Guest guest Posted June 30, 2009 Report Share Posted June 30, 2009 I think whoever wrote the cautions here for Si Ni San was thinking in comparison to Yi Guan Jian - Linking Decoction. Quoting from the TCM Formula Finder program- it is for " Kidney and Liver Yin Deficiency with Liver Qi stagnation - For hypochondriac and chest pain, epigastric and abdominal distention, dry mouth and throat, acid regurgitation, menstrual pain or irregularity, all worsened when emotions are high. " and its herbs are Sheng Di Huang Gou Qi Zi Bei Sha Shen Mai Men Dong Dang Gui Shen Chuan Lian Zi In my view, a very useful and elegant formula. Doug , <johnkokko wrote: > > In the new Formulas and Strategies book 2nd ed, pg. 117 > the authors write that *Si ni san :* > > *Cautions and Contraindications:* > " This formula unblocks the Qi dynamic with *warm* and acrid herbs. > It is therefore contraindicated for Qi constraint associated with yin > deficiency, > which may also manifest with pain in the hypochondria, epigastrium and > abdomen. " > > The ingredients... Chai hu, Bai shao, Zhi shi (all cool-cold) and Zhi gan > cao (sl. warming) > seem to disagree with this statement. > and although Chai hu can injure the yin, it is balanced by Bai shao at twice > the dosage. > Also, Zhi gan cao can support the MJ and generate fluids. > > So, I'm perplexed by this contraindication and its rationale. > I can see that the formula seems as though it's warming, because it warms > the extremities.. > but only because it moves the Qi constraint (heat) out from the torso. > The ingredients themselves are predominately cool-cold. > > Any clarity on this? > > > -- > > Turtle Island Integrative Health > > > TCM Review director > CA State Board Prep Courses > www.tcmreview.com > > > Quote Link to comment Share on other sites More sharing options...
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