Si Ni San (Frigid Extremities Powder)
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Si Ni San (Frigid Extremities Powder)

Formula 7 of 8 in Formulas that Harmonize

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 (Qty: 9-12 grams)

Cool Chai Hu (Radix Bupleuri)
Channels:
GB, LIV, PER, TB
Properties:
Bitter, Spicy, Cool
Latin:
Radix Bupleuri
Chinese:
柴胡
Tone Marks:
chái hú
Translation:
Kindling of the Barbarians

Zhi Shi (Qty: 9-12 grams)

Slightly Cold Zhi Shi (Fructus Immaturus Citri Aurantii)
Channels:
LI, SP, ST
Properties:
Bitter, Spicy, Slightly Cold
Latin:
Fructus Immaturus Citri Aurantii
Chinese:
枳实
Tone Marks:
zhĭ shí

Bai Shao (Qty: 12-24 grams)

Cool Bai Shao (Radix Albus Paeoniae Lactiflorae)
Channels:
LIV, SP
Properties:
Bitter, Sour, Cool
Latin:
Radix Albus Paeoniae Lactiflorae
Chinese:
白芍
Tone Marks:
bái sháo
Alt Names:
Bai Shao Yao
Translation:
White Peony

Zhi Gan Cao (Qty: 6-9 grams)

Warm Zhi Gan Cao (Radix Glycyrrhizae)
Channels:
All 12 Channels
Properties:
Sweet, Warm
Latin:
Radix Glycyrrhizae
Chinese:
炙甘草
Tone Marks:
zhì gān căo

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