Formula Database


Dang Gui Si Ni Jia Wu Zhu Yu Sheng Jiang San

(Tangkuei Decoction for Cold Extremities with Evodia and Fresh Ginger)

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Source: Discussion of Cold Damage (c. 220)
Author: Zhang Ji (Zhong-Jing)

Category: Formulas that Warm Interior Cold

Pattern: Chronic Cold in the Middle Jiao or Ren and Chong obstructing the circulation of Blood

Key Symptoms: Pronounced sensitivity to cold, cold extremities, pain in extremities and/or lower abdomen aggravated by cold, loose stools, nausea and vomiting, abdominal pain
Secondary Symptoms: Numbness, increased urination, migraine-type headaches, lower back pain

Tongue: Pale, wet body with thin white coat
Pulse: Submerged and thin, imperceptible
Abdomen: Hypertonicity of rectus abdominis muscle, weak lower abdomen with localised pain on deep pressure


Ingredients
Dang Gui 12g
Bai Shao 9g
Gui Zhi 9g
Xi Xin 1.5g
Mu Tong 3-6g
Wu Zhu Yu 1.5-3g
Zhi Gan Cao 6g
Sheng Jiang 3sl
Da Zao 8 pcs

Subsitutions:
In the UK Xi Xin may have to be substituted with Wei Ling Xian.

Mu tong also needs to be substituted with Qu Mai.



Preparation: Decoction.

Actions: Warms the Channels, disperses Cold, nourishes the Blood, unblocks the Blood Vessels

Contraindications: Blood deficiency with Fire


Reference Notes: (click to display)

These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.