The optional herbal formula for Five Nights’ Leakage (diarrhea before dawn) is Si Shen Wan (四神丸), for which there is no fixed preferred formula. It is mainly composed of nutmeg, Wu Zhu (吴茱萸), tonic acid (补骨脂), and schizandra (五味子). It can warm the kidney, warm the spleen, astringe the intestines and stop diarrhea (relieving diarrhea by enhancing the function of intestinal astringency). Si Shen Wan is composed of tonic bone resin, Cornu Cervi Pantotrichum, nutmeg and Schisandra chinensis. This formula is effective in warming the kidney and spleen, astringing the intestines to stop diarrhea. It is suitable for diarrhea with deficiency of yang of spleen and kidney (deficiency of yang qi of spleen and kidney). It manifests as diarrhea in the morning, lack of desire for food and drink, no digestion after eating, abdominal pain that likes to be warm and pressed, fear of cold, lumbar and back ache, tiredness and fatigue (tiredness and fatigue), with a pale tongue and a sluggish pulse. The tonic bone resin in the formula can tonify the kidney and help Yang, warm the spleen and stop diarrhea (by warming the spleen to relieve diarrhea) as the monarch drug. Nutmeg dries dampness, warms the middle Jiao, astringes the intestines and stops diarrhea. Combined with tonic bone resin, it enhances the function of warming the spleen and kidneys, astringing the intestines and stopping diarrhea. Cornus officinalis disperses cold and relieves pain (relieving pain by removing cold from the body), and Schisandra chinensis is astringent and astringent (consolidating astringency), both of which are adjuvants. The adverse effects and contraindications of this formula are not known. If there is a need for medication, please use it under the supervision of a physician.