Herb Formulas Notebook

Dang Gui Si Ni Tang

Tangkuei Decoction for Cold Extremities

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Source: Discussion of Cold Damage (c. 220)
Author: Zhang Ji / Zhong-Jing

Category: Formulas that Warm Interior Cold

Pattern: Jueyin syndrome with Blood deficiency enabling Cold to obstruct the circulation, Jueyin type disharmony of Yin Wei Mai

Key Symptoms: Pronounced sensitivity to cold with cold extremities, pain or numbness in extremities
Secondary Symptoms: Increased urination, lower back pain

Tongue: Pale, wet body with thin white coat
Pulse: Submerged and thin, imperceptible
Abdomen: Hypertonicity of rectus abdominis muscle, weak lower abdomen with localised pain on deep pressure

Dang Gui 12g
Bai Shao 9g
Gui Zhi 9g
Xi Xin 1.5g
Mu Tong 3-6g
Zhi Gan Cao 6g
Da Zao 8 pcs

In the UK Xi Xin may have to be substituted with Wei Ling Xian or Qiang Huo.

Mu tong also needs to be substituted with Qu Mai.

Preparation: Decoction.

Actions: Warms the Channels, disperses Cold, nourishes the Blood, unblocks the Blood Vessels

Contraindications: Blood deficiency with Fire

Extraordinary Vessel attributions come from Li Shi-Zhen's (1577-8) Exposition on the Eight Extraordinary Vessels (Qi Jing Ba Mai Kao), trans. Chace & Shima (2009).

Research Links:
Science Direct
Google Scholar
Journal of Chinese Medicine
American Dragon

Reference Notes: (click to display)

These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.