Si Ni Jia Ren Shen Tang - 四逆加人參湯 - Frigid Extremities Decoction Plus Ginseng

English:	Frigid Extremities Decoction Plus Ginseng
Also Known As:	Decoction to Treat Cold Limbs Plus Ginseng

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	5-15g	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.
(Rx. Aconiti Lateralis)	(Sheng Fu Zi)	(1 piece)	(Use only if condition is critical.)
Rz. Zingiberis	Gan Jiang	2-10g	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.
Rx. Ginseng	Ren Shen	3-9g	Powerfully tonifies Yuan Qi, tonifies Spleen, Stomach, Heart and Lung Qi, generates Body Fluids and stops thirst. With Zhi Fu Zi, for collapsed Qi and Devastated Yang with spontaneous sweat, ice cold extremities and shortness of breath.
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	3-15g	Tonifies Qi, strengthens the Spleen and moderates the drying properties of the formula. With Ren Shen, relieves palpitations and anxiety.

Formula Actions

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

Syndromes

• Heart Yang Deficiency Exhaustion: Yang Xu Jue Ni
• Kidney Yang Deficiency with Internal Cold
• Kidney Yang Deficiency with Internal Cold and Qi and Yin Deficiency

Clinical Manifestations

Severe breathlessness Rapid breathing Extremely cold extremities Aversion to Cold Sleeping with knees drawn up Lethargy with a constant desire to sleep Vomiting Abdominal pain and Cold Lack of thirst Coma Diarrhea

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

Acute myocardial infarction Cardiac insufficiency Hypopituitarism Vomiting and diarrhea due to acute and chronic gastroenteritis Hypothyroidism Cerebrovascular insufficiency Acute gastroenteritis Cirrhosis of the Liver Chronic prostatitis Intoxication Arthritis Influenza Cor pulmonare Indigestion

Adrenal insufficiency Intractable arthritis Cholera Jaundice Intestinal Heat Shock Chronic colitis Functional uterine bleeding Recurrent aphthous ulcers Gastroptosis Common cold Cough Asthma Abdominal pain Dyspnea

Contraindications And Herb/Drug Interactions

Notes

Modifications