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Yibian
 Shen Yaozi 
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formulaCold-Extremities Decoction Si Ni Tang
sourceShanghan Lun, Zhang Zhongjing, before 206
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bubble_chart Composition

Licorice 6 gm (roasted), Dried Ginger 4.5 gm, Aconite 10 gm (raw).

bubble_chart Preparation and Dosage

Decoct the above 3 ingredients in 600 ml (3 shēng) of water until reduced to 240 ml (1 shēng 2 hé). Remove the dregs and administer in two doses while warm. For a stronger effect, add one large piece of Aconite (Fuzi) and 9g (3 liǎng) of dried ginger.

bubble_chart Efficacy

Restoring yang to save from collapse.

bubble_chart Indications

Shaoyin disease is characterized by cold limbs, aversion to cold, lying curled up, vomiting, abdominal pain, diarrhea with undigested food, and mental fatigue with a desire to sleep. It also includes cases of Taiyang disease misdiagnosed and treated with sweating methods leading to yang exhaustion, presenting with deep, slow, and faint pulses. It is currently used for myocardial infarction, heart failure, acute gastroenteritis with vomiting and diarrhea leading to dehydration, and acute sexually transmitted diseases with profuse sweating leading to collapse.

bubble_chart Formula Principles

In the formula, Aconite Lateral Root, which is highly pungent and hot, warms and strengthens kidney yang, dispels cold, and rescues from collapse, serving as the sovereign herb. Dried Ginger, pungent and hot, warms the interior and dispels cold, enhancing the yang-restoring effect of Aconite Lateral Root, serving as the minister herb. Prepared Liquorice Root, sweet and warm, tonifies qi and harmonizes the middle, while moderating the harsh nature of Aconite Lateral Root and Dried Ginger, serving as the assistant and envoy herb. The combination of these three herbs has the function of restoring yang to save from collapse.

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