Main benefits

  • Pattern Identification: Traditionally used for the TCM pattern of Damp‑Heat accumulation in the lower body, especially affecting the legs, joints, or urinary system, and manifesting as heaviness, swelling, soreness, a feeling of heat or burning pain, and in some cases scanty dark urine.

  • Core Function: The formula is classically said to clear Damp‑Heat, strengthen the Spleen, and relieve pain and swelling in the lower part of the body.

  • Damp‑Heat Relationship: Based on the TCM principle that Spleen deficiency leads to Damp accumulation and Dampness, when combined with Heat, produces stagnation and inflammation, the formula drains Heat, resolves Damp, and restores the Spleen’s transforming function.

  • Key Ingredients: Cang Zhu (Atractylodes) strengthens the Spleen and dries Dampness; Huang Bai (Phellodendron Bark) clears Heat and resolves Damp‑Heat from the lower body; Yi Yi Ren (Coix Seed) leaches Dampness and reduces swelling; Huai Niu Xi (Achyranthes Root) guides the action downward and strengthens tendons and bones.

  • Emotional Component (TCM): Although primarily physical in focus, it may also be applied when symptoms like heaviness and joint tenderness are aggravated by frustration or internal Heat associated with constrained Liver Qi transforming into Damp‑Heat.

  • Region of Action: Acts mainly on the lower limbs, joints, bladder, and lower abdomen, supporting fluid metabolism and clearing stagnation from the legs and pelvic area.

  • Classical Heritage: First recorded in the Dan Xi Xin Fa (Teachings of Zhu Dan Xi, Yuan–Ming transition), the formula became a cornerstone treatment for Damp‑Heat in the lower body and is regarded as the base composition for later formulas such as Er Miao San and San Miao San.


Weinsch.com TCM: Herbal dietary supplements of Traditional Chinese Medicine origine according to European standards!

  • Strength 10:1
  • 120 tablets per bottle
  • Double or Triple the strength as regular brands
  • Less fillers and binders
  • No pharmaceuticals or dyes
  • Thorough lab testing (heavy metals, pesticides etc.)
  • Always made in controlled cGMP certified facility
  • Unbeatable value
  • European brand
TCM traditional Chinese Patents do not work immediate, it takes some time before you (and your organs) will experiences the benefits. We advice always to use minimum 1 packing and then evaluate with your prescriber!
This product is a dietary (food) supplement, to be taken as directed by a qualified practitioner. It is not intended to treat, cure, diagnose or prevent any disease. Not to replace a varied diet. Not to be taken if nursing or if pregnant. Not to be consumed continuously for longer than 3 months.

Weinsch Calm the Heat and Damp Extra strong is based on the classical Si Miao San (“Four Marvel Powder”), a well‑known formulation recorded in the Pu Ji Fang (“Comprehensive Handbook of Formulas for Universal Relief”) compiled during the Ming Dynasty. Within traditional Chinese herbal literature, this balanced combination of Huang Bai (Phellodendron Bark), Cang Zhu (Atractylodes Rhizome), Niu Xi (Achyranthes Root), and Yi Yi Ren (Coix Seed) was described as a method to “clear heat,” “drain dampness,” and “support joint comfort” according to the traditional principles of TCM. These descriptions are part of the historical conceptual framework of Chinese medicine and do not correspond to modern anatomical, biochemical, or scientifically proven physiological effects.

1
Gout and Hyperuricemia
https://www.lidsen.com/journals/rpn/rpn-04-02-009

Please note: This summary is a concise interpretation of the original article; please refer to the source for the full context and details.

  • SMS is widely used in China as an anti‑inflammatory therapy for gouty arthritis, especially when NSAIDs/colchicine are limited by comorbidities; it is clinically considered effective and safe and remains in routine use.

  • Experimental gouty‑arthritis models (monosodium urate–induced) show that SMS reduces joint swelling, pain scores, and inflammatory cell infiltration while lowering TNF‑α, IL‑1β, IL‑6 and down‑regulating NLRP3 inflammasome activation.

  • In hyperuricemia models, Si Miao Pill / Simiao powder significantly lowers serum uric acid, promotes uric acid excretion, and protects renal function by down‑regulating renal URAT1 and GLUT9 and up‑regulating OAT1 expression; it also decreases xanthine oxidase activity in serum and liver.


2
Gout and Hyperuricemia
https://pmc.ncbi.nlm.nih.gov/articles/PMC7593063/

Please note: This summary is a concise interpretation of the original article; please refer to the source for the full context and details.

A 2020 protocol describes a planned systematic review/meta‑analysis of SMS decoction for acute gouty arthritis, aiming to synthesize RCT data and assess effectiveness and safety; this underscores the growing clinical use but also the current lack of high‑quality pooled evidence.


3
Metabolic Inflammation and NAFLD‑Like States (preclinical)
https://www.sciencedirect.com/science/article/abs/pii/S0378874123008565

Please note: This summary is a concise interpretation of the original article; please refer to the source for the full context and details.

  • Work on Si Miao Formula (SMF) demonstrates anti‑NAFLD effects by regulating hepatic lipid metabolism in mice fed a high‑fat, high‑sucrose diet, improving steatosis and metabolic parameters.​

  • Network pharmacology and multi‑omics analyses show that SMS/SMF modulate pathways related to metabolic inflammation, lipid metabolism, and oxidative stress, suggesting potential benefit for metabolic syndrome beyond gout/arthritis.


