Si Ni Tang (Frigid Extremities Decoction)

Formulas in this Category Dang Gui Si Ni Tang Yang He Tang Li Zhong Wan Wu Zhu Yu Tang Xiao Jian Zhong Tang Da Jian Zhong Tang Gan Cao Gan Jiang Tang Si Ni Tang Shen Fu Tang Hei Xi Dan

Formula 8 of 10 in Formulas that Warm Interior Cold

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Sub-Category:

• Formulas that Warm the Channels and Disperse Cold

Pattern:

• Kidney Yang deficiency with internal cold

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.

Possible Tongue Appearance:

• Pale or dusky with a white slippery coat

Possible Pulse Patterns:

• Minute and deep pulse
• Floating weak pulse

Western Uses:

• Prostration
• Acute Myocardial Infarction
• Cardiac Insufficiency
• Acute or Chronic Gastroenteritis with vomiting and diarrhea
• Hypopituitarism
• Hypothyroidism
• Adrenal Insufficiency
• Intractable Arthritis

Cautions, Contraindications, Herb Drug Interactions:

• Do not use in cases of cold limbs due to true heat and false cold, Blood deficiency, or Qi stagnation
• This formula contains one or more toxic substances.
  While some Chinese herbs are toxic, many come prepared, or are combined, to mitigate their toxicity.

Preparation Notes:

• Decoction. Cook Fu Zi 30-60 minutes (depending on the dosage) before adding Gan Jiang and Gan Cao.

Originally Appeared In:

• On Cold Damage (Shang Han Lun)

Combined Channels of all herbs in this formula:

• Spleen, Heart, Kidneys, Lungs, Stomach

There are 3 Substances in this Chinese Medicne

Fu Zi (Processed Aconite)
Quantity = 6-9 grams Gan Jiang (Dried Ginger Rhizome)
Quantity = 4.5 grams Zhi Gan Cao (Honey Fried Licorice Root)
Quantity = 6 grams

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