Si Ni San四逆散
Frigid Extremities Powder
Autres nomsBupleurum and Chih-Shih Formula · Powder for Relieving Depression with Cold Limbs
- Substances
- 4
Cette entrée n’est pas encore traduite — le texte ci-dessous est en anglais.
Composition
Resolves Shao Yang disorders, reduces fever,resolves Phlegm and congestion, disperses Wind-Heat, regulates Qi, relieves Stagnation and eliminates Heat.
Breaks up Stagnant Qi, reduces accumulation, descends Qi, unblocks the bowels and removes stagnant food to relieve Stagnation in the Middle Jiao and help restore the Spleen's function of transformation and transportation.
for abdominal pain due to Qi and Blood Stagnation.Tonifies the Spleen, augments *Qi and moderates and harmonizes the properties of other herbs.*
- Bai Shao
Actions
- Vents the Exterior
- Harmonizes the Liver and Spleen
- Frees Stagnation
- Disperses Liver Qi
- Clears Interior Heat
- Alleviates mental depression
Syndromes traités
- Heat in the Jue Yin
- Heat in the Shao Yin
- Disharmony between the Liver and Spleen (the Liver invading the Spleen), presenting with rib-side or abdominal pain and menstrual disturbances
- Gu Disorder
Manifestations
- Cold hands and feet alongside Interior Heat
- Fever with an erratic pattern
- Fullness and distention in the rib-side region
- A sensation of distention, pain, or blockage located in the Stomach, lower abdomen, or between the ribs
- Pain in the abdominal region
- Diarrhea that is marked in severity
- A dysentery-type bowel presentation
- Pain along the rib-side
- Problems with menstruation
- A depressed mood
- A tendency to cough
- A mild feeling of warmth throughout the body
- The body feels hot and feverish because the Liver Qi is disharmonious
- A sensation of thirst
- Constipation of a mild degree
- A feeling of irritability with fullness in the chest and epigastric region
- A slight sense of blockage and firmness below the Heart
- A white line visible along the path from the navel up to the tip of the sternum
- Slight distention of the abdomen
- Cramping spasms in the abdomen
- Eyes that are dry and swollen
- A tenesmus sensation
- Painful or difficult urination
- Loose stools
- Urine that is dark yellow in color
- Corps de la langue
- May present as either red or pale in hue
- Enduit
- A thin coating that is yellow or white, or a greasy coating that is yellow or white
- Pouls
- Wiry, or wiry combined with tight, or wiry combined with slippery
Indications
- Inflammation of the stomach lining
- A prolapsed (dropped) stomach
- An ulcer of the stomach or duodenum
- Inflammation of the gallbladder
- Gallstones
- Inflammation of the Liver
- Bowel blockage caused by adhesions
- Inflammation of the breast
- Fibrocystic changes in the breast
- Fainting brought on by Heat
- Nerve-type pain in the stomach
- Nerve pain between the ribs
- Roundworm infestation of the bile duct
- Scarring of the Liver (cirrhosis)
- Both short-term and long-standing stomach inflammation
- Inflammation of the uterine appendages
- Erectile dysfunction
- A yeast (Candida) infection
- Excess body weight
- Bowel habit swinging between diarrhea and constipation, with hard, pellet-shaped stools
- Symptoms occurring before menstruation (PMS)
- Disease of the coronary arteries
- Involuntary urination (bedwetting)
- Obstruction of the fallopian tubes
- Nerve pain along the trigeminal nerve
- A hemorrhagic fever occurring in epidemics
- IBS-type bowel dysfunction
- Long-standing inflammation of the tonsils
- Whooping cough
- Gu pattern
- Middle-ear infection
- Ménière's inner-ear disorder
- Nervous exhaustion
- Pain located in the abdomen
- Cramping of the abdominal muscles
- Protrusion of the stomach through the diaphragm (hiatal hernia)
- Difficulty digesting food
- Tightness in the neck
- Ulcerative inflammation of the colon
- Persistent, unexplained exhaustion (CFS)
- Inflammation of the pancreas
- Sudden-onset inflammation of the appendix
- An ulcer of the stomach
- Inflammation of the pleura
- One-sided nasal inflammation with yellow discharge
- One-sided sinus inflammation with yellow discharge
- A neurotic disorder
- A seizure disorder
