HERB FORMULAS

English: Four-Marvel Pill
Also Known As: Pill of Four Effective Ingredients
Pharmaceutical Latin
Pin Yin
Dosage
Actions
Cx. Phellodendri Huang Bai 9-24g Drains Damp-Heat, especially from the Lower Jiao and drains Kidney Fire.
Rz. Atractylodis Cang Zhu 12-24g Strongly dries Dampness, tonifies the Spleen, and clears Dampness from the Lower Jiao.
With Huang Bai, for pain, swelling, and weakness of the lower extremities or skin lesions due to Wind-Dampness.
Rx. Achyranthis Bidentatae Niu Xi 12-24g Invigorates the Blood, expels Blood Stasis, clears Damp-Heat in the Lower Jiao and regulates water metabolism.
Sm. Coicis Yi Yi Ren 24-30g Promotes urination, leaches out Dampness, strengthens the Spleen, expels Wind-Dampness and clears Damp-Heat.
With Huang Bai, Cang Zhu and Niu Xi, for Damp-Heat pouring downward leading to atrophy and weakness of the lower extremities.
  • Eliminates Heat
  • Resolves Dampness
  • Damp-Heat in the Lower Jiao
  • Atrophy disorder (Wei syndrome)
  • Pain in low back and knees
  • Weakness or atrophy of lower extremities
  • Scanty yellow urine
  • Red, hot, swollen and painful feet or knees
  • Edema in lower legs
  • Eczema
  • Painful and swollen feet
  • Pain and swelling of the joints
  • Leukorrhea (thick, yellow and foul-smelling)
  • Sores on lower extremities due to Damp
  • Severe numbness and weakness in lower extremities
  • T: Normal
  • C: Yellow and greasy
  • P: Soft and rapid
CONTRAINDICATIONS
  • Modify for Lung Heat or Liver and Kidney Deficiency.
HERB/DRUG INTERACTIONS
For low back and extremity pain: For atrophy disorder:
+ Fr. Chaenomelis Mu Gua + Hb. Siegesbeckiae Xi Xian Cao
+ Cx. Acanthopanacis Wu Jia Pi + Cx. Acanthopanacis Wu Jia Pi
For leukorrhea:
For leg Qi:
+ Poria Fu Ling + Sm. Phaseoli Chi Xiao Dou
+ Sm. Euryales Qian Shi + Sm. Arecae Bing Lang
or
For tinea pedis:
+ Sm. Euryales Qian Shi
+ Fr. Chaenomelis
+ Cx. Ailanthi Chun Pi + Sm. Arecae Bing Lang
+ Sm. Ginkgo Bai Guo
For purulent otitis media - recovery stage:
For sores on the lower extremities:
+ Rx. Scrophulariae Xuan Shen
+ Rx. Gentianae Long Dan Cao + Rx. Paeoniae Alba Bai Shao
+ Sm. Phaseoli Chi Xiao Dou + Rx. Trichosanthis Tian Hua Fen
For tendon Bi:
+ Rx. Atractylodis Macrocephalae Bai Zhu
- Sm. Coicis Yi Yi Ren
- Rx. Achyranthis Bidentatae Niu Xi + Poria Fu Ling
For purulent otitis media - recovery stage:
+ 9g Rx. Cyathulae Chuan Niu Xi + Rx. Scrophulariae Xuan Shen
+ 3g Rx. Gentianae Long Dan Cao + Rx. Paeoniae Alba Bai Shao
+ 9g Fr. Chaenomelis Mu Gua + Rx Trichosanthis Tian Hua Fen
+ 9g Cx. Acanthopanacis Wu Jia Pi + Rz. Atractylodis Macrocephalae Bai Zhu
