Sini San (Frigid Extremities Powder)

傷寒論

In Shaoyin disease, with cold limbs, when the patient may cough, may have palpitations, may have difficult urination, may have abdominal pain, or may have diarrhea with tenesmus, Si Ni San governs it. (Shang Han Lun (Treatise on Cold Damage))

Bupleurum root, peony, immature bitter orange, and licorice, ten fen each. The four ingredients above, ten fen each, are pounded and sieved. Take with white rice-water in a square-inch spoon, three times a day. (Shang Han Za Bing Lun)

The four ingredients above are pounded and sieved and taken with white rice-water in a square-inch spoon, three times a day. (Modern usage: decoct with water according to the above dosage; six bowls of water are boiled down to two bowls, and one bowl is taken warm after meals. Or grind into raw herb powder according to the above proportions and take 4–6 g each time with warm boiled water.)

湯劑

Outthrust pathogen and resolve depression; soothe the liver and rectify the spleen.

Hypochondriac pain caused by gallstones.

If there is yang deficiency, with a pale, white, enlarged tongue with teeth marks and slippery watery coating: add Prepared Aconite: 10, Dried Ginger: 10. -- Gallstones, white stool: add Jin Qian Cao (Lysimachia christinae): 30, Hai Jin Sha (Lygodium japonicum Spore): 10, Yu Jin (Curcuma): 10, Fried Ji Nei Jin (chicken gizzard lining): 10. -- Hypochondriac and rib-side pain: add Vinegar-processed Xiang Fu (Cyperus rotundus): 10, Yu Jin (Curcuma): 10, Vinegar-processed Yan Hu Suo (Corydalis yanhusuo): 10. -- Liver and gallbladder diseases: add Yin Chen Hao (Artemisia capillaris): 20, Yu Jin (Curcuma): 10, Dan Shen (Salvia miltiorrhiza): 30. -- Foreign body sensation in the throat, abdominal distention: combine with Banxia Houpo Tang (Pinellia and Magnolia Bark Decoction). -- Impotence, premature ejaculation: add Long Gu (Dragon Bone): 15, Mu Li (Oyster Shell): 15.

Use with caution in those with a deathly pale complexion, listlessness, and a deep pulse.