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Dang Gui Si Ni Tang 当归四逆汤
Dang Gui Frigid Extremities Decoction


Tradition:
TCM

Source / Author:
Discussion of Cold-induced Disorders (Shang Han Lun)

Herb Name
Dang Gui (Chinese Angelica)
Bai Shao (White Peony)
Gui Zhi (Cinnamon twig)
Xi Xin (Asarum)
Zhi Gan Cao (Fried Licorice)
Mu Tong (Akebia)

Da Zao (Jujube)
Latin
Angelica sinensis
Paeonia lactiflora
Cinnamomum cassia
Asarum chinense
Glycyrrhiza uralensis
Akebia quinata

Zizyphus jujuba
Amount


9 grams ea.


6 grams ea.
4–6 pieces

Preparation:
Prepare a standard decoction.

Function:
Warms the Channels, Clears Cold, Open Obstructions, Nourishes Blood

Use:
Cold Hands and Feet, Pale tongue with white coating, deep and weak pulse
1. Rheumatoid Arthritis
2. Fibromyalgia
3. Sciatica

4. Raynaud's disease
5. Frostbite
6. Thromboangiitis Obliterans
7. Thrombophlebitis
8. Peripheral Neuropathy
9. Migraine
10. Trigeminal Neuralgia
11. Chronic Urticaria
12. Prostatitis, Benign Prostatic Hypertrophy
13. Endometriosis
14. Pelvic Inflammatory Disease


Dose:
The above decoction is divided into 3 equal doses to be taken over the course of a day.
As a Powder: 2–3 grams, 2–3 times daily.


Cautions:
1. Generally not used in Hot seasons
2. Not used in Yin deficiency


Modifications:
1. Headache, Vertigo, Tinnitus, add Angelica Bai Zhi, Saposhnikovia Fang Feng
2. Cold pain during Menstruation, add Motherwort (Yi Mu Cao), Cyperus Xiang Fu
3. Chronic Sciatica, add Aconitum Fu Zi, Dipsacus Xu Duan, Cibotium Gou Ji, Rhubarb Da Huang
4. Also for Chronic Scitica, add Aconitum Chuan Wu, Achyranthes Niu Xi, Clematis Wei Ling Xian, Frankincense (Ru Xiang)
5. Sciatica and Lower Back Pain, add Achyranthes Niu Xi, Cibotium Gou Ji, Dipsacus Xu Duan, Eucommia Du Zhong, Mistletoe (Sang Ji Sheng)
6. Pain of the extremeties from Wind-Damp, add Mistletoe (Sang Ji Sheng), Clematis Wei Ling Xian
7. Cold pain of the Testicles, add Fennel seed (Xiao Hui Xiang)
8. Prostatic Hypertrophy, add Phellodendron Huang Bai, Anemarrhena Zhi Mu, Achyranthes Niu Xi, Plantain seed (Che Qian Zi)
9. Endometriosis, add Zedoary (E Zhu), Motherwort (Yi Mu Cao), Ligusticum Chuan Xiong, Codonopsis Dang Shen

10. Thrombophlebitis, take with Zhen Wu Tang

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