Si Ni Tang
Frigid Extremities Decoction
- Category
- Formulas that Warm Interior Cold
- Subcategory
- Formulas that Rescue Devastated Yang
- Ingredients
- 3 herbs
Actions
- Tonifies Kidney Yang and rescues devastated Yang
- Warms the Middle Jiao and relieves abdominal pain and stops diarrhea.
Indications
- Very cold extremities, intolerance of cold, a desire to lie down or sleep and curl in a fetal position, cold abdominal pain, diarrhea with undigested food, vomiting, no thirst, and somnolence
- Devastated Yang symptoms may include profuse cold sweat, cold limbs, pale face, weak breath, and fainting.
Western Uses:
- Prostration
- Acute Myocardial Infarction
- Cardiac Insufficiency
- Acute or Chronic Gastroenteritis with vomiting and diarrhea
- Hypopituitarism
- Hypothyroidism
- Adrenal Insufficiency
- Intractable Arthritis
Ingredients
3 substances in Si Ni Tang — each links to its full herb monograph.
Fu Zi6-9 gWarm the Interior and Expel Cold
Gan Jiang4.5 gWarm the Interior and Expel Cold
Zhi Gan Cao6 gTonify QiPreparation & dosage
Decoction. Cook Fu Zi 30-60 minutes (depending on the dosage) before adding Gan Jiang and Gan Cao.
Safety — read before use
Do not use in cases of cold limbs due to true heat and false cold, Blood deficiency, or Qi stagnation
Originally Appeared In:
- On Cold Damage (Shang Han Lun)
Sources & References
Compiled and edited by Thomas Dehli, Founder & Editor, Sacred Lotus
The information here is referenced from numerous sources — teachers, practitioners, class notes from Five Branches University, the books below, and the published research literature, with citations given as resolvable PubMed identifiers. Where sources disagree, I have flagged the discrepancies directly. If facts couldn't be verified, I have left them out. How we source our content.
Reference information for students and practitioners — not medical advice. Consult a qualified practitioner. Terms of use.
Chinese Formulas Books & References
- https://amzn.to/4fYI3f8
- https://amzn.to/4j55NRA
- https://amzn.to/4gMROyv
- https://amzn.to/4h7msSK



