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Si ni san contraindications

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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

 

 

 

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