4
Rheumatoid Arthritis and Inflammatory Arthritis
https://onlinelibrary.wiley.com/doi/10.1155/2021/2843623

Please note: This summary is a concise interpretation of the original article; please refer to the source for the full context and details.

  • In collagen‑induced arthritis (CIA) rats, oral SMS (2.16–8.63 g/kg/day) significantly reduced arthritis scores and ankle joint histopathology, and lowered serum IL‑6, TNF‑α, COX‑2, PGE₂ and anti‑CII IgG1/IgG2a levels. SMS also decreased synovial oxidative stress markers (MDA, MPO) while increasing antioxidant enzymes (SOD, CAT) and up‑regulated Nrf2/HO‑1/NQO1/PTEN signaling, indicating robust anti‑inflammatory and antioxidative actions.


5
Rheumatoid Arthritis and Inflammatory Arthritis
https://pmc.ncbi.nlm.nih.gov/articles/PMC12278982/

Please note: This summary is a concise interpretation of the original article; please refer to the source for the full context and details.

A 2025 experimental study on adjuvant‑induced arthritis (AA) showed that SMS had greater efficacy than Er Miao San and San Miao San, particularly in bone protection and bone recovery, and that SMS significantly reduced NET‑related markers (MPO, PAD4, CitH3, NE), suggesting suppression of neutrophil extracellular traps (NETs) in RA.


6
Rheumatoid Arthritis and Inflammatory Arthritis
https://pmc.ncbi.nlm.nih.gov/articles/PMC7261325/

Please note: This summary is a concise interpretation of the original article; please refer to the source for the full context and details.

Clinical meta‑analyses of modified Si Miao Pill (mSMP) for rheumatoid arthritis report that mSMP (alone or combined with DMARDs like methotrexate) improves clinical response rates and reduces inflammatory markers versus conventional therapy alone, with an acceptable safety profile, though most trials are small and of modest quality.


7
Osteoarthritis and Degenerative Joint Disease
https://www.sciencedirect.com/science/article/pii/S2095754824000371

Please note: This summary is a concise interpretation of the original article; please refer to the source for the full context and details.

  • A recent randomized‑controlled study of Jiawei Simiao Powder (modified SMS) granules combined with celecoxib in knee osteoarthritis found that combination therapy was more effective than celecoxib alone in improving pain, function, and inflammatory markers (ESR, CRP), and in reducing synovial fluid inflammatory mediators and serum uric acid.

  • Mechanistically, modified SMS formulations for osteoarthritis appear to inhibit NF‑κB‑related inflammatory pathways and cartilage‑degrading enzymes, contributing to improved joint function and reduced pain.

For Calm the Heat and Damp, take 3 tablets 2 times per day. These should be taken before or after meal.

Total pieces in package: 120 tablets

Dosage: 3 tablets

Frequency: 2 times a day before or after meal


Side effects

Dizziness or headaches if used improperly

Gastrointestinal discomfort

Mild dizziness


Allergies

Individuals allergic to any of the herbal ingredients should avoid use. Discontinue immediately if any allergic reactions, such as rash, itching, or swelling, occur.

Achyranthes root

Atractylodes Rhizome

Coix seed

Phellodendron Allergy


Avoid medicine interactions

Antibiotics

Anticoagulants

Anticoagulants or Antiplatelet Drugs

Colchicine

Corticosteroids

Diuretics

Immunosuppressants

Medications Metabolized by CYP3A4, CYP2C9, and P-Glycoprotein

NSAIDs (Ibuprofen, Aspirin, Naproxen)

NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) with Black Pepper

Uric Acid-Lowering Drugs


Precautions

Discontinue use if allergic reaction occurs.

Do not use if pregnant or breastfeeding.

Not suitable for if you suffer from digestive problems.

Do not use in cases of heavy menstrual bleeding or any condition involving active bleeding.

Consult your herbalist or doctor before use if you have high blood pressure, or if you are children, old or very weak.

Only to be used by children under adult supervision.

Keep out of reach of children.

Consult your herbalist or physician before use if you are taking other medications or receiving other medical treatments.


Indemnification

This product is a dietary supplement, and should only be used as prescribed by a qualified acupuncturist, herbalist, phyto- or TCM therapist. This product is not intended to diagnose, treat, prevent or cure any disease. Always consult a qualified doctor or healthcare professional before using this. A healthy lifestyle is important, as is a varied, balanced diet, for which supplements are not a substitute.

TCM traditional Chinese Patents do not work immediate, it takes some time before you (and your organs) will experiences the benefits. 1 packing adviced and then evaluate with your prescriber!

Allergies

, , ,

Avoid medicine interactions

, , , , , , , , , ,

Formula types

Ingredients

, , ,

Ingredients Pinyin

, , ,

Original classical patents

, , ,

Original classical patents Pinyin

, , ,

Pulse diagnoses

,

Side effects

, ,

Symptoms (for reference only)

, , , , , , , , , , ,

TCM constitutions

, , , , ,

TCM patterns

Tongue diagnoses

, , , ,