Si Ni San (Frigid Extremities Powder)

Formulas in this Category Xiao Chai Hu Tang Da Chai Hu Tang Hao Qin Qing Dan Tang Da Yuan Yin Si Ni San Xiao Yao San Tong Xie Yao Fang Ban Xia Xie Xin Tang

Formula 5 of 8 in Formulas that Harmonize

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Sub-Category:

• Formulas that Harmonize Lesser Yang-stage Disorders

Pattern:

• Liver (Qi Stagnation) attacking the Spleen and Stomach

Actions:

• Spreads Liver Qi and regulates the Spleen
• Eliminates internal heat and reduces stagnation.

Indications:

• Cool or cold extremities (fingers and toes)
• Possible irritability with distension and fullness in the epigastria and chest.
• Bitter taste in the mouth and dry throat.
• Possible abdominal pain with diarrhea.
• Dysmenorrhea and distending breast pain.

Possible Tongue Appearance:

• Red or dusky tongue with a yellow coat

Possible Pulse Patterns:

• Wiry pulse, possibly rapid

Western Uses:

• Gastritis
• Peptic Ulcer
• Cholecystitis
• Cholelithiasis
• Hepatitis
• Intestinal Obstruction
• Mastitis
• Breast Fibroids
• Hernia
• Pancreatitis

Cautions, Contraindications, Herb Drug Interactions:

• Do not use in cases where cold extremities are due to Blood deficiency from true heat and false cold
• Use with caution in cases of excess Yin with full cold or Yang deficiency with empty cold.

Preparation Notes:

• Decoction.

Originally Appeared In:

• On Cold Damage (Shang Han Lun)

Combined Channels of all herbs in this formula:

• Pericardium, Gall Bladder, Liver, Large Intestine, Stomach, Spleen

There are 4 Substances in this Chinese Medicne

Chai Hu (Thorowax Root , Bupleurum)
Quantity = 9-12 grams Zhi Shi (Immature Fruit of the Bitter Orange)
Quantity = 9-12 grams Bai Shao (White Peony Root)
Quantity = 12-24 grams Zhi Gan Cao (Honey Fried Licorice Root)
Quantity = 6-9 grams

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