Commonly Used Chinese Herb Formulas with Illustrations - Bupleurum and Chih-shih Formula (Si Ni San)


 

0506 四逆散 (Si Ni San)

 

Bupleurum and Chih-shih Formula

 

Frigid Extremities Powder

 


Formulation

Chinese Name

Pharmaceutical Name

Pin Yin Name

English Name

甘草

Radix Glycyrrhizae

Gan Cao

Licorice

枳實

Fructus Aurantii immaturus

Zhi Shi

Zhi Shih

柴胡

Radix Bupleuri

Chai Hu

Bupleurum

白芍

Radix Paeoniae alba

Bai Shao

White Peony

 

Classic Literature Reference

Shang Han Lun (Treatise on Febrile Diseases, 206).

Compiler: Zhang, Zhong-jingo

 

Indications

Traditional:

1. Yang qi suppressed by pathogenic factors characterized by cold hands and feet, chest and abdominal distention and fullness.

2. Disharmony between the Liver and Stomach marked by chest and hypochondriac pain and epigastric and abdominal distending pain, diarrhea, and a wiry pulse.

3. Disharmony between the Liver and Spleen marked by depression, poor appetite, irritability, anxiety, epigastric and abdominal aches, distension and pain in the breasts, irregular menstruation, a red tongue, and a wiry pulse.

Modern: Gastritis, neurosis, hysteria, peptic ulcer, hepatitis, intercostal neuralgia, cholecystitis, mastadenitis, dysmenorrhea, epilepsy, uretheral obstruction, and peritonitis.

Pattern of Disharmony between the Liver and Spleen

 

Herbs and Actions

 

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