Si Ni Jia Ren Shen Tang
四逆加人参汤

 

 

Frigid Extremities Decoction plus Ginseng

Disclaimer    For educational purposes only.  Do not use as medical advice

AboutHerbsCaution/Notes
Health Benefits
For: Acute myocardial infarction (heart attack) • Acute gastroenteritis • Chronic nephritis • Congestive heart failure • Cardiac insufficiency • Liver Cirrhosis
Attributes:
Products (online examples)

Granules

Capsules

Capsules

Research (sample)
Categories (Click on ⌕ for other formulas in the category)
Category: Warm Interior Cold ⌕    Subcategory: Rescue Devastated Yang ⌕      Family: Fu Zi Lei Fang ⌕      Source: Shang Han Lun  ⌕       Related Formula:
Actions
Rescue devastated yang • Warm middle burner • Stop diarrhea
Indications and Contraindications
Appearance: Tongue -Pale • dry      Pulse -Submerged • thin • faint      Face/other 
Patterns:  
Indications: Aversion to cold • Fluid depletion • Vomiting • Diarrhea • Extremely cold limbs • Lethargic • Abdominal pain • Not thirsty • Feels cold
Contraindications: True heat with false cold (feels cold with cold limbs, but thirsty for cold drinks, has dark urine) • Stop using formula as soon as the limbs are warm
Properties
Data adapted from product found online.  Categories 4% or less not shown.

Herbs Cat/Dose Actions Properties
Sheng Fu Zi • Raw Process Aconite Daughter Root • 附子 Warm Interior Expel Cold
3g-10g
Restore devastated yang • Warm channels • Warms interior cold • Relief pain • Strengthen Ming Men fire Anodyne • Analgesic • Anti-inflammatory • Antipyretic • Mild sedative
Gan Jiang • Ginger (Dried) • 干姜 Warm Interior Expel Cold
3g-5g
Warm interior • Expel cold • Stop bleeding • Transform phlegm • Rescue devastated yang • Warm Middle Jiao • Warm lungs • Warm meridians Anticoagulant • Hypotensive • Antiplatelet • Stimulant • Analgesic • Anti-inflammatory • Antipyretic • Cholagogic • Antiemetic • Antimutagenic
Zhi Gan CaoLicorice Root • 甘草 Tonify Qi
3g-6g
Tonify Spleen Qi • Tonify Heart qi • Clear heat • Resolve toxicity • Stop cough • Dispel phlegm • Lubricate lungs • Stop wheezing • Reduce spasm • Relieve pain • Harmonize other herb effectsEnters all 12 channels, often serve as envoy in a formula. Hypoglycemic • Antiarrhythmic • Expectorant • Antidiarrheal • Antiulcer • Hepatoprotective • Antiulcer • Immunostimulant • Antitussive • Antiviral • Detox • Demulcent • Anti-inflammatory • Laxative • Emmenagogue • Antimicrobial • Spasmolytic
Ren Shen • Ginseng • 人参 Tonify Qi
5g-10g
Tonify yuan qi • Tonify lung qi • Tonify heart qi • Calms spirit • Stop thirst • Helps impotence • Treats qi collapse • Tonify Spleen • Generate fluid • Stop thirst • Strengthen anti-pathogenic qi adaptogen • anti-aging • anticoagulant • antiplatelet • antioxidant • antiplatelet • immunity booster • anti-inflammatory • antidepressant • hepatoprotective • stimulant
King/Chief    ♥ Minister/Deputy      Assistant     ♦ Envoy
Directions: 
  • Cook Fu Zi for 60 minutes or more before adding other ingredients.  This breaks down aconite to aconine while maintaining its active ingredients.  Most physicians today use the prepared Fu Zi instead of raw to mitigate the toxicity of the herb.  This formula is purely adding Ginseng to the Frigid Extremities Decoction.  Adding Ginseng is the second stage of using the Fridgit Extremities formula, where the patient is weak from diarrhea and depletion of fluids.
Modifications For

Caution
  • True heat with false cold (feels cold with cold limbs, but thirsty for cold drinks, has dark urine)
  • Stop using formula as soon as the limbs are warm

ALERT: Contraindications of each herb - use with caution under these conditions:
Fu Zi: Soy sauce • Millet • Pregnancy • False cold, true heat • Incompatible with: Bai Ji, Bai Lian, Ban Xia, Chuan Bei Mu, Gua Lou Pi, Gua Lou Ren, Gua Lou Shi, Tian Hua Fen, Zhe Bei MuCao Wu is antagonized by Xi Jiao
Gan Jiang: Pregnancy • Blood heat • Pregnancy • Bloody mucous • Night sweats • Unexplained sweating • Heat induced pain • Heat induce vomiting
Gan Cao: High blood pressure • Low potassium • Pork • Seaweed • Chinese cabbage • Anti-diabetic drugs • Diuretic drugs
Ren Shen: Autoimmune disorder • Blood thinner medication • Diabetes medication • Blood pressure medication • Caffeine • Yin deficiency • Stagnant fire • Hypertension • Bleeding disorders • Pain in chest • Excess heat

Notes

 

Bibliography: [3], [8], [9], [14]

Information in this post came from many sources, including class notes, practitioners, websites, webinars, books, magazines, and editor's personal experience.  While the original source often came from historical Chinese texts,  variations may result from the numerous English translations.   Always consult a doctor prior to using these drugs.  The information here is strictly for educational purposes. 

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