+ 6g Caulis Akebiae Mu Tong + Poria Fu Ling
+ 9g Rz. Alismatis Ze Xie For a stronger Heat clearing effect:
+ 15g Rz. Smilacis Glabrae Tu Fu Ling + Caulis Akebiae Mu Tong
+ Rx. Aristolochiae Fangji Guang Fang Ji
+ 5g Rx. Glycyrrhizae Recens Sheng Gan Cao
+ Rz. Dioscoreae Hypoglaucae Bei Xie
For Dampness predominant:
+ 9g Cx. Magnoliae Officinalis Hou Po For eliminating Dampness:
- Rx. Angelicae Sinensis Dang Gui
+ 12g Poria Fu Ling + 30g Sm. Coicis Yi Yi Ren
+ 12g Talcum Hua Shi + 9g Caulis Akebiae Mu Tong
For excessive Heat injuring the Yin: + 9g Faeces Bombycis Can Sha
- Rz. Atractylodis Cang Zhu + 9g Fr. Chaenomelis Mu Gua
+ 9g Rx. Rehmanniae Sheng Di Huang For numbness of the limbs with limited range of motion in the affected joints, a purple tongue and a thready choppy pulse:
+ 9g Plastrum Testudinis Gui Ban
+ 9g Rx. Ophiopogonis Mai Men Dong + 9g Rx. Paeoniae Rubra Chi Shao
+ 12g Rx. Trichosanthis Tian Hua Fen + 9g Rx. Salviae Miltiorrhizae Dan Shen
For Damp or rainy weather:
+ 9g Rx. Agastaches Huo Xiang + 6g Sm. Persicae Tao Ren
+ 9g Hb. Eupatorii Pei Lan + 6g Flos Carthami Hong Hua
For sciatica: For sciatica due to Damp-Heat:
+ Fr. Chaenomelis Mu Gua - Sm. Coicis Yi Yi Ren
+ Faeces Bombycis Can Sha - Rx. Achyranthis Bidentatae Niu Xi
+ Hb. Artemisiae Scopariae Yin Chen Hao
+ 9g Rx. Cyathulae Chuan Niu Xi
+ Rx. Aristolochiae Fangji Guang Fang Ji + 3g Rx. Gentianae Long Dan Cao
+ 9g Fr. Chaenomelis Mu Gua
Rx. Sophorae Flavescentis Ku Shen + 9g Cx. Acanthopanacis Wu Jia Pi
+ Rz. Dioscoreae Hypoglaucae Bei Xie + 6g Caulis Akebiae Mu Tong
+ 9g Rz. Alismatis Ze Xie
+ Cx. Erythrinae Hai Tong Pi + 15g Rz. Smilacis Glabrae Tu Fu Ling
+ Caulis Piperis Kadsurae Hai Feng Teng
+ 6g Rx. Glycyrrhizae Gan Cao
+ Caulis Trachelospermi Luo Shi Teng For low back pain:
+ Rx. Clematidis Wei Ling Xian - Rx. Achyranthis Bidentate Niu Xi
+ Ram. Mori Sang Zhi
For low back pain with thirst, scanty urine and a red tongue: + 6g Rx. Cyathulae Chuan Niu Xi
+10g Rx. Stephaniae Tetrandrae Han Fang Ji
- Rx. Achyranthis Bidentate Niu Xi
+ 15g Poria Fu Ling
+ 6g Rx. Cyathulae Chuan Niu Xi + 20g Caulis Trachelospermi Luo Shi Teng
+10g Rx. Stephaniae Tetrandrae Han Fang Ji
For low back pain with urethral stones:
+ 15g Poria Fu Ling - Rx. Achyranthis Bidentate Niu Xi
+ 20g Caulis Trachelospermi Luo Shi Teng
+ 6g Rx. Cyathulae Chuan Niu Xi
+ 12g Fr. Gardeniae Zhi Zi +10g Rx. Stephaniae Tetrandrae Han Fang Ji
+ 3g Caulis Akebiae Mu Tong
For low back pain with insomnia and a bitter taste in the mouth: + 15g Poria Fu Ling
+ 20g Caulis Trachelospermi Luo Shi Teng
