentery due to damp-heat pathogen, jaundice, leukorrhea, pyretic stranguria, beriberi, osteopyrexia, night sweat, emissions, burns and scalds and swelling, eczema and pruritus.

Swordlike Atracylodes Rhizome

Atractylodis Rhizoma

Functions：Dries dampness, fortifies the spleen, dispels wind, disperses cold, and brightens the eyes. Chest congestion and abdominal distention, diarrhea and edema, beriberi and paralysis, wind and dampness impediment, wind-cold, caecitas nocturna.

Chief	Huang Bai	dries dampness by being bitter clears heat by being cold effective for removing damp-heat in the lower jiao by descending nature	This combination clears heat, dries dampness, and treats the root and branch simultaneously.
Deputy	Cang Zhu	acrid, bitter, dry, and distracting effective to fortify the spleen and dry dampness	This combination clears heat, dries dampness, and treats the root and branch simultaneously.
Deputy	Jiang Zhi	acrid and scattering increases the function of the formula improves of the ability to dredge the collaterals and relieve pain