Si Ni Jia Ren Shen Tang (Frigid Extremities Decoction plus Ginseng)

Si Ni Jia Ren Shen Tang (四逆加人參湯) rescues devastated yang while augmenting the qi and generating fluids; for yang collapse accompanied by qi and fluid exhaustion (e.g. after severe vomiting and diarrhoea).

Sì Nì Jiā Rén Shēn Tāng  ·  四逆加人參湯  ·  Frigid Extremities Decoction plus Ginseng

English Name

Frigid Extremities Decoction plus Ginseng

Classical Source

Shang Han Lun, c. 220 CE

Ingredients

Actions & Functions

  • Rescues devastated yang
  • Augments the qi and generates fluids

Indications

Yang collapse with qi and fluid exhaustion: cold limbs, a faint pulse, profuse cold sweat, and severe fluid loss from vomiting and diarrhoea.

Tongue & Pulse

Tongue: pale. Pulse: faint and on the verge of expiring.

Modifications

An emergency formula; ensure conventional resuscitation.

Cautions & Contraindications

For true yang collapse with depletion; use prepared Fu Zi.

About Attilio

Doctor of Chinese medicine, acupuncture expert and author of My Fertility Guide and My Pregnancy Guide.

Check Also

PubMed research

Tai Chi Improves Motor Symptoms in Parkinson’s Disease, Though Underlying Mechanisms Remain Preliminary

Research summary (Tai Chi): Tai Chi for improving motor symptoms in Parkinson's disease patients: a systematic review of mechanisms. - Frontiers in aging neuroscience, 2026.