- Rx. Achyranthis Bidentate Niu Xi
+ 10g Hb. Lysimachiae Jin Qian Cao
+ 6g Rx. Cyathulae Chuan Niu Xi + 10g Spora Lygodii Hai Jin Sha
+10g Rx. Stephaniae Tetrandrae Han Fang Ji For low back pain with frequent, urgent, painful urination:
+ 15g Poria Fu Ling - Rx. Achyranthis Bidentate Niu Xi
+ 20g Caulis Trachelospermi Luo Shi Teng
+ 6g Rx. Cyathulae Chuan Niu Xi
+ 5g Rz. Coptidis Huang Lian +10g Rx. Stephaniae Tetrandrae Han Fang Ji
For low back pain with hematuria: + 15g Poria Fu Ling
- Rx. Achyranthis Bidentate Niu Xi + 20g Caulis Trachelospermi Luo Shi Teng
+ 6g Rx. Cyathulae Chuan Niu Xi + 12g Sm. Plantaginis Che Qian Zi
+10g Rx. Stephaniae Tetrandrae Han Fang Ji For low back pain with genital itching and oozing or leukorrhea:
- Rx. Achyranthis Bidentate Niu Xi
+ 15g Poria Fu Ling
+ 20g Caulis Trachelospermi Luo Shi Teng + 6g Rx. Cyathulae Chuan Niu Xi
+10g Rx. Stephaniae Tetrandrae Han Fang Ji
+ 15g Hb. Cirsii Xiao Ji + 15g Poria Fu Ling
For polyneuritis: + 20g Caulis Trachelospermi Luo Shi Teng
+ 10g Rz. Dioscoreae Hypoglaucae Bei Xie
+ 10g Fr. Cnidii She Chuang Zi
+ 10g Rz. Alismatis Ze Xie For a herniated lumbar disc:
+ 6g Fr. Chaenomelis Mu Gua + 9g Rx. Gentianae Macrophyllae Qin Jiao
+ 10g Poria Rubra Chi Fu Ling
+ 10g Rz. Smilacis Glabrae Tu Fu Ling For a herniated lumbar disc with severe distention and heaviness in the low back:
+ 10g Hb. Siegesbeckiae Xi Xian Cao + 9g Rx. Gentianae Macrophyllae Qin Jiao
For a herniated lumbar disc with predominant Heat, thirst and red urine: + 9g Rx. Stephaniae Tetrandrae Han Fang Ji
+ 9g Rx. Gentianae Macrophyllae Qin Jiao
+ 9g Fr. Chaenomelis Mu Gua
+ 9g Fr. Forsythiae Lian Qiao For a herniated lumbar disc with Yin Deficiency, with a dry throat and mouth, worse at night low back pain and Five Sole Heat:
+ 9g Fr. Gardeniae Zhi Zi
+ 3g Caulis Akebiae Mu Tong
For a herniated lumbar disc with restricted mobility: + 9g Rx. Gentianae Macrophyllae Qin Jiao
+ 9g Rx. Gentianae Macrophyllae Qin Jiao
+ 12g Rx. Rehmanniae Sheng Di Huang
+ 9g Fr. Ligustri Lucidi Nu Zhen Zi
+ 9g Caulis Trachelospermi Luo Shi Teng + 9g Hb. Ecliptae Mo Han Lian
+ 9g Caulis Piperis Futokadsurae Hai Feng Teng For a herniated lumbar disc with severe Kidney Deficiency:
For a herniated lumbar disc with Spleen Deficiency: + 9g Rx. Gentianae Macrophyllae Qin Jiao
+ 9g Rx. Gentianae Macrophyllae Qin Jiao + 9g Rz. Cibotii Gou Ji
+ 9g Rx. Dipsaci Xu Duan
+ 12g Rz. Atractylodis Macrocephalae Bai Zhu For a herniated lumbar disc with Blood Stasis:
+ 9g Rx. Gentianae Macrophyllae Qin Jiao
+ 12g Poria Fu Ling
For paralysis: + 9g Rx. Paeoniae Rubra Chi Shao
