The herbal formula "si ni san wan" , 四逆散, which in english is "frigid extremities powder pills", is categorized within the "harmonize" functional grouping and within the "regulate and harmonize the liver and spleen" sub-category.
You may also see this formula referenced by: Si Ni Wan, Frigid Extremities Formula, Frigid Extremities Decoction, Four Pillars Teapills.
Of many possible clinical applications, it may be considered to influence the following issues/symptoms:
Si Ni San Wan has some precautions to be considered (see our precautions list).
Our shop contains si ni san wan from the following manufacturer:
For many reasons such as availability, ecological choices, and/or price, each manufacturer or herbalist may well adjust the exact composition of a specific formula. Si Ni San Wan is generally comprised of the following herbs:
Nourishes the blood and regulates menstrual problems due to blood deficiency (pale, lusterless complexion and nails) - menstrual dysfunction, vaginal discharge, uterine bleeding - very common herb fo…
Clears shao yang disorders and reduces fever - alternating chills and fever, bitter taste in the mouth, irritability, vomiting, stifling sensation in the chest. Relieves liver qi stagnation (often u…
This preparation increases the qi tonifying aspects of the heart and spleen along with its general harmonizing function within formulas. See Gan Cao for complete information.
A single formula, alone, may not be sufficient to fully address a particular TCM diagnostic pattern. Formulas may be used alone, in combinations, and/or in stages. Si Ni San Wan is a candidate for consideration when needing to influence liver attacking the spleen, liver qi stagnation and/or stomach rebellious qi.
Si Ni San Wan may potentially be used, in coordination with a well tailored overall approach, to influence the following conditions: depression, hypochondriac pain, irritability and/or premenstrual syndrome (pms)
As noted above, si ni san wan is within the harmonize functional group. And it appears within the sub-category "regulate and harmonize the liver and spleen", which contains the following formulas:
Liver qi stagnation signs - hypochondriac tension, abdominal pain, IBS symptoms Alternating chills and fever.
Brittle nails, yellowing of the skin (jaundice). Abdominal cramping, distension or pain in the hypochrondia due to liver qi stangation Fatty liver, hepatitis and other liver diseases.
Hypertension particularly with ascendent yang and heat signs - red face, red tongue, headaches, irritability, anxiety, insomnia, etc.
A combination of jia wei xiao yao wan and gui pi wan - similar effects but with more spleen qi and blood tonification. A range of stress related issues - essentially mixes of stagnation with underly…
Derived from the base formula, xiao yao wan, an important formula for liver qi stagnation with herbs added to clear heat. Liver qi stagnation - menstrual issues, painful cycles, irregular cycles, br…
Headaches and/or migraines caused by liver yang or liver fire rising.
Liver qi stagnation with blood deficiency heat - signs of heat, red eyes, possibly anxiety and/or irritability, etc. along with digestive issues such as gastritis, cirrhosis, cholecystitis, hernia.…
Cramping and/or muscle spasms that are due to fluid deficiency. Frozen shoulder, trigger finger. General tightness or cramps especially along the tendons or ligaments. Restless leg syndrome for pa…
Abdominal and/or Hypochondriac pain, cramps or spasms resulting from liver qi stagnation. Alternating chills and fever. Nausea, bloating, acid reflux, alternating stools, or IBS like symptoms cause…
Diarrhea, particularly with abdominal cramping. Diarrhea with alternating constipation.
Shao Yang Syndrome (or "lesser yang stage") - alternating fever and chills, hypochondriac pain, irritability, bitter taste in mouth, poor appetite, nausea. Often used for illnesses (chronic or short…
Depression, anxiety, loss of motivation - resulting from liver qi stagnation. Fatigue, bloating, changes in appetite from the combination of spleen qi deficiency with liver qi stagnation. PMS, brea…
Anxiety, palpitations, easily frightened, alternating fevers/chills; heat from deficiency in the liver.Originally designed for Children who had issues such as anger, fright, fevers, insomnia, digesti…
All formulas in the primary category of "harmonize" are listed below.
(truncated intro "...this group of formulas is for internal conditions involving the lesser yang stage of disease (alternating fever and chills). generally thes…)".
All Content 1999-2024
Chad J. Dupuis / Yin Yang House
Our Policies and Privacy Guidelines
Our Affiliated Clinics