Si Ni San Wan - Frigid Extremities Powder Pills

Herbal Formula Database

Si Ni San Wan Herbal Formula Classifications and Usages

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:

  • Important formula for liver qi stagnation - manifesting as moodiness, depression, cold in the extremities (particularly hands and/or feet), possibly along with other stress signs - mild headaches, teeth grinding, facial twitching, etc.
  • A range of liver "attacking" the spleen digestive issues, hypochondriac, abdominal and/or epigastric pain.  Sensation of tension in the chest that worsens with stress.
  • All of the above symptoms that come along with menstruation.

Si Ni San Wan has some precautions to be considered (see our precautions list).

  • Not for cold extremities from yang or Blood deficiency.
  • Use with caution or avoid in very weak patients who cannot sustain the movement that this formula creates.

Our shop contains si ni san wan from the following manufacturer:

  • Si Ni San Wan - HBW
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    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:

  • Bai Shao (White Peony Root) - Nourishes the blood and regulates menstrual problems due to…
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  • Chai Hu (Thorowax Root, Bupleurum) - Clears shao yang disorders and reduces fever - alternating …
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  • Zhi Gan Cao (Honey Fried Licorice Root) - This preparation increases the qi tonifying aspects of the …
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  • Zhi Shi (Immature Bitter Orange) - Breaks up Qi stagnation, reduces accumulations, transforms …
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    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:

  • Chai Hu Shu Gan Wan (Bupleurum Powder to Spread the Liver) - Liver qi stagnation signs - hypochondriac tension, abdomina…
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  • Da Bu Gan Wan (Major Liver Nutrition Pills) - Brittle nails, yellowing of the skin (jaundice). Abdominal…
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  • Jiang Ya Wan (Repress The Blood Pressure Pills) - Hypertension particularly with ascendent yang and heat sign…
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  • Jia Wei Gui Pi Wan (Augmented Restore The Spleen Decoction) - A combination of jia wei xiao yao wan and gui pi wan - simi…
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  • Jia Wei Xiao Yao Wan (Free and Easy Wanderer Pills) - Derived from the base formula, xiao yao wan, an important f…
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  • Pian Tou Tong Wan (Migraine Pills) - Headaches and/or migraines caused by liver yang or liver fi…
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  • Ping Gan Liu Qi Yin Wan (Dang Gui And Pinellia Combination) - Liver qi stagnation with blood deficiency heat - signs of…
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  • Shao Yao Gan Cao Wan (Peony and Licorice Decoction) - Cramping and/or muscle spasms that are due to fluid deficie…
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  • Shu Gan Wan (Liver Comfort Pills) - Abdominal and/or Hypochondriac pain, cramps or spasms resul…
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  • Tong Xie Yao Fang Wan (Important Pills for Painful Diarrhea / Calm Wind Pills) - Diarrhea, particularly with abdominal cramping. Diarrhea w…
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  • Xiao Chai Hu Tang Wan (Minor Bupleurum Decoction) - Shao Yang Syndrome (or "lesser yang stage") - alternating f…
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  • Xiao Yao Wan (Free and Easy Wanderer) - Depression, anxiety, loss of motivation - resulting from li…
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  • Yi Gan Wan (Restrain The Liver Powder) - Anxiety, palpitations, easily frightened, alternating fever…
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    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…)".

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