Disclaimer For educational purposes only. Do not use as medical advice
AboutChinese MedicineCaution/Notes
| Health Benefits |
| For: |
| Atributes: |
| Products |
|
Tablets |
Pills |
Capsules |
Granules |
| Other Names: |
| Category: Harmonize ⌕ |
| Subcategory: Harmonize Liver and Spleen Source: Shang Han Lun |
| Actions: disperse obstructed qi, soothe
liver, regulate Spleen[31]
|
| Diagnosis |
| Tongue: red, yellow coat Pulse: wiry Other: |
| Patterns: Liver and Spleen Qi Stagnation |
| Indications: LV Qi stagnation overacting on the SP causing cold extremities (Yang Jue) [35] • 1. Yang obstructed Jue Ni Syndrome 2. Liver Spleen Qi Stagnation. Cold extremities, hypochondria epigastria pain, wiry pulse [31] • Liver Qi stagnation not allowing Qi to flow to extremities, leading to cold limbs. True heat/false cold. Gallstones, muscle spasms.[42] |
| Contraindications: |
| Description |
| Name Variations: Si Ni San, 四逆散, Frigid Extremities Powder, |
| Herb List: Chai Hu(K) • Bai Shao(M) • Zhi Shi(A) • Gan Cao(E) |
| Commentary: Cold stagnation due to LV Qi constraint. Yang Qi cannot spread to the whole body so you have cold fingers and toes while the head and body are still warm. Tongue shows heat with red tongue and yellow coat. Liver is Yin in form but Yang in function to spread the Qi. May have vomiting, constipation, diarrhea, poor appetite. Chai Hu/Bai Shao (Chai Hu moves the disperses, Bai Shao softens and relaxes the LV), Zhi Shi, Zhi Gan Cao(for moving Middle Jiao Qi). Ni means rebellion. So Si Ni San is four counterflow powder. LV Qi is supposed to spread, so this is counter flowing the Qi stagnation. NOTE: Si Ni San – LV Qi stagnation frigid extremities. Si Ni Tang – Yang collapse frigid extremities cold. Dang Gui Si Ni Tang – Blood deficiency frigid extremities. [42] The primary clinical value of Si Ni San lies in its powerful ability to alleviate spasms in smooth muscle tissue. The Nature of "Shaoyang Si Ni" is not Yang Deficiency: The "Si Ni" (cold limbs) treated by this formula is not caused by a lack of internal heat or Yang energy. The condition is rooted in the Shaoyang pattern, where the contraction of vascular smooth muscles reduces peripheral blood supply. This restricted circulation is what ultimately leads to cold hands and feet. Si Ni San does more than just address the surface symptom of cold extremities; it deeply regulates internal smooth muscle function. This regulatory action makes it a critical treatment for diseases such as gallstones. The formula aims to "Purge the Liver and Benefit the Gallbladder"[42]
|
| Related Formulas: Chai Hu Shu Gan San |
| NCCAOM: The 4 NCCAOM formulas for harmonizing the Liver and Spleen are Sì Nì Sǎn, Xiāo Yáo Sǎn, Jiā Wèi Xiāo Yáo Sǎn, and Tòng Xiè Yào Fāng. • Si Ni San is for Liver Qi stagnation overacting on Spleen causing cold extremities. • Xiao Yao San is Liver Qi stagnation with Liver Blood & Spleen Qi deficiency causing hypochondriac pain, vertigo, irregular menstruation, breast distention, wiry, fatigue, poor appetite, weak pulse. • Jia Wei Xiao Yao San is for Liver Qi stagnation with Liver Blood & Spleen Qi deficiency + Interior Heat. • Tong Xie Yao Fang is for Liver Qi stagnation overacting on the SP causing diarrhea with abdominal pain. Pulse is left side is wiry (Liver) and right side is slow (SP Qi deficiency). |
| Herbs |
Cat/Dosage |
Actions |
Attributes |
| 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 |
| Zhi Zi • Gardenia • 栀子 |
Clear Heat Drain Fire |
Clear heat • Drain liver fire • Cool blood • Dry dampness • Resolve toxins • Stop bleeding • Reduce injury swelling |
Antibiotic • Sedative • Hypotensive • Laxative • Anti-inflammatory • Antibacterial • Antipyretic |
| Bai Shao • White Root Peony • 白芍 |
Tonify Blood |
Tonify Liver blood - regulate menses • Tonify Liver Yin • Relief pain and spasms • Harmonize Ying and Wei QiDao Di: Zhe Jiang • AKA Shao Yao |
analgesic • antibacterial • anti-inflammatory • hepatoprotective • immune system boost • sedative |
| Zhi Gan Cao • Honey Fried Licorice • 炙甘草 |
Tonify Qi |
Increase the effectiveness of Gan Cao, particularly with: Tonify middle • Tonify Heart and Spleen Qi • Harmonize other herbs Honey is a cardiotonic. Zhi Gan Cao is different from Gan Cao in that it nourishes the heart. |
Hypoglycemic • Antiarrhythmic • Expectorant • Antidiarrheal • Antiulcer • Hepatoprotective • Antiulcer • Immunostimulant • Antitussive • Antiviral • Detox • Demulcent • Anti-inflammatory • Laxative • Emmenagogue • Antimicrobial • Spasmolytic |
| ♠ King/Chief ♥ Minister/Deputy ♣ Assistant ♦ Envoy |
| Directions: |
| Modifications |
For |
| + |
D 31 |
| + |
W 31 |
| + |
S 31 |
| Caution |
|
ALERT: Contraindications of each herb - use with caution under these conditions:
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
Zhi Zi: Spleen and Stomach deficiency cold • Loose stool • Poor appetite • Diarrhea
Bai Shao: Deficiency cold • Breast feeding • Pregnancy • Bleeding Disorder • Scheduled Surgery
Zhi Gan Cao: |
0 Comments