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Dang Gui Si Ni Tang

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Pin Ying Name: Dang Gui Si Ni Tang

English Name: Dong Gui & Jujube Decoction

Chinese Name: 當歸四逆湯

Herbs & Actions
Pharmaceutical Latin Pin Yin Actions
Rx. Angelica Sinensis Dang Gui

Tonifies Blood, regulates menstruation, invigorates and harmonizes Blood and disperses Cold

With Bai Shao, regulates and harmonizes Qi and Blood. With Bai Shao, Gui Zhi and Xi Xin, for Blood and Yang Deficiencies with cold extremities, back and/or buttocks. With Zhi Gan Cao, moderates spasms and relieves abdominal pain.

Rx. Paeoniae Alba Bai Shao

Nourishes Blood, regulates menstruation and adjusts the Ying and Wei.

With Zhi Gan Cao, regulates the relationship between the Liver and Spleen and nourishes the sinews, treats abdominal pain due to disharmony between the Liver and Stomach, epigastric, hypochondriac or flank pain and muscle spasms, pain and numbness, especially in the calf, due to Blood Deficiency. With Gui Zhi, harmonizes Ying and Wei in Tai Yang Zhong Feng. With Dang Gui, nourishes Yin and Blood. With Dang Gui, Sheng Jiang and Da Zao, for Wind-Cold with Deficiency and perspiration.

Ram. Cinnamomi Gui Zhi

Releases the exterior, adjusts the Ying and Wei, warms the channels and collaterals to relieve pain, disperses Cold, unblocks Yang and transforms the Qi, warms and facilitates the flow of Yang Qi in the chest and warms and facilitates the flow of Blood through the vessels.

With Bai Shao, warms and tonifies the Middle Jiao. With Zhi Gan Cao, for palpitations and shortness of breath due to injured Yang of the chest.

Hb. Asari Xi Xin

Releases Exterior Wind and Cold, disperses Internal Cold, warms the Lungs and alleviates pain.

Rx. Glycyrrhizae Preparata Zhi Gan Cao

Alleviates pain and moderates and harmonizes the properties of other herbs.

Fr. Jujube Da Zao

Nourishes Blood and moderates and harmonizes the harsh properties of other herbs.

Caul. Akebiae Mu Tong

Promotes urination and unblocks blood vessels.

With Dang Gui, promotes circulation of Blood and stops pain.

Formula Actions
  • Warms the channels
  • Disperses Cold
  • Nourishes the Blood
  • Unblocks the Blood vessels
  • Cold in the Channels due to Blood Deficiency
  • Jue Yin Cold
Clinical Manifestations
  • Long standing cold hands and feet that are cold to the touch and feel cold to the patient
  • Maybe lumbago and leg pain
  • Abdominal pain and distention
  • Midline pain
  • Uterine pain
  • Chills
  • Diarrheav
  • Menstrual abdominal pain
  • Maybe chest pain
  • Increased sweating, particularly of the feet
  • Increased salivation
  • Spasm and pain of the limbs
  • Scanty urination
  • Pain at the waist, hips, legs and feet
  • Sciatica
  • Joint pain
  • Irregular menstruation
  • Abdominal Cold
  • Migraine headache
  • Vaginal discharge
  • T: Pale
  • C: White
  • P: Deep and thready (may be almost imperceptible).
  • Raynaud's disease
  • Rheumatoid arthritis
  • Fibromyalgia
  • Sciatica
  • Peptic ulcer
  • Chronic urticaria
  • Frostbite
  • Thromboangitis obliterans (Buerger's disease)
  • Vascular headaches
  • Impotence
  • Scleroderma
  • Basilar artery insufficiency
  • Hypertensive headache
  • Gingivitis
  • Lumbago
  • Lower back sprains
  • Cholecystitis
  • Pain from cancers
  • Idiopathic thrombocytopenic purpura
  • Perimenstrual edema
  • Postoperative adhesions
  • Peripheral neuropathy
  • Benign prostatic hypertrophy
  • Amenorrhea
  • Allergic rhinitis
  • Athetosis
  • Acrocyanosis
  • Abdominal pain
  • Infertility
  • Chronic gastritis
  • Abdominal fullness and distention
  • Vaginal discharge
  • Arthralgia
  • Migraine
  • Anemia
  • Arthritis
  • Hernia due to Cold
  • Beriberi
  • Nephritis
  • Intestinal colic
  • Ephidrosis during fever
  • Calluses and corns
  • Varicocele
  • Takayasu's arteritis
  • Coronary artery insufficiency
  • Traumatic headache
  • Trigeminal neuralgia
  • Periarthritis of the shoulders
  • Pelvic inflammatory disease
  • Meniere's disease
  • Prostatitis
  • Tenosynovitis
  • Early stage upper respiratory tract infections
  • Frozen shoulder
  • Hypertrophic myelitis
  • Endometriosis
  • Psoriasis
  • Benzene poisoning
  • Dysmenorrhea
  • Chilblain
  • Postpartum pain
  • Stomach cancer
  • Abdominal Cold
  • Diarrhea
  • Peripheral neuritis
  • Contraindicated for those with Yin Deficiency with Empty Fire.
  • Use with caution during Spring and Summer or in warm climates.

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