SI NI JIA GUI TANG - 四逆加桂湯 - FRIGID EXTREMITIES DECOCTION PLUS CINNAMON

English:	Frigid Extremities Decoction Plus Cinnamon
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	60g	Warms the Kidney and Heart Yang, stimulates exhausted Yang, warms the Ming Men Fire and the entire body by traveling through all twelve channels. With Gan Jiang, strengthens the Kidney and Spleen Yang,warms the Spleen and Kidneys, disperses Cold and treats overabundance of Yin fluids due to Deficiency Cold, Devastated Yang and debilitated Spleen and Kidney Yang with incessant diarrhea. With Gan Jiang and Zhi Gan Cao strengthens the actions of fortifying Qi and benefiting the Yang for Cold extremities and diarrhea with undigested food due to Collapse of the Spleen and Kidney Yang.
Rz. Zingiberis	Gan Jiang	30g	Expels Cold, Rescues Yang, Stops bleeding, Transforms thin mucus, Warms the channels (unblocks the pulse), Warms the Middle Jiao and Lungs. With Zhi Fu Zi, for Cold-Damp Bi. With Zhi Gan Cao, for epigastric pain and vomiting due to Spleen and Stomach Deficiency Cold and detoxifies Zhi Fu Zi.
Cx. Cinnamomi	Rou Gui	15g	Warms the Kidneys, Spleen and Heart and strengthens Yang and Ming Men Fire. With Zhi Fu Zi, powerfully tonifies Kidney Yang, for Kidney Yang Deficiency and Deficiency of Ming Men Fire. With Zhi Fu Zi and Gan Jiang, for Cold, painful abdomen, anorexia, and diarrhea due to Kidney and Spleen Yang Deficiency.
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	15g	Tonifies Qi, strengthens the Spleen and moderates the drying properties of the formula.

Formula Actions

• Rescues Yang
• Warms the Middle Jiao
• Disperses Internal Cold
• Stops diarrhea

Syndromes

• Yang Deficiency
• Yin type Shen Disturbance

Clinical Manifestations

Dull emotional expression Dull eyes A decrease in self-initiated activity Talks little Sentences have little content or are unfinished Slow response Poor hygiene Loss of concentration Decreased sex drive Loner behavior Low excitability Disregard of social codes Extremely cold extremities Aversion to Cold Sleeping with knees drawn up

Lethargy with a constant desire to sleep Vomiting Diarrhea with undigested food Abdominal pain and Cold Lack of thirst Coma Indigestion Edema Pale face Superficial fever Red face Cyanosis of the lips and nails T: Pale or Dark purple C: White and slippery P: Deep and thready or Deep and slow or Deep and faint

Treats

Yin type schizophrenia

Contraindications And Herb/Drug Interactions

Notes

Modifications