Er Miao San: Two Marvels Powder

The formula is comprised of equal amounts of phellodendron (huangbai) and red atractylodes (cangzhu) ground to powder and swallowed down with ginger juice (if available; otherwise with water). In modern materia medica guides, phellodendron is classified with the herbs that clear heat and dry dampness; it is bitter and cold; red atractylodes is classified with the aromatic herbs that resolve moisture accumulation; it is spicy and warm, with some bitterness. Together, they dry dampness and treat a syndrome of damp heat, dispersing swelling and alleviating pain due to accumulation (2). In the traditional preparation, the herbs are fried, which is intended to yield a more drying effect. One of the principal indications for this formula is a disorder with yellow color: skin eruptions with pus, discharge that is discolored, dark yellow urine, yellow tongue coating, jaundice, and so on, though this coloration is not an essential requirement for use of the formula.

During the 1970s numerous reports emerged about the effectiveness of Ermiao San for treatment of exudative eczema, given orally or applied topically; reports of treatment of infants were included (3, 4). In the topical therapies, phellodendron was likely the main active component, serving as an antiseptic. Similar clinical use of phellodendron-alone and in formulas other than Ermiao San-was reported.

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COVID-19 Announcement

To Our Acupuncture Atlanta Community

As Georgia starts to reopen, Acupuncture Atlanta is committed to providing quality care and helping you stay healthy in this environment defined by a new normal. Acupuncture at its core is a preventative modality and our practitioners are here to work with you and design a treatment plan that is suitable for your specific needs.

The clinic will resume treatments on May 7th with limited hours and new guidelines. Please check the Book Appointment page for available days and time slots, or call us. 

We will also be taking extra protective measures to ensure the safety of our patients and staff:

·      Provide disinfectant wipes and hand sanitizers

·      Practitioners will wear protective masks and gloves

·      Use disposable paper sheets

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·      Appointments will be spread out to allow time for sanitizing treatment rooms

·      Minimize the number of people waiting in the front lobby


Please check your appointment confirmations for specific instructions. Our commitment to keeping everyone safe and healthy is our top priority.