- Tuberculous inflammation of the peritoneum
- A protrusion of tissue through a weakened wall
- Bluish discoloration of the extremities
- Diarrhea that is foul-smelling and painful
- Colon inflammation of allergic origin
- Mild, surface-level stomach inflammation
- Inflammation of the colon
- Difficulty conceiving
- Increased intestinal permeability (leaky gut)
- Giardia parasite infection
- Stones in the urinary tract
- Painful menstruation
- Headache of nerve origin
- Urinary leakage triggered by exertion
- Symptoms occurring around menopause
- A walled-off abscess near the appendix
- Dysregulation of the autonomic nervous system
- Absence of menstruation
- Endometrial tissue growing outside the uterus
- Long-standing inflammation of the bronchi
- An elevated body temperature
- Feeling nauseated and/or vomiting
- Nausea of early pregnancy
- A depressive state
- A bloated, distended feeling in the abdomen
- Difficulty achieving or maintaining an erection
- Backflow of stomach acid
- Inflammation of the stomach and intestines
- Raynaud's phenomenon of the extremities
- Tightness in the shoulder
- Heart disease affecting the coronary arteries
Modifications
When a cough is present
- +Wu Wei Zi
- +Gan Jiang
When abdominal pain arises from Cold
When there is pain in the hypochondriac region
For Blood Deficiency accompanied by hypochondriac pain and irregular menstrual cycles
When there is a pinpoint pain stemming from Blood Stasis
For Damp-Heat vaginal discharge accompanied by lower abdominal pain and soreness of the lower back
When disorders of the biliary tract are present
When roundworms are the cause
When there is obstruction of the intestines
When Heat affects the Spleen and Stomach
When hypochondriac pain is severe
When nausea and vomiting occur
When constipation is present
When there is Food Stagnation or indigestion
In cases where Food Stagnation or indigestion occurs
When hypertension is present
When Liver-related problems exist
When distention after eating, belching, and lack of appetite occur
When amenorrhea is present
When hepatitis presents with jaundice
When hepatitis presents with poor appetite
When hepatitis presents with a low-grade fever
When hepatitis presents with ongoing fatigue
When Liver cirrhosis is combined with Heat
When Liver cirrhosis is combined with Blood Stagnation
When cholecystitis is present
When cholecystitis is combined with Qi Stagnation
When cholecystitis is combined with Damp-Heat
When biliary ascariasis is present
In cases of biliary ascariasis
When gastritis is present
When gastritis presents with upper abdominal pain
When epigastric pain is present
When ulcerative colitis arises from Spleen Deficiency
- +Dang Shen
- +Shan Yao
- +Chao Bai Zhu
When infertility is present
When infertility is combined with Blood Stagnation
- −Zhi Shi
- +Zhi Ke
- −Bai Shao
- +Chi Shao
- +Dan Shen
- +Chuan Lian Zi
- +Shui Zhi
When impotence is present
When impotence is combined with hypochondriac pain
When impotence is combined with insomnia and excessive dreaming
When impotence is combined with cold and pain in the limbs and lower abdomen
When nausea and vomiting are severe
When nausea and vomiting are combined with Food Stagnation
When intercostal pain is severe
For Spleen disorders where the tongue coating is greasy
When severe acid reflux, hiatus hernia, gastritis, peptic ulcer, and indigestion result from Spleen and Stomach Deficiency Cold
When acid reflux, hiatus hernia, gastritis, peptic ulcer, and indigestion from Spleen and Stomach Deficiency Cold are combined with epigastric pain
When acid reflux, hiatus hernia, gastritis, peptic ulcer, and indigestion from Spleen and Stomach Deficiency Cold are combined with vomiting
When acid reflux, hiatus hernia, gastritis, peptic ulcer, and indigestion from Spleen and Stomach Deficiency Cold are combined with insomnia or nighttime restlessness
When a peptic ulcer is present
When a peptic ulcer causes occasional severe pain
When a peptic ulcer causes spasmodic pain
When a peptic ulcer is combined with Liver Blood Deficiency
When a peptic ulcer is combined with frequent belching
When Raynaud's disease is combined with Food Stagnation