+ 9g Fr. Chaenomelis Mu Gua
For severe paralysis: + 6g Olibanum Ru Xiang
+ 9g Fr. Chaenomelis Mu Gua + 6g Myrrh Mo Yao
+ 12g Cx. Acanthopanacis Wu Jia Pi For paralysis with lower limb distention and heaviness:
For paralysis with redness and swelling of the knees and feet, red urine and a bitter taste in the mouth: + 9g Fr. Chaenomelis Mu Gua
+ 9g Rx. Stephaniae Tetrandrae Han Fang Ji
+ 9g Fr. Chaenomelis Mu Gua
+ 3g Caulis Akebiae Mu Tong + 9g Rx. Angelicae Pubescentis Du Huo
+ 9g Sm. Plantaginis Che Qian Zi
+ 6g Fr. Gardeniae Zhi Zi For paralysis with severe numbness and burning pain in the lower limbs:
For paralysis with edema of the lower limbs:
+ 9g Fr. Chaenomelis Mu Gua + 9g Fr. Chaenomelis Mu Gua
+ 6g Polyporus Zhu Ling + 9g Caulis Lonicerae Ren Dong Teng
+ 6g Rz. Alismatis Ze Xie + 9g Caulis Sargentodoxae Hong Teng
+ 6g Sm. Plantaginis Che Qian Zi
For paralysis with Yin Deficiency: For peripheral neuropathy:
+ 9g Fr. Chaenomelis Mu Gua + 30g Rx. Salviae Miltiorrhizae Dan Shen
+ 12g Rx. Rehmanniae Sheng Di Huang
+ 9g Fr. Ligustri Lucidi Nu Zhen Zi + 30g Caulis Spatholobi Ji Xue Teng
+ 9g Hb. Ecliptae Mo Han Lian + 30g Ram. Mori Sang Zhi
For peripheral neuropathy with muscle and flesh aching and pain: + 15g Poria Fu Ling
+ 12g Rx. Angelicae Pubescentis Du Huo
+ 30g Rx. Salviae Miltiorrhizae Dan Shen
+ 12g Fr. Chaenomelis Mu Gua
+ 30g Caulis Spatholobi Ji Xue Teng + 12g Rx. Clematidis Wei Ling Xian
+ 30g Ram. Mori Sang Zhi + 9g Rz. Dioscoreae Hypoglaucae Bei Xie
+ 15g Poria Fu Ling
+ 12g Rx. Angelicae Pubescentis Du Huo For peripheral neuropathy with chest fullness, glomus and oppression:
+ 12g Fr. Chaenomelis Mu Gua + 30g Rx. Salviae Miltiorrhizae Dan Shen
+ 12g Rx. Clematidis Wei Ling Xian
+ 9g Rz. Dioscoreae Hypoglaucae Bei Xie + 30g Caulis Spatholobi Ji Xue Teng
+ 30g Ram. Mori Sang Zhi
+ 9g Olibanum Ru Xiang + 15g Poria Fu Ling
+ 9g Myrrh Mo Yao + 12g Rx. Angelicae Pubescentis Du Huo
For peripheral neuropathy with deviation of the face, mouth and eyes:
+ 12g Fr. Chaenomelis Mu Gua
+ 30g Rx. Salviae Miltiorrhizae Dan Shen + 12g Rx. Clematidis Wei Ling Xian
+ 9g Rz. Dioscoreae Hypoglaucae Bei Xie
+ 30g Caulis Spatholobi Ji Xue Teng
+ 30g Ram. Mori Sang Zhi + 12g Cx. Magnoliae Officinalis Hou Po
+ 15g Poria Fu Ling
+ 12g Rx. Angelicae Pubescentis Du Huo + 12g Fr. Aurantii Zhi Ke
+ 12g Fr. Chaenomelis Mu Gua + 9g Per. Citri Reticulatae Viride Qing Pi
+ 12g Rx. Clematidis Wei Ling Xian
+ 9g Rz. Dioscoreae Hypoglaucae Bei Xie For peripheral neuropathy with severe swelling and heaviness of the limbs:
+ 15g Bombyx Batryticatus Jian Can + 30g Rx. Salviae Miltiorrhizae Dan Shen
