Formula Database


Si Ni Jia Ren Shen Tang

(Frigid Extremities plus Ginseng Decoction)

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

Category: Formulas that Warm Interior Cold

Pattern: Cold Inversion Shaoyin disorder injuring the Yin and Blood and harming the Yuan Qi.

Key Symptoms: Extremely cold extremities, aversion to cold, lethargy with a constant desire to sleep, breathlessness
Secondary Symptoms: Lying down in foetal position, vomiting, painful and cold abdomen, increased urination, absence of thirst

Tongue: Pale, little or thin white coating
Pulse: Thin, submerged, faint
Abdomen: Weak muscle tone, skin folds can be easily lifted up, splashing sounds


Ingredients
Ren Shen 3-9g
Fu Zi 5-15g
Gan Jiang 5-9g
Zhi Gan Cao 6g

Subsitutions:
In the UK Fu Zi has to be replaced although no useful substitute can be made in this context making the inclusion of this formula for reference only. For a less severe presentation using the maximum amount of Gan Jiang to warm the middle and adding Gui Zhi to warm the extremities may be possible but this would not be a Shaoyin Cold Inversion pattern.



Preparation: Decoction.

Actions: Rescues devastated Yang, warms the middle Jiao, nourishes the Yin and Qi.

Contraindications: True heat and false cold (Si ni san presentations)



Notes:
This formula is designed for a Si Ni Tang presentation when the diarrhoea ceases but the extremities remain cold. It is also often used for Si Ni Tang patterns with breathlessness.


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.