Frigid Extremities Powder
Chinese Prescription: Si Ni San
English Translation: Frigid Extremities Powder
Formula Type: Regulate and Harmonize the Liver and Spleen
Actions: Vents pathogenic qi, releases constraint, spreads the Liver qi, & regulates the Spleen.
Indications: Cold fingers & toes while the body & head are warm. This may be accompanied by a sensation of irritability & fullness in the chest & epigastrium, cough, urinary difficulty, abdominal pain & severe diarrhea, a red tongue with a yellow coating, & a wiry pulse.
Contraindications: This formula unblocks the qi dynamic with warm & acrid herbs. It is therefore contraindicated for qi constraint associated with yin deficiency, which may also manifest with pain in the hypochondria, epigastrium, & abdomen.
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Chai Hu / Bupleurum Root |
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Taste: Bitter, Acrid • Temperature: Cool • Category: Exterior Releasing - Cool • Sub Category: |
Dosage3-12g |
Actions1. Resolves lesser yang disorders & reduces fever: for alternating chills & fever accompanied by a bitter taste in the mouth, flank pain, irritability, vomiting, & a stifling sensation in the chest associated with the lesser yang stage of externally contracted disorders.
2. Spreads Liver qi & relieves constraint: for constrained Liver qi with such symptoms as dizziness, vertigo, chest & flank pain, emotional instability, or menstrual problems. Also used for disharmonies between the Liver & the Spleen with such symptoms as epigastric & flank pain, a stifling sensation in the chest, abdominal bloating, nausea, & indigestion.
3. Raises the yang qi in patterns of Spleen or Stomach deficiency: for hemorrhoids, anal or uterine prolapse, & diarrhea due to collapse of the Spleen qi. |
MeridiansGallbladder, Liver, Pericardium, Triple Burner |
CautionsContraindicated in cases of yin deficiency cough or Liver fire ascending to the head. May occasionally cause nausea or vomiting; should this occur, use only a very small dose. |
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Zhi Shi / Orange (Bitter) unripened, immatured fruit |
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Taste: Bitter, Acrid • Temperature: Slightly Cold • Category: Regulate Qi • Sub Category: |
Dosage3-9g |
Actions1. Breaks up stagnant qi & reduces accumulation: for epigastric or abdominal pain & distention or indigestion with focal distention or gas.
2. Directs the qi downward & unblocks the bowels: frequently used for abdominal pain & constipation caused by accumulation & stagnant qi. Also used for dystentric diarrhea that is difficult, with or without tenesmus.
3. Transforms phlegm & expels focal distention: for focal distention & fullness in the chest & epigastrium due tp phlegm obstructing the qi mechanism.
4. Also used with qi tonifying herbs for gastriectasis, gastroptosis, rectal prolapse, or uterine prolapse. recently used to raise blood pressure. |
MeridiansLarge Intestine, Spleen, Stomach |
CautionsUse with caution during pregnancy, or in cases where the normal qi is weak or there is Stomach cold from deficiency. |
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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. |
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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. |