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Dang Gui Si Ni Tang (當歸四逆湯) warms the channels and disperses cold while nourishing the blood and unblocking the vessels; for cold, painful extremities from blood deficiency with cold obstructing the channels.
English Name
Tangkuei Decoction for Frigid Extremities
Classical Source
Shang Han Lun, c. 220 CE
Ingredients
Actions & Functions
- Warms the channels and disperses cold
- Nourishes the blood and unblocks the vessels
Indications
Blood deficiency with cold in the channels: cold and pale hands and feet, cold painful extremities, and cold-type menstrual pain, joint pain or Raynaud’s-type symptoms.
Tongue & Pulse
Tongue: pale with a white coat. Pulse: deep, thin and faint.
Modifications
With deeper internal cold, add Wu Zhu Yu and Sheng Jiang.
Cautions & Contraindications
For cold in the channels with blood deficiency; not for true yang collapse. Use Chuan Mu Tong only.
