HERB FORMULAS

DANG GUI SI NI TANG

English: Tangkuei Decoction For Frigid Extremities
Also Known As: Tangkuei and Jujube Combination
Decoction with Chinese Angelica for Treating Vital Prostration with Cold Limbs
Decoction with Chinese Angelica to Treat Cold Limbs

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Angelica Sinensis Dang Gui 1-12g Tonifies Blood, regulates menstruation, invigorates and harmonizes Blood and disperses Cold
 With Bai Shao, regulates and harmonizes Qi and Blood.
With Bai Shao, Gui Zhi and Xi Xin, for Blood and Yang Deficiencies with cold extremities, back and/or buttocks.
With Dang Gui, promotes circulation of Blood and stops pain.
With Zhi Gan Cao, moderates spasms and relieves abdominal pain.
Rx. Paeoniae Alba Bai Shao 3-15g Nourishes Blood, regulates menstruation and adjusts the Ying and Wei.
 With Zhi Gan Cao, regulates the relationship between the Liver and Spleen and nourishes the sinews, treats abdominal pain due to disharmony between the Liver and Stomach, epigastric, hypochondriac or flank pain and muscle spasms, pain and numbness, especially in the calf, due to Blood Deficiency.
With Gui Zhi, harmonizes Ying and Wei in Tai Yang Zhong Feng.
With Dang Gui, nourishes Yin and Blood.
With Dang Gui, Sheng Jiang and Da Zao, for Wind-Cold with Deficiency and perspiration.
Ram. Cinnamomi Gui Zhi 3-12g Releases the exterior, adjusts the Ying and Wei, warms the channels and collaterals to relieve pain, disperses Cold, unblocks Yang and transforms the Qi, warms and facilitates the flow of Yang Qi in the chest and warms and facilitates the flow of Blood through the vessels.
With Bai Shao, warms and tonifies the Middle Jiao.
With zhi Gan Cao, for palpitations and shortness of breath due to injured Yang of the chest.
Hb. Asari Xi Xin 1.5-9g Releases Exterior Wind and Cold, disperses Internal Cold, warms the Lungs and alleviates pain.
Rx. Glycyrrhizae Preparata Zhi Gan Cao 2-6g Alleviates pain and moderates and harmonizes the properties of other herbs.
Fr. Jujube Da Zao 3-9g Nourishes Blood and moderates and harmonizes the harsh properties of other herbs.
Caul. Akebiae Mu Tong 3-9g Promotes urination and unblocks blood vessels.
With Dang Gui, promotes circulation of Blood and stops pain.

FORMULA ACTIONS

  • Warms the channels
  • Disperses Cold
  • Nourishes the Blood
  • Unblocks the Blood vessels

SYNDROMES

  • Cold in the Channels due to Blood Deficiency
  • Jue Yin Cold

CLINICAL MANIFESTATIONS

  • Long standing cold hands and feet that are cold to the touch and feel cold to the patient
  • Maybe lumbago and leg pain
  • Abdominal pain and distention
  • Midline pain
  • Uterine pain
  • Chills
  • Diarrhea
  • Menstrual abdominal pain
  • Maybe chest pain
  • Increased sweating, particularly of the feet
  • Increased salivation
  • Spasm and pain of the limbs
  • Scanty urination
  • Pain at the waist, hips, legs and feet
  • Sciatica
  • Joint pain
  • Irregular menstruation
  • Abdominal Cold
  • Migraine headache
  • Vaginal discharge
  • T: Pale
  • C: White
  • P: Deep and thready (may be almost imperceptible).

TREATS

  • Raynaud's disease
  • Rheumatoid arthritis
  • Fibromyalgia
  • Sciatica
  • Peptic ulcer
  • Chronic urticaria
  • Frostbite
  • Thromboangiitis obliterans (Buerger's disease)
  • Vascular headaches
  • Impotence
  • Scleroderma
  • Basilar artery insufficiency
  • Hypertensive headache
  • Gingivitis
  • Lumbago
  • Lower back sprains
  • Cholecystitis
  • Pain from cancers
  • Idiopathic purpura
  • Perimenstrual edema
  • Postoperative adhesions
  • Peripheral neuritis
  • Benign prostatic hypertrophy
  • Amenorrhea
  • Allergic rhinitis
  • Athetosis
  • Acrocyanosis
  • Anemia
  • Arthritis
  • Hernia due to Cold
  • Beriberi
  • Nephritis
  • Intestinal colic
  • Ephidrosis during fever
  • Calluses and corns
  • Raynaud's disease
  • Varicocele
  • Takayasu's arteritis
  • Coronary artery insufficiency
  • Traumatic headache
  • Trigeminal neuralgia
  • Periarthritis of the shoulders
  • Pelvic inflammatory disease
  • Meniere's disease
  • Prostatitis
  • Tenosynovitis
  • Early stage upper respiratory tract infections
  • Frozen shoulder
  • Hypertrophic myelitis
  • Endometriosis
  • Psoriasis
  • Benzene poisoning
  • Dysmenorrhea
  • Chilblain

