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Yibian
 Shen Yaozi 
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formulaAngelica Cold-Extremities Decoction Dang Gui Si Ni Tang
sourceShanghan Lun
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bubble_chart Composition

Angelica 9 gm, Cinnamon Twig 9 gm (peeled), Peony Root 9 gm, Asarum 3 gm, Licorice Root 6 gm (roasted), Akebia Stem 6 gm, Jujube 5 pieces.

bubble_chart Preparation and Dosage

The above ingredients are decocted with 800 ml of water until reduced to 300 ml. Remove the dregs and administer in two doses while warm.

bubble_chart Efficacy

Nourish blood, dispel cold, warm the meridians, and unblock the vessels.

bubble_chart Indications

Jueyin cold-damage disease, with blood vessels congealing and astringing, leading to cold extremities and a faint, almost imperceptible pulse; or borborygmus and abdominal pain, with incessant diarrhea; or yin-type hernia, testicular pulling pain, extending to the lower abdomen. It is now used for conditions such as Raynaud's disease, thromboangiitis obliterans, sciatica, wind-dampness arthritis, soreness and pain in the lower back, legs, and ankles, gastric and duodenal ulcers, chronic urticaria, varicocele, amenorrhea, dysmenorrhea, menstrual irregularities, chilblains, rhagades, and other conditions characterized by blood deficiency and cold congealing in the meridians.

bubble_chart Formula Principles

In the formula, Chinese Angelica serves as the monarch herb, capable of both nourishing and invigorating the blood. Cinnamon Twig warms and unblocks the meridians and vessels to promote blood circulation, while Peony Root enriches yin and harmonizes the nutrient aspect. These two herbs work together to internally regulate the Jueyin and harmonize the nutrient and defensive aspects, serving as the minister herbs. Asarum disperses cold pathogens from both the exterior and interior, and Ricepaperplant Pith enters the meridians to unblock the vessels, acting as the assistant herbs. Liquorice Root and Chinese Date warm and nourish the spleen qi, serving as the envoy herbs. When combined, these herbs work synergistically to warm and nourish the meridians, promoting smooth blood circulation.

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