Tong Mai Si Ni Tang - 通脉四逆汤 - Unblock The Pulse Decoction For Frigid Extremities

English:	Unblock the Pulse Decoction for Frigid Extremities
Also Known As:	Licorice, Aconite and Ginger Pulse Combination Decoction for Treating Vital Prostration with Cold Limbs by Invigorating the Vascular System

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	10g	Tonifies Qi, strengthens the Spleen and moderates the drying properties of the formula.
Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	30gg	Warms Kidney, Spleen and Heart Yang, stimulates exhausted Yang, warms Ming Men Fire and the entire body by traveling through all twelve channels. With Gan Jiang, strengthens Kidney and Spleen Yang. With Gan Jiang and Zhi Gan Cao (large dose), for diarrhea with undigested food and cold extremities due to Collapse of Yang.
(Rx. Aconiti Carmichaeli)	(Sheng Fu Zi)	(12-24g)	(Use only if the condition is critical.)
Rz. Zingiberis	Gan Jiang	60g	Warms the Middle Jiao and Lungs and rescues Yang. With Zhi Gan Cao, detoxifies Fu Zi.

Formula Actions

• Restores Yang from collapse
• Unblocks the Pulse
• Invigorates the Blood

Syndromes

• Heart Yang Deficiency Exhaustion: Yin Flourishing Masked by Yang
• Shao Yin Stage with Interior Cold and Exterior Heat

Clinical Manifestations

Watery stools with undigested food Cold extremities No aversion to Cold Vomiting after drinking May be throat pain

Flushed face May be dry retching T: Pale or Dark purple P: Deep and minute - almost imperceptible

Treats

Prostration Cardiac failure Influenza Typhoid fever Autointoxication Nausea

Vomiting Dyspepsia Jaundice Hyperhydrosis Superficial pulse in a weak conformation

Contraindications And Herb/Drug Interactions

Notes

Modifications