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Neijing

Knowledge baseFormulas

Jia We Er Miao Wan加味二妙丸

Augmented Two-Marvels Pill

Also known asModified Decoction of Two Effective Ingredients

Medicinals
7

Composition

  • Cang ZhuRz. Atractylodis9–120 g

    Clears Dampness from the Lower *Jiao*.

  • Huang BaiCx. Phellodendri6–60 g

    Drains Damp-Heat especially from the Lower *Jiao*.

    eliminates Dampness and clears Heat for Lower Jiao Damp-Heat with pain, swelling, and weakness in the lower limbs.
  • Chuan Niu XiRx. Cyathulae30 g

    Invigorates the Blood, dispels Blood Stasis, expels Wind and drains Dampness, tonifies the Kidneys and Liver and strengthens the tendons and bones.

  • Dang Gui WeiCauda Rx. Angelicae Sinensis6–30 g

    Invigorates and harmonizes the Blood, disperses Cold and stops pain due to Blood Stasis.

    harmonizes, nourishes and invigorates the Blood and disperses Blood Stasis.
  • Han Fang JiRx. Stephaniae Tetrandrae6–30 g

    Promotes urination, reduces edema especially in the lower body, expels Wind-Dampness, purges Damp-Heat and alleviates pain.

  • Bei XieRz. Dioscoreae Hypoglaucae6–30 g

    Resolves turbid Dampness in the Lower Jiao, expels Wind-Dampness, relaxes the sinews and unblocks the Luo channels.

  • Zhi Gui BanProcessed Plastrum Testudinis6–30 g

    Nourishes Yin, anchors *Yang, benefits the Kidneys and strengthens the bones.*

Actions

  • Dispels Heat
  • Clears away Dampness
  • Invigorates Blood flow through the channels and collaterals

Patterns treated

  • Wei Syndrome (Atrophy disorder) caused by Damp-Heat
  • Damp-Heat settling in the Lower Jiao and impacting the bones, sinews, and low back region

Manifestations

  • A heavy sensation in the limbs
  • Limp, weak limbs
  • Intermittent numbness
  • Mild swelling of the limbs involved
  • Typically involves the lower limbs more than the upper
  • Fever may be present
  • A sense of stuffiness in the chest and upper abdomen
  • Excess body weight
  • Low back pain accompanied by a burning quality
  • Vaginal discharge that is yellow and foul in odor
  • Swelling due to fluid retention
  • Skin complaints
  • Dryness of the mouth
  • Irritable mood
  • A Heat sensation starting on the top of the foot that gradually travels up the leg toward the waist
  • Urine that is dark in color, reduced in amount, and passed with pain and difficulty
  • Urine with a reddish tinge
Tongue body
Red in color
Coating
Yellow in hue and Greasy in texture
Pulse
Soft and Rapid, possibly also Slippery

Indications

  • Wei Syndrome (Atrophy disorder)
  • A diagnosis of myasthenia gravis
  • The condition multiple sclerosis
  • Inflammation of multiple nerves (polyneuritis)
  • The disorder known as Guillain-Barré disease
  • Acute inflammation of the spinal cord (myelitis)
  • Progressively worsening muscular dystrophy
  • Residual effects following poliomyelitis
  • An eczematous skin condition
  • Long-standing nephritis
  • General weakness
  • Infection of the urinary tract
  • Inflammation of the vagina (vaginitis)
  • An acute infection-related inflammation of multiple nerves
  • Progressive muscular degeneration (myodystrophy)
  • Ongoing myodystrophia (progressive muscle wasting)
  • Paralysis of hysterical origin
  • Recurrent episodic paralysis
  • Paralysis affecting the face
  • Pain in the lower back
  • Discharge from the vagina
  • Gouty arthritis
  • The thiamine-deficiency disorder beriberi
  • Fluid swelling (edema)

Modifications