Yin Chen Si Ni Tang - 茵陳四逆湯 - Artemisia Scoparia Decoction For Frigid Extremities

English:	Artemisia Scoparia Decoction for Frigid Extremities
Also Known As:	Artemisia Yinchenhao Decoction for Frigid Extremities

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Hb. Artemisiae Scopariae	Yin Chen Hao	9-18g	Clears Damp-Heat from Liver and Gallbladder and treats all types of jaundice, especially Damp-Heat jaundice. With Zhi Fu Zi, for Yin Jaundice and Spleen Yang Deficiency leading to Dampness.
Rx. Aconiti Lateralis Preparata	Zhi Fu Zi	6-9g	Restores Yang, warms the Kidneys and Spleen, disperses Cold, dispels Dampness and warms the entire body by entering all twelve channels. With Gan Jiang, warms the Spleen and Kidneys, benefits Yang and Disperses Cold for an overabundance of Yin fluids due to Deficiency Cold.
(Rx. Aconiti Lateralis raw)	(Sheng Fu Zi)	(1 piece)	(Use only if the condition is critical.)
Rz. Zingiberis	Gan Jiang	4.5-9g	Warms the Middle Jiao and disperses Cold. With Zhi Fu Zi, warms the Spleen and Kidneys, benefits Yang, and disperses Cold. With Zhi Gan Cao, detoxifies Zhi Fu Zi.
Rx. Glycyrrhizae Preparata	Zhi Gan Cao	6g	Tonifies Qi, strengthens the Spleen and moderates the drying properties of the formula.

Formula Actions

• Warms the Interior
• Reinforces Yang
• Resolves Dampness
• Reduces jaundice

Syndromes

• Cold-Damp Distresses the Spleen (Yin Jaundice) [with Kidney Yang Deficiency]

Clinical Manifestations

Dull complexion with a dark yellow sheen Frigid extremities Lethargy Withered Shen

Sclera of eyes, dull yellow Reduced appetite Fatigue P: Deep, thready and weak

Treats

Yin jaundice Vaginal discharge Chronic hepatitis Fatigue Gastritis Indigestion

Dysentery Chronic enteritis Anorexia Gastrectasis Gastroenteritis Cirrhosis of the Liver

Contraindications And Herb/Drug Interactions

Notes

Modifications

For Yin jaundice:		For Yin jaundice with itching:
+ 9g Rz. Atractylodis Macrocephalae	Bai Zhu	+ 9g Rz. Atractylodis Macrocephalae	Bai Zhu
+ 9g Rz. Atractylodis	Cang Zhu	+ 9g Rz. Atractylodis	Cang Zhu
+ 9g Poria	Fu Ling	+ 9g Poria	Fu Ling
For Yin jaundice with abdominal distention and a thick tongue coat:		+ 9g Rx. Gentianae Macrophyllae	Qin Jiao
- Rx. Glycyrrhizae Preparata	Zhi Gan Cao	+ 9g Fr. Kochiae	Di Fu Zi
For Yin jaundice with itching:
+ 9g Rz. Atractylodis	Cang Zhu	+ 9g Rz. Atractylodis Macrocephalae	Bai Zhu
+ 9g Poria	Fu Ling
+ 9g Hb. Agastaches	Huo Xiang	+ 9g Rz. Atractylodis	Cang Zhu
+ 6g Fr. Amomi Rotundus	Bai Dou Kou	+ 9g Poria	Fu Ling
+ 9g Polyporus	Zhu Ling
+ 9g Cx. Magnoliae Officinalis	Hou Po	+ 9g Rz. Alismatis	Ze Xie