Si Ni San (Frigid Extremities Powder)

Si Ni San (Frigid Extremities Powder)

Formula 5 of 8 in Formulas that Harmonize

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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 (Thorowax Root , Bupleurum)
Quantity = 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 (Immature Fruit of the Bitter Orange)
Quantity = 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 (White Peony Root)
Quantity = 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 (Honey Fried Licorice Root)
Quantity = 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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References Used

The TCM information presented here has been referenced from numerous sources; including teachers, practitioners, class notes from Five Branches University, the following books, as well as other sources. If you have benefited from this information, please consider supporting the authors and their works by purchasing the books below.

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