+ 12g Rz. Typhonii Preparatum Zhi Bai Fu Zi + 30g Caulis Spatholobi Ji Xue Teng
+ 30g Ram. Mori Sang Zhi
+ 6g Scorpio Quan Xie + 15g Poria Fu Ling
For polymyositis/dermatomyositis: + 12g Rx. Angelicae Pubescentis Du Huo
+ 15g Rz. Dioscoreae Hypoglaucae Bei Xie
+ 12g Fr. Chaenomelis Mu Gua
+ 15g Fr. Chaenomelis Mu Gua + 12g Rx. Clematidis Wei Ling Xian
+ 9g Rx. Stephaniae Tetrandrae Han Fang Ji + 9g Rz. Dioscoreae Hypoglaucae Bei Xie
+ 9g Caulis Akebiae Mu Tong + 9g Rz. Alismatis Ze Xie
+ 9g Faeces Bombycis Can Sha For polymyositis/dermatomyositis with Dampness predominant with chest and epigastric glomus and oppression, heavy, swollen limbs, a glossy, slimy tongue coat and a soft pulse:
For polymyositis/dermatomyositis with numbness and insensitivity of the limbs, inhibited bending and extending and a purple tongue or static maculae or spots:
+ 15g Rz. Dioscoreae Hypoglaucae Bei Xie + 15g Rz. Dioscoreae Hypoglaucae Bei Xie
+ 15g Fr. Chaenomelis Mu Gua + 15g Fr. Chaenomelis Mu Gua
+ 9g Rx. Stephaniae Tetrandrae Han Fang Ji + 9g Rx. Stephaniae Tetrandrae Han Fang Ji
+ 9g Caulis Akebiae Mu Tong + 9g Caulis Akebiae Mu Tong
+ 9g Faeces Bombycis Can Sha + 9g Faeces Bombycis Can Sha
+ 9g Sm. Persicae Tao Ren + 9g Cx. Magnoliae Officinalis Hou Po
+ 9g Flos Carthami Hong Hua
+ 9g Rx. Paeoniae Rubra Chi Shao + 9g Rz. Alismatis Ze Xie
+ 9g Poria Fu Ling
+ 9g Rx. Salviae Miltiorrhizae Dan Shen + 9g Hb. Agastaches Huo Xiang
+ 9g Hb. Eupatorii Pei Lan
For polymyositis/dermatomyositis with numb, insensitive and cold limbs: For low back pain due to Damp-Heat:
- Sm. Coicis Yi Yi Ren
+ 15g Rz. Dioscoreae Hypoglaucae Bei Xie + 30g Cx. Eucommiae Du Zhong
+ 10g Sm. Plantaginis Che Qian Zi
+ 15g Fr. Chaenomelis Mu Gua + 12g Rz. Dioscoreae Hypoglaucae Bei Xie
+ 9g Rx. Stephaniae Tetrandrae Han Fang Ji
+ 10g Rx. Dipsaci Xu Duan
+ 9g Caulis Akebiae Mu Tong + 10g Rx. Angelicae Sinensis Dang Gui
+ 9g Faeces Bombycis Can Sha
- Cx. Phellodendri Huang Bai + 12g Fr. Chaenomelis Mu Gua
+ 9g Ram. Cinnamomi Gui Zhi + 12g Poria Fu Ling
For low back pain due to Damp-Heat with severe distention and heaviness in the low back: or
+ 9g Rx. Gentianae Macrophyllae Qin Jiao
+ 9g Rx. Gentianae Macrophyllae Qin Jiao
For low back pain due to Damp-Heat with predominant Heat with thirst and red urine:
+ 9g Rx. Stephaniae Tetrandrae Han Fang Ji
+ 9g Rx. Gentianae Macrophyllae Qin Jiao
+ 9g steamed Fr. Chaenomelis Mu Gua
+ 9g Fr. Forsythiae Lian Qiao
For low back pain due to Damp-Heat with Yin Deficiency: + 9g Fr. Gardeniae Zhi Zi
+ 3g Caulis Akebiae Mu Tong
