Dang Gui Si Ni Tang 當歸四逆湯 - Frigid Extremities Formula

Tangkuei and Jujube Combination DANG GUI SI NI TANG History DANG GUI SI NI TANG first appeared in the  SHANG HAN LUN (Discussion of Cold Induced Disorders) Eastern HAN dynasty The term we translate as frigid extremities, "SI NI', actually means 'four rebellions'.  This formula is indicated when the limbs are cold, and 'rebel' by turning inward toward the trunk of the body to keep warm. The formula is a variation of GUI ZHI TANG (Cinnamon Twig Decoction), and is most appropriate when internal or internalized 'Cold' has injured the YIN, manifesting as extremely cold hands and feet and possibly an extremely 'thin' pulse.  Other possible signs include joint pain, irregular menses, abdominal pain and cold, as well as lower back and leg pain. Uses of DANG GUI SI NI TANG Warms the Interior  Warms the Channels Chilblain Cold Bi-Syndrome Cold Hands And/Or Feet Muscle Pain Low Back Pain DANG GUI SI NI TANG Safety & Side Effects Contraindicated for those with Yin Deficiency with Empty Fi