HERB FORMULAS

SI NI SAN

English: Frigid Extremities Powder
Also Known As: Bupleurum and Chih-Shih Formula
Powder for Relieving Depression with Cold Limbs

HERBS AND ACTIONS

Pharmaceutical Latin
Pin Yin
Dosage
Actions
Rx. Bupleuri Chai Hu 5-12g Resolves Shao Yang disorders, reduces fever, resolves Phlegm and congestion, disperses Wind-Heat, regulates Qi, relieves Stagnation and eliminates Heat.
Fr. Aurantii Immaturus Zhi Shi 2-12g Breaks up Stagnant Qi, reduces accumulation, descends Qi, unblocks the bowels and removes stagnant food to relieve Stagnation in the Middle Jiao and help restore the Spleen's function of transformation and transportation.
With Zhi Shi for abdominal pain due to Qi and Blood Stagnation.
Rx. Paeoniae Alba Bai Shao 4-24g Nourishes the Liver, nourishes the Blood, regulates menstruation, astringes and protects the Yin, calms Liver Yang, alleviates pain and adjusts the Ying and Wei
With Zhi Gan Cao, moderates painful abdominal spasms.
With Chai Hu for flank pain due to Liver Qi Stagnation.
Honey-fried Rx. Glycyrrhizae Zhi Gan Cao 1.5-9g Tonifies the Spleen, augments Qi and moderates and harmonizes the properties of other herbs. .
 With Bai Shao, moderates painful abdominal spasms.

FORMULA ACTIONS

  • Releases the Exterior
  • Regulates Liver and Spleen
  • Relieves Stagnation
  • Spreads Liver Qi
  • Eliminates Heat in the Interior
  • Relieves mental depression

SYNDROMES

  • Yang Collapse.
  • Jue Yin Heat
  • Shao Yin Cold
  • Liver and Spleen Disharmony (Liver Attacking the Spleen) with costal or abdominal pain and menstrual complaints
  • Gu Syndrome

CLINICAL MANIFESTATIONS

  • Cold fingers and toes with Heat in the Interior
  • Irregular fever
  • Hypochondriac fullness and distention
  • Abdominal pain
  • Severe diarrhea
  • Dysentery
  • Costal pain
  • Menstrual complaints
  • Depression
  • Cough
  • A slight sensation of warmth in the body
  • A sense of irritability and fullness in the chest and epigastrium
  • Mild obstruction and hardening beneath the heart
  • A visible white line running from the navel to the tip of the breastbone
  • Mild abdominal distention
  • Tenesmus
  • Dysuria
  • Diarrhea
  • T: Red or pale
  • C: Yellow or white
  • P: Wiry or wiry and tight.

TREATS

  • Gastritis
  • Peptic ulcer
  • Cholecystitis
  • Cholelithiasis
  • Hepatitis
  • Intestinal obstruction
  • Mastitis
  • Fibrocystic breast disease
  • Syncope (due to heat)
  • Gastric neuralgia
  • Intercostal neuralgia
  • Biliary ascariasis
  • Liver cirrhosis
  • Acute and chronic gastritis
  • Adnexitis
  • Impotence
  • Candidiasis
  • Chronic fatigue syndrome
  • Pancreatitis
  • Acute appendicitis
  • Gastric ulcer
  • Pleurisy
  • Rhinitis
  • Neurosis
  • Epilepsy
  • Tubercular peritonitis
  • Hernia
  • Acrocyanosis
  • Diarrhea
  • Allergic colitis
  • Superficial gastritis
  • Ulcerative colitis
  • Infertility
  • Leaky gut syndrome
  • Giardiasis

CONTRAINDICATIONS AND HERB/DRUG INTERACTIONS

CONTRAINDICATIONS
  • Contraindicated for those with cold extremities due to other causes.
HERB/DRUG INTERACTIONS

NOTES

MODIFICATIONS

For cough : For palpitations :
+ Fr. Schisandrae Wu Wei Zi + Ram Cinnamomi Gui Zhi
+ Rz. Zingiberis
 For urinary difficulty:
For abdominal pain due to Cold:
Poria Fu Ling
+ Rx. Lateralis Aconiti Praeparata Zhi Fu Zi For epigastric pain with acid regurgitation:
For hypochondriac pain:

+ Left Metal Pill
Zuo Jin Wan

+ Rz. Corydalis Yan Hu Suo For Food Stagnation with abdominal pain:
+ Tub. Curcumae Yu Jin + Fr. Crataegi Shan Zha
For Blood Deficiency with hypochondriac pain and irregular menstruation: + Fr. Hordei Germinatus Mai Ya
- Fr. Aurantii Immaturus Zhi Shi
+ End. Corneum Gigeriae Galli
+ Rz. Atractylodis Macrocephalae
For pinpoint fixed pain due to Blood Stasis:
+ Poria Fu Ling + Rx. Salviae Miltiorrhizae Dan Shen
For pinpoint pain due to Blood Stasis: + Faeces Trogopterori Wu Ling Zhi
+ Rx. Salviae Miltiorrhizae Dan Shen
For painful menstruation:
+ Faeces Trogopterori Wu Ling Zhi + Rx. Angelicae Sinensis Dang Gui
+ Pollen Typhae Pu Huang + Rx. Linderae Wu Yao
For Damp-Heat leukorrhea with lower abdominal pain and soreness of the low back:
+ Rz. Cyperi Xiang Fu
+ Two-Marvel Powder
Er Miao San
+ Rz. Corydalis Yan Hu Suo
For biliary tract disorders:
For breast abscess:
+ Hb. Artemisiae Yin Chen Hao + Per. Citri Reticulatae Viride Qing Pi
+ Rx. Salviae Miltiorrhizae Dan Shen
For jaundice:
+ Rx. Curcumae Yu Jin + Hb. Artemisiae Yin Chen Hao
+ Rx. Paeoniae Rubra Chi Shao + Rx. Curcumae Yu Jin
+ Hb. Lysimachiae Jin Qian Cao
For intercostal neuralgia:
For roundworms:
+ Per. Trichosanthis Gua Lou Pi
+ Fr. Mume Wu Mei + Bul. Allii Xie Bai
+ Cx. Meliae Ku Lian Pi + Rx. Curcumae Yu Jin
For intestinal obstruction:
For acute icteric hepatitis:
+ Rx. et Rz. Rhei Da Huang
+ Artemisiae Yinchenhao Decoction
Yin Chen Hao Tang
For Spleen and Stomach Heat:
For indigestion with anorexia, cold limbs, and a wiry and smooth pulse:
+ Sm. Arecae Bing Lang + Fr. Forsythiae Lian Qiao
+ Rx. Aucklandiae Xiang Fu + Massa Medicata Fermentata Shen Qu
For severe hypochondriac pain:
For severe Liver Qi Stagnation:
+ Rx. Curcumae Yu Jin + Rx. Cyperi Xiang Fu
+ Rx. Cyperi Xiang Fu + Rx. Curcumae Yu Jin
+ Rz. Chuanxiong Chuan Xiong
For oliguria:
For nausea and vomiting:
+ Caulis Akebiae Mu Tong
+ Rz. Coptidis Huang Lian + Rx. Rehmanniae Sheng Di Huang
+ Rz. Zingiberis Recens Sheng Jiang
For diarrhea with tenesmus:
For constipation:
+ Important Formula for Painful Diarrhea
Tong Xie Yao Fang
+ Rx. et Rz. Rhei Da Huang
For Heat Accumulation:
+ Natrii Sulfas Mang Xiao + Fr. Gardeniae Zhi Zi
For Food Stagnation or indigestion:
+ Fr. Toosendan Chuan Lian Zi
+ Fr. Hordei Germinatus Mai Ya
or
+ Endothelium Corneum Gigeriae Galli Ji Nei Jin
+ Bupleurum Decoction to Clear the Liver
Chai Hu Qing Gan Tang
or
For Spleen Deficiency:
+ Preserve Harmony Pill
Bao He Wan
+ Rx. Codonopsis Dang Shen
For hypertension:
 + Rz. Atractylodis Macrocephalae Bai Zhu
+ Haematitum Zhe Shi
For dysmenorrhea:
+ Fossilia Ossis Mastodi Long Gu + Rz. Cyperi Xiang Fu
+ Concha Ostreae Mu Li + Rz. Corydalis Yan Hu Suo
+ Rx. Scutellariae Huang Qin
+ Sudden Smile Powder
Shi Xiao San
For hepatic problems:
For Gu Syndrome:
+ Hb. Artemisiae Scopariae Yin Chen Hao + Fol. Perillae Zi Su Ye
+ Hb. Lysimachiae Jin Qian Cao + Hb. Menthae Bo He
+ Rx. Curcumae Yu Jin + Rx. Angelicae Dahuricae Bai Zhi
+ Rx. Salviae Miltiorrhizae Dan Shen