Names Of Si Ni San Wan
Si Ni San Wan TCM Herbal Formula
- English Name: Frigid Extremities Powder Pills
- Pinyin Name: Si Ni San Wan
- Alternate Names: Si Ni Wan, Frigid Extremities Formula, Frigid Extremities Decoction, Four Pillars Teapills
- Chinese Character: 四逆散
How Is Si Ni San Wan Categorized?
Si Ni San Wan Functional Groupings
- Primary Category: Harmonize
- Subcategory: Regulate and Harmonize the Liver and Spleen
Sub Categories Within The Harmonize Category
Harmonize Lesser Yang Stage DisordersHarmonize the Stomach and IntestinesRegulate and Harmonize the Liver and Spleen
There Are 14 Formulas In Our Harmonize Category
How Is Si Ni San Wan Used Clinically?
Si Ni San Wan Usages and Indications
- Important formula for liver qi stagnation - manifesting as moodiness, depression, cold in the extremities (particularly hands and/or feet), possibly along with other stress signs - mild headaches, teeth grinding, facial twitching, etc.
- A range of liver "attacking" the spleen digestive issues, hypochondriac, abdominal and/or epigastric pain. Sensation of tension in the chest that worsens with stress.
- All of the above symptoms that come along with menstruation.
Cautions and Contraindications
- Not for cold extremities from yang or Blood deficiency.
- Use with caution or avoid in very weak patients who cannot sustain the movement that this formula creates.
Conditions and Patterns Potentially Related With Si Ni San Wan
Si Ni San Wan Related Conditions and Patterns
DepressionHypochondriac PainIrritabilityPremenstrual Syndrome (PMS)
All Conditions
Liver Attacking the SpleenLiver Qi StagnationStomach Rebellious Qi
All Patterns
Si Ni San Wan @ Our Yin Yang House Store
Si Ni San Wan In Our Store
Si Ni San Wan (HBW)
Info
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What Are Some Common Combinations For Si Ni San Wan?
Clinical Formula Combinations and Modifications
- Chai Hu Shu Gan Wan is another alternative for similar range of issues.
Si Ni San Wan Has 4Ingredients
Bai Shao
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White Peony Root
Appears in the Herbs That Tonify Blood category
Usages
- Nourishes the blood and regulates menstrual problems due to blood deficiency (pale, lusterless complexion and nails) - menstrual dysfunction, vaginal discharge, uterine bleeding - very common herb for gynecological disorders (Si Wu Tang).
- Calms liver yang, alleviates pain from constrained liver qi or disharmony between the liver and the spleen due to liver yang rising - cramping and spasms (limbs and abdomen), abdominal pain from dysentery, headache and dizziness.
- Preserves yin, adjusts ying and wei levels - vaginal discharge and spermatorrhea, exterior wind-cold from deficiency with continuous sweating, spontaneous sweating, night sweats.
This formula has cautions, see details
Chai Hu
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Thorowax Root, Bupleurum
Appears in the Herbs That Release The Exterior Wind Heat category
Usages
- Clears shao yang disorders and reduces fever - alternating chills and fever, bitter taste in the mouth, irritability, vomiting, stifling sensation in the chest.
- Relieves liver qi stagnation (often used with Bai Shao) - vertigo, menstrual disorders, chest and flank pain, the most common herb to treat stress, irritability, depression, etc.; also for liver and spleen disharmony - bloating, nausea, indigestion, flank pain.
- Raises yang qi in spleen and stomach deficiency patterns (often used with Sheng Ma) - prolapsed organ, diarrhea, hemorrhoids.
This formula has cautions, see details
Zhi Shi
Immature Bitter Orange
Appears in the Herbs That Regulate The Qi category
Usages
- Breaks up Qi stagnation, reduces accumulations, transforms phlegm - epigastric or abdominal pain and distention or indigestion w/focal distention or gas.
- Directs qi downward and unblocks bowels - frequently used for abdominal pain and constipation by accumulation and stagnant Qi.
- Transforms phlegm and expels focal.
- Used with Qi tonifying herbs for the prolapse of organs.
- Raises blood pressure.
This formula has cautions, see details
Zhi Gan Cao
Honey Fried Licorice Root
Appears in the Herbs That Tonify Qi category
Usages
- This preparation increases the qi tonifying aspects of the heart and spleen along with its general harmonizing function within formulas. See Gan Cao for complete information.
Where Do I Go Next?
Recent Questions From Our Forum...
Have questions about si ni san wan? Or want to discuss treatment techniques? You may reach us and our community of practitioners by using our forums
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