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with Yin Deficiency with Empty Fire.
  • Use with caution during Spring and Summer or in warm climates.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For persistent mild headache, vertigo and tinnitus: For vague epigastric pain that responds favorably to Heat or pressure and spitting of clear fluids:
+ Rx. Angelica Dahuricae Bai Zhi + Fr. Evodiae Wu Zhu Yu
+ Rx. Saposhnikoviae Fang Feng + Fr. Citri Sarcodactylis Fo Shou
For Cold and pain in the lower abdomen during menstruation which is scanty:
 + Rx. Codonopsis Dang Shen
+ Hb Leonuri Yi Mu Cao
For hernial disorders due to Cold:
+ Rz. Cyperi Xiang Fu + Rx. Linderae Wu Yao
For chronic resistant sciatica:
 + Fr. Foeniculi Xiao Hui Xiang
+ Rx. Aconiti Lateralis Praeparata Zhi Fu Zi + Rz. Alpiniae Officinarum Gao Liang Jiang
+ Rx. et Rz. Rhei Da Huang
For a vertical headache, nausea and vomiting due to Cold and Deficiency of the Stomach:
+ Rx. Dipsaci Xu Duan + Fr. Evodiae Wu Zhu Yu
+ Rz. Cibotii Gou Ji + Rz. Zingiberis Recens Sheng Jiang
For painful extremities due to Wind and Dampness:
For lower back soreness and pain:
+ Hb. Taxilli Sang Ji Sheng + Rx. Achyranthis bidentatae Niu Xi
+ Rx. Clematidis Wei Ling Xian + Cx. Eucommiae Du Zhong
For dysmenorrhea due to Cold:
For severe Deficiency and Cold:
+ Rx. Linderae Wu Yao + Rx. Aconiti Lateralis Praeparata Zhi Fu Zi
+ Fr. Foeniculi Xiao Hui Xiang + Rz. Zingiberis Gan Jian
or
 + Rx. Astragali Huang Qi
+ Rx. Linderae Wu Yao
For extreme Cold after an illness:
+ Fr. Foeniculi Xiao Hui Xiang
+ Minor Bupleurum Decoction
Xiao Chao Hu Tang
+ Rz. Alpiniae Officinarum Gao Liang Jiang
For pain in the hips, back, legs and feet due to Blood Deficiency with Cold Accumulation:
+ Rz. Cyperi Xiang Fu + Rx. Dipsaci Xu Duan
For dysmenorrhea due to Blood Deficiency:
+ Rx. Achyranthis Bidentatae Niu Xi
- Caulis Akebiae Mu Tang + Caulis Spatholobi Ji Xue Teng
+ Rx. Rehmanniae Preparata Shu Di Huang + Fr. Chaenomelis Mu Gua
For Cold, painful testicles:
For allergic rhinitis:
+ Fr. Foeniculi Xiao Hui Xiang + Rx. Astragali Huang Qi
For allergic rhinitis with Kidney Yang Deficiency:
+ Rx. Codonopsis Dang Shen
+ Rx. Astragali Huang Qi
For allergic rhinitis with Spleen Qi Deficiency:
+ Rx. Codonopsis Dang Shen + Rx. Astragali Huang Qi
+ Rz. Curculiginis Xian Mao + Rx. Codonopsis Dang Shen
For allergic rhinitis with Qi and Yin Deficiencies:
+ Rz. Atractylodes Macrocephalae Bai Zhu
+ Rx. Astragali Huang Qi + Poria Fu Ling
+ Rx. Codonopsis Dang Shen    
+ Rx. Ophiopogonis Mai Men Dong    
+ Fr. Mume Wu Mei    
+ Rx. Pseudostellariae Tai Zi Shen