Si Ni Tang (Frigid Extremities Decoction)
Formula 9 of 10 in Formulas that Warm Interior Cold
- Formulas that Warm the Channels and Disperse Cold
- Kidney Yang deficiency with internal cold
- Tonifies Kidney Yang and rescues devastated Yang
- Warms the Middle Jiao and relieves abdominal pain and stops diarrhea.
- 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
- Acute Myocardial Infarction
- Cardiac Insufficiency
- Acute or Chronic Gastroenteritis with vomiting and diarrhea
- 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, it must be noted that many come prepared, or are combined, to mitigate their toxicity).
- 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
Substances in this Formula (3 Total):