Theory

Si Ni Tang Wan Frigid Extremities Formula - TCM Herbal Formula


Si Ni Tang Wan Names

  • English Name: Frigid Extremities Formula
  • Pinyin Name: Si Ni Tang Wan
  • Chinese Character: 四逆汤丸

Functional Groupings



Si Ni Tang Wan Clinical Usages and Indications

  • Aversion to cold, very cold limbs, sensations of deep cold, fatigue, lethary resulting from kidney yang deficiency.
  • Diarrhea with undigested food, vomiting, abdominal pain.

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Clinical Formula Combinations and Modifications


Si Ni Tang Wan Has 3 Ingredients

Fu Zi

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  • Prepared Aconite Root
    • Restores devastated yang - extreme cold limbs with abundant cold symptoms.
    • Assists heart yang to unblock vessels and improve circulation, tonifies kidney yang to augment fire and avoid loss of the basal yang.
    • Warms fire and assists yang - any problem associated with weak heart, spleen, and/or kidneys.
    • Disperses cold, warms the channels, alleviates pain - wind-damp-cold bi, cold blocking organs, channels, sinews, bones or blood vessels.
  • Herbs That Warm the Interior and Expel Cold
  • Cautions
    • Avoid during Pregnancy.
    • Avoid in yin deficiency with false cold and true heat.

Gan Jiang

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  • Dried Ginger Root
    • Warms the middle and expels cold - warms spleen and stomach both in conditions of excess due to externally contacted cold, as well as cold from deficiency due to yang qi deficiency.
    • Rescues devastated yang, expels interior cold - very weak pulse and cold limbs.
    • Warms the lungs and transforms phlegm - lung cold with thin, watery or white sputum.
    • Warms the channels, stops bleeding - hemorrhage of various types, especially for uterine bleeding (must be due to cold - chronic and pale in color, with cold limbs, soggy pulse).
  • Herbs That Warm the Interior and Expel Cold

Zhi Gan Cao

  • Honey Fried Licorice Root
    • 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.
  • Herbs That Tonify Qi



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