Si Ni Tang (Frigid Extremities Decoction)
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Si Ni Tang (Frigid Extremities Decoction)

Formula 10 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 (Qty: 6-9 grams)

Hot Fu Zi (Radix Lateralis Praeparatus Aconiti Carmichaeli)
Channels:
HT, KI, SP
Properties:
Spicy, Hot, Toxic
Latin:
Radix Lateralis Praeparatus Aconiti Carmichaeli
Chinese:
附子
Tone Marks:
fù zi
Translation:
Appendage

Gan Jiang (Qty: 4.5 grams)

Hot Gan Jiang (dry Rhizoma Zingiberis)
Channels:
HT, LU, SP, ST
Properties:
Spicy, Hot
Latin:
dry Rhizoma Zingiberis
Chinese:
干姜
Tone Marks:
gān jiāng

Zhi Gan Cao (Qty: 6 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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