Si+Ni+San+(Frigid+Extremities+Powder)

Si Ni San (Frigid Extremities Powder)
T: red w/ yellow coat P: wiry
 * Category:** Harmonize [Shaoyin disorder: Qi inversion, cold extremities, LR/SP disharmony]
 * Preparation:** Decoct in water.
 * Function:** Vents pathogenic influences, releases constraint, spreads the Liver Qi, and regulates the Spleen
 * Indications:** Cold fingers and toes (although the body is warm) sometimes accompanied by a sensation of irritability and fullness in the chest and epigastrium. May also be abdominal pain and/or severe diarrhea
 * Clinical Applications:** Gastritis, peptic ulcer, cholecystitis, cholelithiasis, hepatitis, intestinal obstruction, mastitis, fibrocystic breasts
 * Contraindications:** Cold syndrome due to Yang deficiency

**Ingredients:**
Chai Hu (9-12g.) Zhi Shi (9-12g.) Bai Shao (12-24g.) Zhi Gan Cao (6-9g.)

**Analysis:**
//Chief://
 * Chai Hu:** regulates Qi, vents the heat and releases constraint

//Deputy://
 * Zhi Shi:** moves Qi and drains stagnation

//Assistant://
 * Bai Shao:** nourishes Liver and preserves Yin

//Envoy://
 * Zhi Gan Cao, Da Zao:** moderates pain and harmonizes

5 element perspective:
FREEDOM! led forth out of constraint, movement, growth, progress, evolution. Wood is the alive element. Throws a fit for you to release stuck qi/anger when it's been far too long and deeply stuck. Gets someone out of their box their in. Bai Shao & Gan Cao: muscle cramps, softening tightness
 * Chai Hu:** the moses of herbs, Shaoyang: gets into the crouch with you then up and outward, gives a sense of being unopposed. Men: lets out that repressed desire to say "no" in rigid neck and shoulder tension. yes growth, yes, creativity, yes movement. Handling an unexpected way of moving. Women will likely tell you what's been on their mind for a long time.gve when you're aware of the restraint to progress, freedom, creativity. upward outward like a tree growing - mostly in the musculature in the limbs - want to move but cannot move.
 * Zhi Shi:** psychic sausage herb: emotions stuck down into your intestines. bearnig down. An earth edge. "I can't express this, it's against the rules" stuffing things down. frees the emotions that are already stuffed. unimpacts the old unexpressed.
 * Bai Shao:** Liver blood, softness thats in the skin, Liver blood xu: feels like a half cup of tea - self-esteem, self taking up space on the inside. In a 1 on 1 confrontation they feel outnumbered, smaller. Helps fill in insdes to fill full and filled out so we don't feel outnumbered. also astringes to hold a irm line between self and others to not be invaded - not being the victim. Tendency to pre-cramp up - defensiveness, a pre-victim mode. Allows us to hold our space, fill our space and hold firm about our boundary and not be invaded.allows more patience.
 * Gan Cao:** softens flesh w/ the sweetness. Releases the inner rather than outer.
 * Liver blood:** no matter what is happening in the outside world you are in charge of your inner world. and the two are equal. they can chain you but not make you a slave.

**Modifications:**
Cough: + Wu Wei Zi (6-9g.), Gan Jiang Palpitations: + Gui Zhi (6-9g.) Urinary difficulty: + Fu Ling Abdominal pain: + Zhi Fu Zi Epigastric pain w/ acid regurgitation: w/ Zuo Jin Wan Blood deficiency w/ hypochondriac pain and irregular menstruation: - Zhi Shi; + Bai Zhu, Fu Lng, Dang Gui Food stagnation w/ abdominal pain: + Shan Zha, Mai Ya, Ji Nei Jin Pinpoint fixed pain due to blood stasis: + Pu Huang, Wu Ling Zhi, Dan Shen Painful menstruation: + Dang Gui, Wu Yao, Xiang Fu, Yan Hu Suo Damp-heat leukorrhea w/ lower abdominal pain & low back soreness: w/ Er Miao San Breast abscess: + Qing Pi Billiary tract disorders: + Yin Chen, Dan Shen, Yu Jin, Chi Shao, Jin Qian Cao Intercostal neuralgia: + Gua Lou Pi, Xie Bai, Yu Jin Roundworms: + Wu Mei, Ku Lian Gen Pi Intestinal obstruction: + Da Huang Acute icteric hepatitis: w/ Yin Chen Hao Tang