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AboutChinese MedicineCaution/Notes
| Health Benefits |
| For: Acute myocardial infarction (heart attack) • Acute gastroenteritis • Chronic nephritis • Congestive heart failure • Cardiac insufficiency • Liver Cirrhosis • Diarrhea |
| Atributes: |
| Products |
|
Tablets |
Pills |
Capsules |
Granules |
| Other Names: |
| Category: Warm Interior Cold ⌕ |
| Subcategory: Rescue Devastated Yang Source: Shang Han Lun |
| Actions: Rescue devastated yang • Warm middle burner • Stop diarrhea [31] |
| Diagnosis |
| Tongue: Pale with white slippery coating Pulse: Submerged, thin, faint Other: |
| Patterns: Abdominal Pain Cold Excess |
| Indications: KD Yang deficiency with Cold-Evil in Shaoyin stage (Yin Jue); Yang collapse [35] • Vomiting, diarrhea, extremely cold limbs, lethargic, abdominal pain, not thirsty, feels cold [31]
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| Contraindications: |
| Description |
| Name Variations: Si Ni Tang, 四逆汤, Frigid Extremities Decoction, |
| Herb List: Sheng Fu Zi • Gan Jiang • Zhi Gan Cao |
| Commentary: |
| Related Formulas: Si Ni Jia Ren Shen Tang • Shen Fu Tang • Tong Mai Si Ni Tang • Bai Tong Tang |
| NCCAOM: The two NCCAOM formulas for Yang Collapse are Shēn Fù Tāng and Sì Nì Tāng. • Shen Fu Tang is for emergency use when severe deficiency of the Yuan Qi leading to sudden Yang Qi with profuse sweating, cold extremities, shortness of breath, prolonged illness, or after severe hemorrhage. It has two herbs(Ren Shen, Fu Zi). • Si Ni Tang is for Kidney Yang deficiency with Cold pathogen in Shaoyin stage leading to Yang collapse. Symptoms include vomiting, diarrhea, extremely cold limbs, lethargic, abdominal pain, no thirst and feels cold. It has 3 herbs (Sheng Fu Zi, Gan Jiang, Zhi Gan Cao). Don’t confuse Si Ni Tang with Dang Gui Si Ni Tang which has none of the Si Ni Tang ingredients and is for milder issues like Cold in the channels from an underlying blood deficiency. Also do not confuse it with Si Ni San, which is for cold extremities caused by Liver Qi stagnation overacting on Spleen and not allowing Qi to flow. This is for true heat/false cold. |
| Herbs |
Cat/Dosage |
Actions |
Attributes |
Qiang Huo •
Notopterygium Root • 羌活 |
Release Exterior Wind Cold |
relieve occipital headaches • ease bi zheng in upper body • dispel cold • release exterior • dry superficial dampness • guide herbs to Tai Yang jingBest for occipital headaches |
antipyretic, analgesic, vasodilator |
Du Huo •
Pubescent Angelica Root • 独活 |
Wind Damp Cold |
Dispel wind damp cold • Alleviate pain • Release exteriorHerb pair: Du Huo/Qiang Huo for headaches. Du Huo for lower body Shao Yin headache and Qiang Huo for upper body Tai Yang headache |
hypotensive • antibiotic • anti-platelet • anti-inflammatory • analgesic |
Chuan Xiong •
Szechuan Lovage • 川芎 |
Invigorate Blood |
Relieve pain • Expel Wind • Invigorate blood • Moves qi • Guide herbs to Jue Yin JingDao Di: Si Chuan • Available as injections |
Anticoagulant • Antiplatelet • Analgesic • Antitussive • Anti-inflammatory • Hypotensive • Sedative |
Chai Hu •
Thorowax • 柴胡 |
Release Exterior Wind Heat |
Harmonize interior and exterior • Reduce fevers • Reduce chills • Soothe liver Qi • Clear muscle layer heat • Tonify stomach Qi • Guide herbs to Shao Yang Jing |
Antibiotic • Antipyretic • Anti-inflammatory • Antibaterial • Antiviral • Analgesic • Hepatoprotective • Immunemodulatory • Chemoprotective • Anti-tumor • Cholagogic • Sedative • Immunostimulate |
Jie Geng •
Platycodon Root • 桔梗 |
Phlegm Cold |
