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<record type="formula" updated="2026-09-18T16:37:03.41511+00:00">
  <source>Bencao Index</source>
  <source-url>https://bencaoindex.com/</source-url>
  <canonical>https://bencaoindex.com/formulas/si-ni-san/</canonical>
  <licence>Free to use and republish with visible attribution and a link back to the source page. The catalogue is a reference work and is knowingly incomplete; nothing in it is medical advice.</licence>
  <attribution-html>&lt;a href=&quot;https://bencaoindex.com/formulas/si-ni-san/&quot;&gt;Bencao Index&lt;/a&gt;</attribution-html>
  <names>
    <name type="pinyin">si ni san</name>
    <name type="english">Fridgid Extremities Powder</name>
  </names>
  <category>Regulate and Harmoize the Liver and Spleen</category>
  <actions>
    <action>
      <summary>Spreads constrained Liver Qi and relieves stagnation</summary>
      <indication>Liver Qi constrained and overacting on the Spleen and Stomach, with pain of the ribs or abdomen and menstrual complaints</indication>
      <indication>Cold fingers and toes with Heat held inside: the cold stops at the wrist or ankle because constrained Qi keeps Yang from reaching the limbs</indication>
      <indication>Fullness and distention below the ribs and in the chest, with irritability and fullness of the chest and epigastrium</indication>
      <indication>Depression; premenstrual irritability and breast distention</indication>
      <indication>A body that feels slightly warm, or hot and feverish, from disharmony of Liver Qi; fever that comes and goes; thirst</indication>
    </action>
    <action>
      <summary>Harmonizes the Liver and Spleen</summary>
      <indication>A distended, painful or blocked feeling in the Stomach, the lower abdomen or the ribs, with abdominal pain, spasm and mild bloating</indication>
      <indication>Mild hardness and blockage below the Heart, sometimes with a visible white line from the navel up to the tip of the breastbone</indication>
      <indication>Diarrhea, sometimes severe, with tenesmus, or dysentery; or mild constipation</indication>
      <indication>Cough, palpitations, or difficult urination with dark yellow urine</indication>
      <indication>Dry, swollen eyes</indication>
      <indication>Painful periods</indication>
      <indication>Gu syndrome</indication>
    </action>
    <action>
      <summary>Clears Heat from the Interior</summary>
      <indication>Heat at the Jue Yin or Shao Yin level</indication>
      <indication>Tongue red, dusky or pale, with a thin or greasy coat that is yellow or white; pulse wiry, wiry and tight, wiry and slippery, or wiry and perhaps rapid</indication>
    </action>
    <action>
      <summary>Nourishes Blood, softens the Liver and relieves spasmodic pain</summary>
    </action>
    <action>
      <summary>Modern uses</summary>
      <indication>Gastritis</indication>
      <indication>Acute and chronic gastritis</indication>
      <indication>Superficial gastritis</indication>
      <indication>Gastroenteritis</indication>
      <indication>Peptic ulcer</indication>
      <indication>Gastric ulcer</indication>
      <indication>Gastric ptosis</indication>
      <indication>Gastric neuralgia</indication>
      <indication>Hiatus hernia</indication>
      <indication>Acid reflux</indication>
      <indication>Indigestion</indication>
      <indication>Nausea and vomiting</indication>
      <indication>Morning sickness</indication>
      <indication>Abdominal fullness and distention</indication>
      <indication>Abdominal pain</indication>
      <indication>Abdominal spasms</indication>
      <indication>Irritable bowel syndrome</indication>
      <indication>Leaky gut syndrome</indication>
      <indication>Colitis</indication>
      <indication>Allergic colitis</indication>
      <indication>Ulcerative colitis</indication>
      <indication>Smelly, painful diarrhea</indication>
      <indication>Diarrhea alternating with constipation, with hard pellet stools</indication>
      <indication>Giardiasis</indication>
      <indication>Intestinal obstruction (adhesive)</indication>
      <indication>Acute appendicitis</indication>
      <indication>Encapsulated periappendicular abscess</indication>
      <indication>Tubercular peritonitis</indication>
      <indication>Hernia</indication>
      <indication>Pancreatitis</indication>
      <indication>Cholecystitis</indication>
      <indication>Cholelithiasis</indication>
      <indication>Biliary ascariasis</indication>
      <indication>Hepatitis</indication>
      <indication>Cirrhosis of the liver</indication>
      <indication>Urinary calculi</indication>
      <indication>Enuresis</indication>
      <indication>Stress incontinence</indication>
      <indication>Mastitis</indication>
      <indication>Fibrocystic breast disease</indication>
      <indication>Breast lumps (fibroadenoma)</indication>
      <indication>Premenstrual syndrome</indication>
      <indication>Dysmenorrhea</indication>
      <indication>Amenorrhea</indication>
      <indication>Endometriosis</indication>
      <indication>Adnexitis</indication>
      <indication>Blocked fallopian tubes</indication>
      <indication>Infertility</indication>
      <indication>Perimenopausal syndrome</indication>
      <indication>Impotence</indication>
      <indication>Candidiasis</indication>
      <indication>Coronary heart disease</indication>
      <indication>Raynaud&apos;s disease</indication>
      <indication>Acrocyanosis</indication>
      <indication>Syncope (due to Heat)</indication>
      <indication>Epidemic hemorrhagic fever</indication>
      <indication>Fever</indication>
      <indication>Intercostal neuralgia</indication>
      <indication>Trigeminal neuralgia</indication>
      <indication>Neurogenic headache</indication>
      <indication>Neck tension</indication>
      <indication>Shoulder tension</indication>
      <indication>Meniere&apos;s disease</indication>
      <indication>Epilepsy</indication>
      <indication>Depression</indication>
      <indication>Neurasthenia</indication>
      <indication>Neurosis</indication>
      <indication>Autonomic dystonia</indication>
      <indication>Chronic fatigue syndrome</indication>
      <indication>Obesity</indication>
      <indication>Chronic bronchitis</indication>
      <indication>Pleurisy</indication>
      <indication>Pertussis</indication>
      <indication>Chronic tonsillitis</indication>
      <indication>Otitis media</indication>
      <indication>Rhinitis on one side, yellow mucus</indication>
      <indication>Sinusitis on one side, yellow mucus</indication>
      <indication>Gu syndrome</indication>
    </action>
  </actions>
  <constituents>
    <herb>chai hu</herb>
    <herb>zhi shi</herb>
    <herb>Bai Shao</herb>
    <herb>zhi gan cao</herb>
  </constituents>
</record>
