Tangkui Decoction for Frigid Extremities
Chinese Prescription: Dang Gui Si Ni Tang
English Translation: Tangkui Decoction for Frigid Extremities
Formula Type: Warm the Channels and Disperse Cold
Actions: Warms the channels, disperses cold, nourishes the blood, & unblocks the blood vessels.
Indications: Long-standing cold hands & feet that are both cold to the touch & feel very cold to the patient, a pale tongue with a white coating, & a submerged, thin pulse or one that is so thin that it is almost imperceptible.
Contraindications: Should be used with caution during the spring & summer seasons, or in warm climates, since it readily injures the fluids. Contraindicated in patients with fire from yin deficiency.
Pinyin | English | Suggested Dosage |
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view: Dang Gui |
Angelica Sinensis | 9g |
view: Bai Shao Yao |
Peony | 9g |
view: Gui Zhi |
Cinnamon Twig | 9g |
view: Xi Xin |
Chinese Wild Ginger | 6g |
view: Zhi Gan Cao |
Honey-fried Licorice | 6g |
view: Da Zao (Hong / Hei) |
(Red or Black) Date | 25 pieces |
view: Mu Tong |
Akebia Vine | 6g |
Dang Gui / Angelica (Chinese) Root | |||
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Taste: Sweet, Acrid, Bitter • Temperature: Warm • Category: Tonic • Sub Category: Tonify Blood | |||
Dosage3-15g |
Actions1. Tonifies the blood & regulates the meses: for patterns of blood deficiency with such symptoms as a pallid, ashen complexion, tinnitus, blurred vision, & palpitations. Also very commonly used fro blood deficiency associated with menstrual disorders such as irregular menstruation, amenorrhea, dysmenorrhea, etc.2. Invigorates & harmonizes the blood & disperses cold: an important herb for stopping pain due to blood stasis. Commonly used for abdominal pain, traumatic injury, & carbuncles due to blood stasis, especially when there is also cold from deficiency. Also used in the treatment of blood deficiency with chronic wind-damp painful obstruction. 3. Moistens the Intestiones & unblocks the bowels: for dry Intestines due to blood deficiency. 4. Reduces swelling, expels pus, generates flesh, & alleviates pain: used in treating sores & abscesses where its ability to both tonify & invigorate the blood leads to improvement. |
MeridiansHeart, Liver, Spleen |
CautionsUse with caution in cases of diarrhea or abdominal distention due to damp obstruction. Contraindicated for yin deficiency with heat signs. |
Bai Shao Yao / Peony (White) | |||
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Taste: Bitter, Sour • Temperature: Cool • Category: Tonic • Sub Category: Tonify Blood | |||
Dosage6-15g, very large doses up to 30 g |
Actions1. Nourishes the blood & regulates the menses: for blood deficiency with such symptoms as menstrual dysfunction, vaginal discharge, & uterine bleeding. This is a very commonly used herb for treating women's disorders.2. Calms & curbs the Liver yang & alleviates pain: for such symptoms as flank, chest, or abdominal pain from either constrained Liver qi or disharmony between the Liver & Spleen. In general, this herb is used to "soften & comfort" the Liver, stop painful spasms in the abdomen, stop cramping pain or spasms in the hands & feet, & alleviate abdominal pain associated with dysentric disorders. It is also used for headache & dizziness due to ascendant Liver yang. 3. Preserves the yin & adjusts the nutritive & protective levels: for vaginal discharge & spermatorrhea, as well as exterior wind-cold from deficiency patterns with continuous sweating that does not resolve the problem. It is also used for yin deficiency where the yang floats to the surface causing spontaneous sweating or night sweats. |
MeridiansLiver, Spleen |
CautionsUse with caution in cases of diarrhea due to cold from deficiency, & in patients with weak yang & cold from deficiency. May antagonize shi hu & mang xiao, may counteract with bie jia & xiao ji, & may be incompatible with li lu. |
Gui Zhi / Cinnamon Twig | |||
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Taste: Acrid, Sweet • Temperature: Warm • Category: Exterior Releasing - Warm • Sub Category: | |||
Dosage3-9g |
Actions1. Adjusts the nutritive & protective qi levels: for exterior cold from deficiency patterns where sweating occurs without any improvement in the patient's condition.2. Warms the channels & disperses cold: for wind-cold-damp painful obstruction in joints & limbs, especially the shoulders. Also for gynecological problems, such as dysmenorrhea, caused by cold obstructing the blood. 3. Unblocks the yang & transforms the qi: for edema due to accumulation of cold phlegm or weak movement of the yang qi. 4. Warms & facilitates the flow of yang qi in the chest: for palpitations due to obstruction to the flow of yang qi in the chest. This can be due to either stagnation or deficiency. 5. Warms & facilitates the flow in the blood vessels: for dysmennorrhea with or without abdominal masses. |
MeridiansHeart, Lung, Bladder |
