Download Si Ni San - Cat`s TCM Notes

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