Disperse Lung qi • Expel mucus • Soothe sore throat • Guide other herbs to upper body • Treat abscesses • Move Qi upward • Guide herbs upward |
Expectorant • Hypoglycemic • Anticholesterol • Antifungal |
| Zhǐ Ké • Ripe Bitter Orange • 枳壳 |
Regulate Qi |
Dissolves Qi stagnation • Clear congestion • Relieve abdominal distention For moving Qi: Epigastric area - Chen Pi • Intestinal area - Mu Xiang • From epigastric all the way to the abdominal area - Zhi Shi and Zhi Ke • Lateral side area -Chai Hu, Xiang Fu, Qing Pi, and Fo Shou • Lower abdomen: Wu Yao warms kidney • Upper chest area: Tan Xiang, Xie Bai • REN4 & REN6 area: Chen Xiang |
antiplatelet • antithrombatic • hypertensive • diuretic • bronchodilator • antineoplastic |
Qian Hu •
Peucedanum • 前胡 |
Phlegm Heat |
Expel phlegm • Descend Lung Qi • Release exterior wind heat |
|
Fu Ling •
Poria Mushroom • 茯苓 |
Drain Dampness |
Dry dampness • Tonify spleen • Calm spirit • Relief edema • Detox food poisoning • Promote urination Dao Di: Yun Nan |
Diuretic • Antibacterial • Anti-inflammatory • Anti-allergic • Hypoglycemic • Antacid • Sedative • Immunity booster |
Ren Shen •
Ginseng • 人参 |
Tonify Qi |
Tonify yuan qi • Tonify lung qi • Tonify heart qi • Calms Shen • Stop thirst • Helps impotence • Treats qi collapse • Tonify Spleen • Generate fluid • Stop thirst • Strengthen anti-pathogenic qi • Can go to all 5 zang organsUnlike Huang Qi, Ren Shen is adaptogenic and may be used by people with autoimmune disorders. |
adaptogen • anti-aging • anticoagulant • antiplatelet • antioxidant • adrenalcortical • immunity booster • anti-inflammatory • antidepressant • hepatoprotective • stimulant |
Gan Cao •
Licorice Root • 甘草 |
Tonify Qi |
Tonify Spleen Qi • Tonify Heart qi • Clear heat • Resolve toxicity • Stop cough • Dispel phlegm • Lubricate lungs • Stop wheezing • Reduce spasm • Relieve pain • Harmonize other herb effects • enters 12 channelsEnters all 12 channels, often serve as envoy in a formula. |
Hypoglycemic • Antiarrhythmic • Hypertensive • Expectorant • Antidiarrheal • Antiulcer • Hepatoprotective • Immunostimulant • Antitussive • Antiviral • Detox • Demulcent • Anti-inflammatory • Laxative • Emmenagogue • Antimicrobial • Spasmolytic • Corticosteroidal |
| ♠ King/Chief ♥ Minister/Deputy ♣ Assistant ♦ Envoy |
| Directions: |
| Caution |
ALERT: Contraindications of each herb - use with caution under these conditions:
Qiang Huo: Yin deficiency • Blood deficiency, Bi Zheng with red tongue and light/no coat
Du Huo: Yin deficient heat
Chuan Xiong: Pregnancy • Blood thinners • Fire from yin deficiency • Dry tongue • Dry mouth • Fever • Profuse menstrual bleeding • Spleen deficiency • caution: LV yang xu since this herb tends to move Qi upward.
Chai Hu: Dries Yin and can exacerbate the Yin deficiency • Do not use as intramuscular injections • Liver fire • Hyperactive liver yang • Cytochrome P450, 2C9, 2E1, 2D6, and 3A4 • Greater than 19g may lead to liver injury
Jie Geng : Blood-stained mucus • Hypoglycemia • Tuberculosis • Anti-diabetic drugs
Zhǐ Ké: pregnancy • anticoagulant or antiplatelet drugs • Spleen/Stomach deficiencies • gastric ulcers • duodenal ulcers
Qian Hu: Yin deficient cough
Fu Ling: Foods: Vinegar, pickled food
Ren Shen: Blood thinner medication • Diabetes medication • Blood pressure medication • Caffeine • Yin deficiency • Stagnant fire • Hypertension • Bleeding disorders • Pain in chest • Excess heat • food: onion, garlic, radishes, tea, turnips
Gan Cao: High blood pressure • Low potassium • Seaweed • Medications: Gan Cao can interact with various medication. See Pharma Interaction section. |
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