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a Chinese Formula

Si Shen Wan (Four Miracle Pill)

Previous Formula in CategoryNext Formula in Category Formula 5 of 17 in Formulas that Stabilize and Bind


  • Formulas that Stabilize the Exterior and the Lungs


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


  • 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
  • This formula contains one or more toxic substances (while some Chinese herbs are toxic, it must be noted that many come prepared, or are combined, to mitigate their toxicity).

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

Substances in this Formula (4 Total):

Bu Gu Zhi (Fructus Psoraleae Corylifoliae)
Bu Gu Zhi (Psoralea Fruit) 补骨脂
Qty: 120 grams
Chan: KI, SP
Prop: Spicy, Bitter, Very Warm
Latin: Fructus Psoraleae Corylifoliae
Cat: Herbs that Tonify Yang
Wu Zhu Yu (Fructus Evodiae Rutaecarpae)
Wu Zhu Yu (Evodia Fruit) 吴茱萸
Qty: 30 grams
Chan: KI, LIV, SP, ST
Prop: Spicy, Bitter, Hot, Slightly Toxic, Very Dry
Latin: Fructus Evodiae Rutaecarpae
Cat: Herbs that Warm the Interior and Expel Cold
Rou Dou Kou (Semen Myristicae Fragrantis)
Rou Dou Kou (Nutmeg Seeds) 肉豆蔻
Qty: 60 grams
Chan: LI, SP, ST
Prop: Spicy, Warm
Latin: Semen Myristicae Fragrantis
Cat: Herbs that Astringe, Stabilize, Bind
Wu Wei Zi (Fructus Schisandrae Chinensis)
Wu Wei Zi (Schisandra Fruit) 五味子
Qty: 60 grams
Chan: HT, KI, LU
Prop: Sour, Warm
Latin: Fructus Schisandrae Chinensis
Cat: Herbs that Astringe, Stabilize, Bind

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