Qi and Flavor
A simple visual reference for Chinese Medicine Formulas

Si Ni Tang 四 逆 湯

Error in the Chart

Error in the Chart


Source: Discussion of Cold Damage (c. 220)

Indication: Cold inversion, Shao Yin; Yang Collapse

Symptoms: Extreme cold in the extremities, aversion to cold, curling up when lying down, lethargy, constant desire to sleep. Also vomiting, diarrhea with undigested food particles, abdominal pain and cold, no thirst. Profuse cold sweating, pale face, weak breath, desire for warm water, sudden fainting

Tongue: pale, white slippery; Pulse: deep, thin, minute

Chapter 74 from Basic Questions states:Cold pernicious qi in the interior is treated with sweet, heating herbs assisted by bitter, acrid herbs, and if cold pernicious qi is victorious, it can be leveled by means of acrid heating herbs. Si Ni Tang uses strong heating and acrid herbs to break through the yin and revive the yang. Fu Zi is especially effective in warming the ming men and propogating warmth throughout the body and to the extremities.