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Si Ni Tang (Frigid Extremities Decoction)


Si Ni Tang

Frigid Extremities Decoction

Ingredients
3 herbs
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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.

Preparation & 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

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    Volker Scheid, Andrew Ellis

  • https://amzn.to/4gMROyv

    Him Che. Yeung

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    Qiao Yi

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