+ 9g Rx. Gentianae Macrophyllae Qin Jiao For low back pain due to Damp-Heat with redness and swelling of the feet:
+ 12g Rx. Rehmanniae Sheng Di Huang + 3g Caulis Akebiae Mu Tong
+ 9g Fr. Ligustri Lucidi Nu Zhen Zi + 9g Sm. Plantaginis Che Qian Zi
+ 9g Hb. Ecliptae Han Lian Cao + 6g Fr. Gardeniae Zhi Zi
For low back pain due to Damp-Heat with severe heaviness: For low back pain due to Damp-Heat with Deficiency Heat:
+ 9g Rx. Stephaniae Tetrandrae Han Fang Ji + 9g salt mix-fried Rz. Anemarrhenae Zhi Mu
+ 9g Fr. Chaenomelis Mu Gua + 9g Fr. Ligustri Lucidi Nu Zhen Zi
For gout and heel pain: +9g Hb. Ecliptae Han Lian Cao
+ 10g Poria Fu Ling For gout and heel pain with redness and swelling of the heel:
+ 10g RZ. Chuanxiong Chuan Xiong
+ 6g Rx. Glycyrrhizae Gan Cao + 10g Poria Fu Ling
For gout and heel pain with a burning sensation in the heel: + 10g RZ. Chuanxiong Chuan Xiong
+ 6g Rx. Glycyrrhizae Gan Cao
+ 10g Poria Fu Ling + 15g Rx. Rehmanniae Sheng Di Huang
+ 10g RZ. Chuanxiong Chuan Xiong + 10g Rx. Paeoniae Rubra Chi Shao
+ 6g Rx. Glycyrrhizae Gan Cao
+ 10g Rz. Anemarrhenae Zhi Mu + 15g Hb. Taraxaci Pu Gong Ying
For gout and heel pain with itching on the heel and feet:
For gout and heel pain with stabbing pain in the heel:
+ 10g Poria Fu Ling
+ 10g Poria Fu Ling + 10g RZ. Chuanxiong Chuan Xiong
+ 10g RZ. Chuanxiong Chuan Xiong + 6g Rx. Glycyrrhizae Gan Cao
+ 6g Rx. Glycyrrhizae Gan Cao + 10g Cx. Dictamni Di Gu Pi
+ 10g Pollen Typhae Pu Huang + 10g Rx. Sophorae Flavescentis Ku Shen
+10g Rx. Salviae Miltiorrhizae Dan Shen
For gout and heel pain with a wound in the heel:
For gout and heel pain with a fever: + 10g Poria Fu Ling
+ 10g Poria Fu Ling + 10g RZ. Chuanxiong Chuan Xiong
+ 10g RZ. Chuanxiong Chuan Xiong + 6g Rx. Glycyrrhizae Gan Cao
+ 6g Rx. Glycyrrhizae Gan Cao + 10g Rx. Notoginseng San Qi
+ 10g Fr. Gardeniae Zhi Zi For gout and heel pain with a bitter taste in the mouth:
For gout and heel pain with insomnia and restlessness:
+ 10g Poria Fu Ling
+ 10g Poria Fu Ling + 10g RZ. Chuanxiong Chuan Xiong
+ 10g RZ. Chuanxiong Chuan Xiong + 6g Rx. Glycyrrhizae Gan Cao
+ 6g Rx. Glycyrrhizae Gan Cao + 5g Rx. Gentianae Long Dan Cao
+ 10g Rz. Coptidis Huang Lian + 10g Hb. Artemisiae Annuae Yin Chen Hao
For gout and heel pain with a poor appetite:
+ 10g Poria Fu Ling For gout and heel pain with a constipation due to Heat in the Large Intestine:
+ 10g RZ. Chuanxiong Chuan Xiong
+ 6g Rx. Glycyrrhizae Gan Cao + 10g Poria Fu Ling
+ 15g Endothelium Corneum Gigeriae Galli Ji Nei Jin + 10g RZ. Chuanxiong Chuan Xiong
+ 6g Rx. Glycyrrhizae Gan Cao
+ 30g Fr. Hordei Germinatus Mai Ya + 10g Rx. et Rz. Rhei Da Huang