When Raynaud's disease is combined with dysmenorrhea
When endometriosis stems from Qi and Blood Stagnation, with Qi Stagnation the predominant factor
When there is a sensation of palpitations
When urination is difficult
When epigastric pain is combined with acid regurgitation
When Food Stagnation is combined with abdominal pain
When there is a fixed, pinpoint pain from Blood Stasis
When menstruation is painful
When a breast abscess is present
When jaundice is present
When intercostal neuralgia is present
When acute icteric hepatitis is present
When indigestion is combined with poor appetite, cold limbs, and a wiry, smooth pulse
When Liver Qi Stagnation is severe
When urine output is scant
When diarrhea is combined with tenesmus
When Heat has accumulated
When there is an accumulation of Heat
When Spleen Deficiency is present
- +Dang Shen
- +Bai Zhu
When dysmenorrhea is present
- +Xiang Fu
- +Yan Hu Suo
- +Shi Xiao Sanformule
In cases of Gu Syndrome
When Phlegm-Heat Obstruction is combined with insomnia and a tendency toward anger and irritability
- +Xiao Xian Xiong Tangformule
When the face is red, with marked irritability and insomnia
- +Huang Lian Jie Du Tangformule
When mastitis is present
When hepatitis is present
When hepatitis is combined with constipation
When hepatitis is combined with diarrhea
When hepatitis is combined with enlargement of the Liver and Spleen
When Liver cirrhosis is present
When Liver cirrhosis is combined with Qi Stagnation
When Liver cirrhosis is combined with Yin Deficiency
When Liver cirrhosis is combined with Spleen Deficiency
When cholecystitis is combined with gallstones
When cholelithiasis is present
When superficial gastritis is combined with Liver and Stomach Qi Stagnation
- +Zhe Bei Mu
- +Huang Qin
- +Xiang Fu
When superficial gastritis is combined with Stagnation in the Stomach channel
When gastritis is combined with constipation
When peptic ulcer disease is present
When ulcerative colitis arises from Damp-Heat
When ulcerative colitis arises from Kidney Yang Deficiency
When infertility is combined with Qi Stagnation
When adnexitis is combined with Damp-Heat
- +Mu Tong
- +Ze Xie
When adnexitis is combined with Cold-Damp
When adnexitis causes severe pain
When adnexitis is combined with profuse leukorrhea
When impotence is combined with a dry mouth and a bitter taste
When impotence is combined with dizziness and swelling of the head
When nausea and vomiting are combined with Heat
When there is vomiting of bile
When nausea and vomiting are combined with constipation
When nausea and vomiting are combined with Stagnant Heat and acid reflux
When chronic nausea and vomiting have damaged the Yin
When thick Phlegm is expectorated
When acid reflux, hiatus hernia, gastritis, peptic ulcer, and indigestion are caused by Spleen and Stomach Deficiency Cold
When severe acid reflux, hiatus hernia, gastritis, peptic ulcer, and indigestion from Spleen and Stomach Deficiency Cold are combined with a sharp, burning sensation
When acid reflux, hiatus hernia, gastritis, peptic ulcer, and indigestion from Spleen and Stomach Deficiency Cold are combined with nausea
When acid reflux, hiatus hernia, gastritis, peptic ulcer, and indigestion from Spleen and Stomach Deficiency Cold are combined with irritability or tension
When acid reflux, hiatus hernia, gastritis, peptic ulcer, and indigestion from Spleen and Stomach Deficiency Cold are combined with gallstones
When a peptic ulcer is combined with a cold feeling in the Stomach and a preference for warm drinks
When a peptic ulcer is combined with severe Stomach distention
When a peptic ulcer is combined with Food Stagnation
When a peptic ulcer is combined with Spleen Qi Deficiency
When Raynaud's disease is combined with pain in the chest, breast, and/or flanks
When Raynaud's disease is combined with Blood deficiency and irregular menstruation
When Raynaud's disease is combined with intercostal neuralgia
When Raynaud's disease is combined with constipation
When coronary Heart disease is present
Précautions
Should not be used in patients whose cold extremities stem from a different cause.