Dang Gui Si Ni Tang Tangkuei Decoction for Frigid Extremities

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1 Dang Gui Si Ni Tang Tangkuei Decoction for Frigid Extremities D F E G ctions: Warms the channels, disperses cold, nourishes the xue, and unblocks the xue vessels. hief Deputy (a) Dang Gui (b) Gui Zhi (c) ai Shao Tonifies and invigorates the xue. Warms the channels and disperses cold. Strengthens the xue tonifying action. (d) Xi Xin Disperses both internal and external cold. ssistant (e) Zhi Gan ao ugment the qi and strengthen the Spleen. (f) Da Zao Envoy (g) Mu Tong Facilitates the flow in the channels and vessels. Indications: Long-standing cold hands and feet that are both cold to the touch and feel very cold to the patient, a pale tongue with a white coating, and a submerged, thing pulse or one that is so thin that it is almost imperceptible.

2 Yang He Tang Yang-Heartening Decoction Shu Di Huang Gan ao Rou Gui Ma Huang ai Jie Zi ctions: Warms the yang, tonifies the xue, disperses cold, and unblocks areas of stagnation. hief Deputy ssistant Shu Di Huang Lu Jiao Jiao Rou Gui Pao Jiang ai Jie Zi Ma Huang Tonifying the xue. Tonifying the xue and yang. Tonify the yang, disperse cold in the nutritive level, and unblock areas of stagnation. Expels phlegm lodged beneath the skin. Opens up the interstices and pores and helps lead out the cold. Envoy Gan ao Harmonizes the action Indications: Localized, painful swellings without heads that blend into the surrounding tissue and do not affect the texture or color of the skin, and are not hot to the touch. There is no thirst, the tongue is very pale, and the pulse is submerged, thin, and forceless.

3 Li Zhong Wan Regulate the Middle Pill D ctions: Warms the middle burner and strengthens the Spleen and Stomach. hief Gan Jiang (a) Warms the Spleen and Stomach yang and eliminates interior cold. Deputy Ren Shen (b) (Dang Shen) Strongly tonifies the source qi. (Reinforces the yang and rectifies the ascending and descending functions of the middle burner) ssistant ai Zhu (c) Tonifies the Spleen and Stomach, strengthens the Spleen and dries dampness. Envoy Zhi Gan ao (d) ugments the qi of the middle burner and harmonizes the action of the other herbs. Indications: Diarrhea with watery stool, nausea and vomiting, no particular thirst, loss of appetite, abdominal pain, a pale tongue with a white coating, and a submerged thin pulse.

4 Wu Zhu Yu Tang Evodia Decoction D ctions: Warms and tonifies the Liver and Stomach, directs rebellious qi downward, and stops vomiting. hief Wu Zhu Yu (a) Warms the Stomach, warms and soothes the Liver, and directs rebellious qi downward. Deputy Sheng Jiang (b) Warming the Stomach and directing its qi downward. ssistant Ren Shen (c) (Dang Shen) Strengthens the Spleen, generates fluids, and calms the spirit. Envoy Da Zao (d) Moderates the acrid, drying properties of the chief and deputy, supports the qi- tonifying action of the assistant. Indications: This formula is used for three different presentations: 1)vomiting immediately after eating, indeterminate gnawing hunger, and acid regurgitation with or without epigastric pain; 2) dry heaves or spitting of clear fluids with headache at the vertex: 3) vomiting and diarrhea with cold hands and feet, and agitation so severe that the patient wants to die. In all cases the tongue is not re, but has a white, slippery coating, and the pulse is thin and slow or thin and wiry.

5 Xiao Jian Zhong Tang Minor onstruct the Middle Decoction F E D ctions: Warms and tonifies the middle burner and moderates spasmodic abdominal pain. hief Yi Tang (a) Gui Zhi (b) Tonifies and moderates spasmodic abdominal pain. Warms the middle burner and disperses cold. Deputy ai Shao (c) Harmonizes the relationship between the protective and nutritive qi. ssistant Zhi Gan ao (d) Stops spasmodic abdominal pain and harmonizes the functions of the middle burner. Envoy Sheng Jiang (e) Da Zao (f) Harmonizes the protective and nutritive qi. Indications: Intermittent, spasmodic abdominal pain that responds favorably to local application of warmth and pressure, a lusterless complexion reduced appetite, a pale tongue with a white coating, and a thin, wiry, and moderate pulse. There may also be low-grade fever, palpitations, irritability, cold and sore extremities with nonspecific discomfort, and a dry mouth and throat.

