Si Ni San

Si Ni San,For Shaoyin syndrome, where cold pathogens transform into heat and transmit to the interior, causing abdominal pain, difficulty urinating, loose stools with a sensation of heaviness in the lower abdomen, and cold extremities; as well as for disharmony between the liver and spleen, manifesting as chest and abdominal pain, loose stools with a sensation of heaviness in the lower abdomen, etc.It is currently often used for acute and chronic hepatitis, acute and chronic cholecystitis, cholelithiasis, biliary ascariasis, chronic gastritis, gastric ulcers, gastrointestinal neurosis, pancreatitis, appendicitis, intercostal neuralgia, as well as menstrual irregularities, dysmenorrhea, and pelvic inflammatory disease in women—all conditions attributed to liver qi stagnation and disharmony between the liver and spleen.

Formulas Name : Si Ni San

Chinese Name : 四逆散

Drug Formulation

Licorice 10 fen (roasted), Bitter Orange 10 fen (split, soaked in water, and roasted dry), Bupleurum 10 fen, Peony 10 fen.

Source

*Treatise on Cold Damage*.

Processing

Grind the ingredients into a fine powder.

Benefits

For Shaoyin syndrome, where cold pathogens transform into heat and transmit to the interior, causing abdominal pain, difficulty urinating, loose stools with a sensation of heaviness in the lower abdomen, and cold extremities; as well as for disharmony between the liver and spleen, manifesting as chest and abdominal pain, loose stools with a sensation of heaviness in the lower abdomen, etc.It is currently often used for acute and chronic hepatitis, acute and chronic cholecystitis, cholelithiasis, biliary ascariasis, chronic gastritis, gastric ulcers, gastrointestinal neurosis, pancreatitis, appendicitis, intercostal neuralgia, as well as menstrual irregularities, dysmenorrhea, and pelvic inflammatory disease in women—all conditions attributed to liver qi stagnation and disharmony between the liver and spleen.

Instructions for Use

Take one fangcun bi per dose, mixed with plain water, three times daily.

Note

This formula should not be used in cases of yin syndrome with cold extremities extending above the elbow or below the knee; it is also contraindicated for cold extremities due to cold-induced collapse, as well as for patients with liver yin deficiency or deficiency-cold of the middle qi.

Si Ni San,*Treatise on Cold Damage*.,For Shaoyin syndrome, where cold pathogens transform into heat and transmit to the interior, causing abdominal pain, difficulty urinating, loose stools with a sensation of heaviness in the lower abdomen, and cold extremities; as well as for disharmony between the liver and spleen, manifesting as chest and abdominal pain, loose stools with a sensation of heaviness in the lower abdomen, etc.It is currently often used for acute and chronic hepatitis, acute and chronic cholecystitis, cholelithiasis, biliary ascariasis, chronic gastritis, gastric ulcers, gastrointestinal neurosis, pancreatitis, appendicitis, intercostal neuralgia, as well as menstrual irregularities, dysmenorrhea, and pelvic inflammatory disease in women—all conditions attributed to liver qi stagnation and disharmony between the liver and spleen.

More Herbs Formulas

Wind-Dispelling and Meridian-Activating Ointment

Wind-Dispelling and Meridian-Activating Ointment,From *Selected and Commented Medical Formulas of Empress Dowager Cixi and Emperor Guangxu*.,Various wind-related diseases and syndromes.

Amber and Pearl Powder

Amber and Pearl Powder,*Jin Jian*, Volume 40.,For cases of blood in the urine where other medications have proven ineffective, the blood in the urine forms clots, the urinary passage is obstructed and difficult to pass, and there is severe pain in the penis that feels life-threatening.

Decoction for Clearing Heat and Transforming Toxins

Decoction for Clearing Heat and Transforming Toxins,From *The Complete Book of Smallpox and Measles*, Volume 2.,For smallpox lesions that have reached the serous stage, with pus and blood causing tightness, distension, and pain.

Lingcao Herbal Decoction Formula

Lingcao Herbal Decoction Formula,From *One Hundred Effective Surgical Treatments*, Volume 1.,Chronic and recent boils and abscesses; back boils and furuncles.

Five Immortals Pill

Five Immortals Pill,From *Yi Tong*, Volume 88.,For acute convulsions and phlegm obstruction in children.

Wind-Calming Powder

Wind-Calming Powder,*Authentic Treatise on Surgery*, Volume 4.,For tetanus. Use when other treatments have failed and the condition is critical.

Pepper and Bean Powder

Pepper and Bean Powder,From *Introduction to Medicine*, Volume 7.,For patients with cholera suffering from vomiting and diarrhea who are unable to take medicine orally.

Kidney-Warming and Spleen-Nourishing Decoction

Kidney-Warming and Spleen-Nourishing Decoction,From *Famous Prescriptions Through the Ages*, citing *Medical Case Records of Li Congfu*.,Deficiency-cold of the spleen and stomach; prolonged diarrhea occurring day and night without regularity; shortness of breath and edema; trembling of the hands and feet; a sallow, dull complexion; dry tongue with a white coating; and a deep, taut pulse.