CautionsContraindcated for warm-febrile diseases, yin deficiency with heat signs, & heat in the blood with vomiting. Use with caution during pregnancy or excessive menstruation. |
Xi Xin / Ginger, Chinese Wild | |||
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Taste: Acrid • Temperature: Warm • Category: Exterior Releasing - Warm • Sub Category: | |||
Dosage1-3g |
Actions1. Releases the exterior & disperses cold: for any exterior cold patterns, especially with the addition of dampness & underlying yang deficiency. This herb is oftern used for externally contracted wind-cold when the dominant symptoms & head & body aches.2. Warms the Lungs & transforms phlegm: for patterns of externally contracted wind-cold with congested fluids, manifested in coughing & copious, watery sputum. 3. Disperse cold & alleviates pain: for pain in various parts of the body, most commonly headache, toothache, or painful obstruction, due to wind &/or cold. 4. Disperses & unblocks the qi of the nasal orifices: for various types of nasal congestion. |
MeridiansLung, Kidney |
CautionsContraindicated in cases of qi deficiency with profuse sweating, headache due to blood deficiency, or cough due to yin deficiency. According to some traditional sources, this herb antagonizes shan zhu yu & huang qi, & counteracts hua shi. Use with caution in patients with renal problems as it can be nephrotoxic. |
Zhi Gan Cao / Licorice Root, honey-baked | |||
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Taste: Sweet • Temperature: Warm • Category: Tonic • Sub Category: Tonify Qi | |||
Dosage2-12g |
Actions1. Tonifies the Spleen & augments the qi: commonly used for Spleen deficiency with shortness of breath, lassitude, & loose stools. Also for qi or blood deficiency patterns with an irregular or intermittent pulse & /or palpitations.2. Moistens the Lungs & stops coughing: for coughing & wheezing. Because of its neutral properties, it can be used for either heat or cold in the Lungs. 3. Clears heat & relieves fire toxicity: used raw for carbuncles, sores, or sore throat due to fire toxin. For this purpose, it can be taken internally or applied topically. 4. Moderates spasms & alleviates pain: for painful spasms of the abdomen or legs. 5. Moderates & harmonizes the characteristics of other herbs: by virtue of its sweet, neutral, & moderating properties, this herb moderates hot & cold herbs, & mitigates the violent properties of other herbs. Since it is said to enter all 12 primary channels, it can lead & conduct other herbs into the channels. 6. Used as an antidote for a variety of toxic substances, both internally & topically. 7. The raw root clears heat & relieves toxicity, the honey-fried tonifies the middle & moderates spasms. |
MeridiansAll 12 channels (principally the Heart, Lung, Spleen, & Stomach) |
CautionsContraindicated in cases of excess dampness, nausea, or vomiting. May be in compatible with jing da ji, yuan hua, gan sui, & hai zao, & may antagonize yuan zhi. The toxicity of gan cao is very low, but if taken long-term it may cause hypertension &/or edema. Glycyrrhetinic acid has been reported to cause a reduction in the activity of the thyroid & a reducation in the basal metabolic rate. |
Da Zao (Hong / Hei) / Red or Black Jujube Date | |||
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Taste: Sweet • Temperature: Neutral • Category: Tonic / Harmonize • Sub Category: Tonify Qi | |||
Dosage3-12 pieces (10-30 grams) |
Actions1. Tonifies the Spleen & augments the qi: for weakness, shortness of breath, lassitude, reduced appetite, & loose stools due to Spleen & Stomach deficiency.2. Nourishes the blood & calms the spirit: for wan appearance, irritability, & severe emotional lability due to restless organ disorder. 3. Moderates & harmonizes the harsh properties of other herbs. |
MeridiansSpleen, Stomach |
CautionsSince hong zao aids dampness, generates heat, & may readily induce fullness in the middle burner, it is contraindicated in cases of excess dampness, food stagnation, intestinal parasites, or damp-phlegm disorders with such symptoms as epigastric distention & bloating. |
Mu Tong / Akebia Vine | |||
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Taste: Bitter • Temperature: Cool • Category: Drain Damp • Sub Category: | |||
Dosage3-9g |
Actions1. Promotes urination & drains heat from the Heart via the Small Intestine: such symptoms as irritability accompanied by sores of the mouth or tongue, & scanty urine. Also used in treating damp-heat painful urinary dysfunction, edema & leg qi.2. Promotes lactation & unblocks the blood vessels: for insufficient lactation; less commonly for amenorrhea, & for pain & stiffness of the joints. |
MeridiansBladder, Heart, Small Intestine |
CautionsContraindicated during pregnancy & in the absence of interior damp-heat. This herb easily injures the fluids & should be used with extreme caution in patients with any sign of yin deficiency. Do not overdose: acute renal failure was reported following a dose of 60g. |