6 Da Jian Zhong Tang Major onstruct the Middle Decoction D ctions: Warms and tonifies middle burner xu, directs rebellious qi downward, and alleviates pain. hief huan Jiao (a) Stimulates the yang of the middle burner, dispels cold, and alleviates pain. Deputy Gan Jiang (b) Reinforces the chief and quiets the upsurge of cold qi. ssistant Ren Shen (c) (Dang Shen) Yi Tang (d) Tonify and strengthen the middle qi Indications: Excruciating epigastric and abdominal pain to the point that the patient cannot tolerate being touched, a strong sensation of cold in the epigastrium, vomiting to the point of being unable to eat, a white, slippery tongue coating, and a thin and tight or slow and wiry (or in especially severe cases, hidden) pulse. There may also be borborygmus.

7 Gan ao Gan Jiang Tang Licorice and Ginger Decoction ctions: Warms the Lungs and strengthens the Stomach. Gan Jiang (a) Zhi Gan ao (b) Warms the Lungs and disperses cold. Warms and strengthens the Stomach. Tonify the qi. Warms and strengthens the Stomach. Indications: old extremities, absence of thirst, a dry throat, excessive salivation with spitting up of clear fluids, absence of coughing, irritability, dizziness, frequent urination, a pale, moist tongue without a coating, and a pulse which is either frail or submerged and slow.

8 Si Ni Tang Frigid Extremities Decoction ctions: Rescues devastated yang, warms the middle burner, and stops diarrhea. hief Fu Zi (a) Stimulates the exhausted yang. (esp. effective in warming and stimulating the Kd Yang.) Deputy Gan Jiang (b) Warms the middle burner and eliminates cold. lso Strengthens the Spleen s functions. ssistant Zhi Gan ao (c) ugments the qi, strengthens the Spleen, reduces the toxicity of the chief ingredient, and moderates the drying properties of the chief and deputy. Indications: Extremely cold extremities, aversion to cold, sleeping with the knees drawn up, a lethargic state with a constant desire to sleep, vomiting, diarrhea with undigested food particles, abdominal pain and cold, lack of thirst, a pale tongue with a white, slippery coating, and a submerged, thin or submerged, faint pulse.

9 Shen Fu Tang Ginseng and Prepared conite Decoction ctions: Restores the yang, strongly tonifies the source qi, and rescues the qi from collapse due to devastated yang. hief Ren Shen (a) Strongly tonifies the Spleen and source qi within (Dang Shen) the Lungs. Deputy Fu Zi (b) Warms and tonifies the true yang. Indications: old extremities, sweating, weak breathing and shortness of breath, dizziness, an extremely pale complexion, a pale tongue, and a faint pulse that is almost imperceptible.

10 Hei Xi Dan Lead Special Pill ctions: Warms and strengthens the lower source, and forces the floating yang downward. hief Deputy ssistant Hei Xi Liu Huang Fu Zi Rou Gui Yang Qi Shi u Gu Zhi Hu Lu a Xiao Hui Xiang Mu Xiang Rou Dou Kou hen Xiang huan Lian Zi (Opposing ssistant) Presses down and anchors the floating yang and directs rebellious qi downward (calming the wheezing and gasping for breath) Strengthens the yang and warms and tonifies the vital fire. Warm the Kd, reinforce the yang, and guide the fire back to its source. Warms the gate of vitality and eliminate cold. Warm the middle burner, regulate the qi, direct rebellious qi downward, eliminate phlegm, and warm the Kd. To ensure that all the other herbs are balanced and to smooth and augment the qi of the Liver. Indications: This formula is used in treating two distinct presentations: 1) wheezing and gasping for breath, cold extremities, unremitting cold sweat, a pale tongue with a white, slippery coating, and a submerged, faint pulse; 2) a sensation of qi rapidly ascending from the lower abdomen to the chest accompanied by distention, pain, and fullness in the chest, hypochondria, and epigastrium.

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