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Sub-Category: Formulas that Harmonize Lesser Yang-stage Disorders Pattern


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Si Ni San (Frigid Extremities Powder)
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


Substances in this Formula (4 Total):






Chai Hu (Thorowax Root , Bupleurum)

Qty:

9-12 grams

Chan:

GB, LIV, PER, TB

Prop:

Bitter, Spicy, Cool

Latin:

Radix Bupleuri

Cat:

Cool, Spicy Herbs that Release the Exterior






Zhi Shi (Immature Fruit of the Bitter Orange)

Qty:

9-12 grams

Chan:

LI, SP, ST

Prop:

Bitter, Spicy, Slightly Cold

Latin:

Fructus Immaturus Citri Aurantii

Cat:

Herbs that Regulate the Qi






Bai Shao (White Peony Root)

Qty:

12-24 grams

Chan:

LIV, SP

Prop:

Bitter, Sour, Cool

Latin:

Radix Albus Paeoniae Lactiflorae

Cat:

Herbs that Tonify Blood






Zhi Gan Cao (Honey Fried Licorice Root)

Qty:

6-9 grams

Chan:

All 12 Channels

Prop:

Sweet, Warm

Latin:

Radix Glycyrrhizae

Cat:

Herbs that Tonify Qi





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