Si Ni San
Si Ni San 四逆散
Frigid Extremities Powder
Tradition:
TCM
Source / Author:
Shang Han Lun, C.220
| Herb Name | Latin | Amount * |
|---|---|---|
| Chai Hu(Bupleurum) | Bupleurum chinense | 9–12 grams ea. |
| Zhi Shi(Unripe Bitter Orange) | Citrus aurantium | 12-24 grams |
| Bai Shao(White Peony) | Paeonia lactiflora | 6–9 grams |
| Zhi Gan Cao(Fried Licorice) | Glycyrrhiza uralensis |
Preparation:
Powder
Function:
Moves the Liver Qi, opens Obstructions, benefits the Spleen, releases Constraint
Use:
General syndrome associated with this formula includes irritability, hypochondriac distention, fullness of the chest, bitter taste, maybe Fever, red tongue with yellow coating.
1. Cold extremities (fingers and toes) caused by Heat obstruction.
2. Cholecystitis
3. Gall Stones
4. Gastritis, Vomiting, Diarrhea
5. Hepatitis
6. PMS
7. Mastitis, Fibrocystic Breasts
8. Peptic Ulcer
9. Post Herpetic Neuralgia
Dose:
6–9 gram doses of the powder, three times daily; or the above may be decocted to be taken in 2–3 equal doses over the course of the day.
Cautions:
None noted
Modifications:
1. More severe Liver Qi Stagnation, add Cyperus rotundus and Curcuma Yu Jin
2. Spleen deficiency, add Codonopsis Dang Shen and Atracylodes Bai Zhu
3. Dysuria add Poria Fu Ling and Alisma Ze Xie
4. Vomiting, add Coptis Huang Lian and fresh Ginger
5. Hepatitis and chronic Liver disease, add Codonopsis Dang Shen, Curcuma Yu Jin, Artemisia Yin Chen Hao
This formula is not suited to cold extremities caused by internal Coldness, Yang Deficiency or Weak Blood. It is for internal Heat that is blocking internally, thereby obstructing flow to the extremities.
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