Si Shen Wan (Four Miracle Pill)

Si Shen Wan (四神丸) warms and tonifies the Spleen and Kidney yang and binds the Intestines to stop diarrhoea; the principal formula for daybreak (cock-crow) diarrhoea from Spleen-Kidney yang deficiency.

Sì Shén Wán  ·  四神丸  ·  Four Miracle Pill

English Name

Four Miracle Pill

Classical Source

Nei Ke Zhai Yao, 1529

Ingredients

Actions & Functions

  • Warms and tonifies the Spleen and Kidney
  • Binds the Intestines and stops chronic diarrhoea

Indications

Spleen-Kidney yang deficiency: daybreak diarrhoea with undigested food, abdominal cold and pain, poor appetite, cold limbs, and sore weak lower back.

Tongue & Pulse

Tongue: pale with a white coat. Pulse: deep, slow and forceless.

Modifications

With marked yang deficiency, combine with Fu Zi Li Zhong Wan.

Cautions & Contraindications

For deficiency-cold diarrhoea; not for damp-heat or acute dysentery.

About Attilio

Doctor of Chinese medicine, acupuncture expert and author of My Fertility Guide and My Pregnancy Guide.

Check Also

PubMed research

Acupuncture Shows Sustained Benefits for Chronic Daily Headache Prevention in Adults, Meta-Analysis Finds

Research summary (Acupuncture): Utility of Acupuncture Therapy for Adult Chronic Daily Headache Prophylaxis: A Systematic Review and Meta-Analysis. - Medical science monitor : international medical journal of experimental and clinical research, 2026.