Angelica Four Reverse Decoction

傷寒論

-- For cold limbs with reversal cold of the hands and feet, and a thin pulse about to expire, Dang Gui Si Ni Tang governs it. (Shang Han Lun (Treatise on Cold Damage)) -- In diarrhea, if the pulse is large, it is deficiency, because of forced purgation. If the pulse is floating and drumskin-like, and consequently there is borborygmus, it belongs to Dang Gui Si Ni Tang. (Shang Han Lun (Treatise on Cold Damage))

Danggui 3 liang; Guizhi 3 liang (peeled); Shaoyao 3 liang; Xixin 3 liang; licorice 2 liang (roasted); Tongcao 2 liang; jujube (split, 25 pieces). The above seven ingredients, with 8 sheng of water, boil to obtain 3 sheng; remove the dregs. Take 1 sheng warm, three times daily. (Shang Han Za Bing Lun)

The above seven ingredients, with 8 sheng of water, boil to obtain 3 sheng; remove the dregs. Take 1 sheng warm, three times daily. (Modern usage: boil nine bowls of water down to three bowls; Guizhi is added later (Add later) and boiled only 15 minutes; take one bowl warm after each of the three meals.)

湯劑

Warm the channels and dissipate cold, nourish blood and free the vessels.

1. Pattern of insufficient yang qi with blood deficiency and concurrent externally contracted cold pathogen. Cold reversal of the hands and feet, or localized cyanosis, pale tongue with white coating, deep thin pulse. 2. When cold pathogen invades the Channels / Meridians, causing pain and numbness of the low back, legs, thighs, and feet.

For systemic lupus erythematosus, leukemia_blood cancer, with severe interior cold and cold reversal of the hands and feet: add raw Fuzi: 10, prepared Fuzi: 10, dried ginger: 10. -- For stomach Qi deficiency cold: add Wuzhuyu: 15, fresh ginger: 20. -- For blood circulation disturbance: add Chuanxiong: 10, Honghua: 6, Taoren: 10. -- For cold pain in the lower abdomen and severe deficiency cold: add prepared Fuzi: 10, dried ginger: 10. -- For severe pain: add Weilingxian: 10. -- For pain of the waist, thighs, legs, and feet belonging to blood deficiency with cold congelation, or numbness of the four limbs: add Jixueteng: 30. -- For menstrual abdominal pain in women due to blood deficiency with cold congelation, and in men with cold hernia, pulling pain of the testicles, drawing cold pain in the lower abdomen, cold limbs, and string-like pulse: add Wuyao: 10, Xiaohuixiang: 10, Gaoliangjiang: 10, vinegar-processed Xiangfu: 10. -- For diabetic foot, thromboangiitis obliterans, poor lower limb circulation or local tissue necrosis, Qi deficiency and stasis: combine with Buyang Huanwu Tang. -- For thromboangiitis obliterans, cold congelation and blood stasis: combine with Wutou Guizhi Tang.

If urine is yellow or there is yellow vaginal discharge, etc., Tongcao should be changed to Chuan Mutong.