Ru Sheng Decoction Pills

Ru Sheng Decoction Pills,*Shengji Zonglu*, Volume 7 (Renwei Edition).,For paralysis and wind-induced disorders.

Polygala and Poria Pill

Polygala and Poria Pill,From *Wang’s Collection of Prescriptions*, cited in Volume 10 of *New Book on the Care of Infants*.,For children suffering from fright and loud crying; mental agitation upon seeing strange objects; confusion and restlessness; mania, palpitations; restless sleep; profuse sweating and a fluttering heart; dullness of mind; alternating chills and fever with a … Read more

Enhanced Formula for Expelling Pathogenic Factors and Tonifying Qi

Enhanced Formula for Expelling Pathogenic Factors and Tonifying Qi,From *Comprehensive Treatise on Smallpox and Measles*, Volume 3.,Damp-cold disharmony, with the spleen qi failing to consolidate, resulting in concurrent vomiting and diarrhea.

Modified Poria Decoction

Modified Poria Decoction,*Xingyuan*, Volume 5.,Indicated for diabetes insipidus, characterized by a constant feeling of hunger even after eating; stomach heat causing rapid digestion; a strong Yangming pulse; heart fire rising upward; a sallow complexion and emaciation; fullness in the chest and distension in the flanks; and dark, scanty, and painful urination.

Mica and Ligusticum Powder

Mica and Ligusticum Powder,*Qianjin*, Volume 4.,Internal injury manifesting as five types of uterine bleeding and emaciation; coughing, shortness of breath, restlessness, and fullness in the chest; pain beneath the heart; facial sores; lower back pain preventing bending forward or backward; swelling in the genital area resembling a sore; itching of the pubic region; pain radiating … Read more

Ginseng and Cardamom Decoction

Ginseng and Cardamom Decoction,*Shengji Zonglu*, Volume 44.,Deficiency-cold of the spleen and stomach, vomiting and nausea with loss of appetite, pain in the umbilical region and abdomen, and loose stools.

Pill for Nourishing Yin and Strengthening the Marrow

Pill for Nourishing Yin and Strengthening the Marrow,From *The Secret Records of the Stone Chamber*, Volume 3.,Insufficiency of kidney yin, excessive Yangming fire, and depletion of bone marrow lead to weakness and inability to stand.

Drink to Relieve Hangovers

Drink to Relieve Hangovers,From *Records of Differentiation of Syndromes*, Volume 6.,A person with a fondness for alcohol develops heat stagnation in the lung and stomach; with dampness intermingled within the heat, this leads to atrophy syndrome. Prolonged sitting causes lower back pain, which gradually spreads to the right abdomen, then to the right leg, and … Read more

Zhonghe Pills

Zhonghe Pills,From *Danxi’s Essentials*, Volume 2.,Damp phlegm with heat.

Modified Mahen Pills

Modified Mahen Pills,*National Collection of Prescriptions for Traditional Chinese Medicines* (Lanzhou Formula).,Dryness and constipation in the stomach and intestines, difficulty passing stools, and distension in the chest and abdomen.

Decoction for Eliminating Dampness and Clearing Dysentery

Decoction for Eliminating Dampness and Clearing Dysentery,From *The Collection of Compassionate Guidance*, Volume 2.,During the transition between summer and autumn, when damp-heat is rampant, symptoms begin with diarrhea followed by dysentery, accompanied by abdominal pain, extreme tenesmus and a sense of incomplete evacuation, an unbearable urge to pass stool that cannot be fulfilled, thirst with … Read more

Holy Monk Pills

Holy Monk Pills,Quoted from *Essentials of Ophthalmology* in *The Great Compendium of the Yongle Era*, Volume 11413.,

Meningitis Compound

Meningitis Compound,Formula cited from Jiangxi University of Traditional Chinese Medicine in *Famous Formulas Through the Ages*.,For epidemic cerebrospinal meningitis characterized by simultaneous depletion of both qi and blood, presenting with high fever, severe headache, vomiting, nausea, limb pain, neck stiffness, sore or swollen throat, prominent petechiae on the skin, a crimson tongue, and a rapid … Read more

Fire-Clearing and Blood-Cooling Decoction

Fire-Clearing and Blood-Cooling Decoction,From *Lu Fu Jin Fang*, Volume 1.,Hemoptysis.

Pill for Nourishing the Meridians and Relieving Pain

Pill for Nourishing the Meridians and Relieving Pain,*Record of Differentiation of Syndromes*, Volume 11.,For women with kidney qi deficiency who experience lower abdominal pain after menstruation.

Jade Ball

Jade Ball,Formula by Zhou Houfeng, cited in *The Medical Mirror of Ancient and Modern Times*, Volume 15.,For scabies.

Transforming and Transporting Decoction

Transforming and Transporting Decoction,From *Records of Differentiation of Syndromes*, Volume 10.,Lung deficiency with internal dryness, causing unwarranted sadness and uncontrollable weeping.