Si Ni San

Frigid Extremities Powder

Regulate and Harmonize the Liver & Spleen

Actions: Vents pathogenic influences, releases constraint, spreads the Liver qi, and regulates the Spleen.

Pattern: Yang collapse.

Chai Hu 9-12g
Zhi Shi 9-12g
Bai Shao 12-24g
Zhi Gan Cao 6-9g

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Indications: Cold fingers and toes (although the body is warm), sometimes accompanied by a sensation of irritability and fullness in the chest and epigastrium, a red tongue with a yellow coating, and a wiry pulse.  There may also be abdominal pain and/or severe diarrhea.