Si Ni San Wan Frigid Extremities Powder Pills - TCM Herbal Formula

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

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How Is Si Ni San Wan Categorized?

Si Ni San Wan Functional Groupings

Primary Category: Harmonize
Subcategory: Regulate and Harmonize the Liver and Spleen

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Sub Categories Within The Harmonize Category

Harmonize Lesser Yang Stage Disorders Harmonize the Stomach and Intestines Regulate and Harmonize the Liver and Spleen

There Are 14 Formulas In Our Harmonize Category

Ban Xia Xie Xin Wan Chai Hu Shu Gan Wan Si Ni San Wan Da Bu Gan Wan Jia Wei Gui Pi Wan Jia Wei Xiao Yao Wan Jiang Ya Wan Pian Tou Tong Wan Ping Gan Liu Qi Yin Wan Shao Yao Gan Cao Wan Shu Gan Wan Tong Xie Yao Fang Wan Xiao Chai Hu Tang Wan Xiao Yao Wan

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.

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Conditions and Patterns Potentially Related With Si Ni San Wan

Si Ni San Wan Related Conditions and Patterns

Depression Hypochondriac Pain Irritability Premenstrual Syndrome (PMS)

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Liver Attacking the Spleen Liver Qi Stagnation Stomach Rebellious Qi

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Si Ni San Wan @ Our Yin Yang House Store

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Si Ni San Wan (HBW)
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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

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

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.