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

Zhi Shi (Unripe Bitter Orange)

Citrus aurantium

9–12 grams ea.

Bai Shao (White Peony)

Paeonia lactiflora

12-24 grams

Zhi Gan Cao (Fried Licorice)

Glycyrrhiza uralensis

6–9 grams

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:

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.

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


Back to POWDERS
Back to FORMULAS
How to Modify a Formula
Substitutes
Weights & Measures

DISCLAIMER

This Website is intended for the study of Traditional Medicine. Some of the information is Intended for Historical reference only and may be illegal or dangerous if used by unskilled hands. MedicineTraditions cannot be held responsible for the use or misuse of the information contained herein, nor can it be held responsible for injury, sickness or death due to use or misuse of the information contained herein.

Picture