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OPEN for ACUPUNCTURE - Call (510) 848-4372 for an appointment
OPEN for ACUPUNCTURE - Call (510) 848-4372 for an appointment

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Dang Gui Si Ni Tang 當歸四逆湯

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Original price $ 17.99
$ 28.95 USD
from $ 28.95 USD
Current price $ 28.95 USD

Formula for Frigid Extremities

DANG GUI SI NI TANG History

DANG GUI SI NI TANG first appeared in the  SHANG HAN LUN (Discussion of Cold Induced Disorders) Eastern HAN dynasty

The term we translate as frigid extremities, "SI NI', actually means 'four rebellions'.  This formula is indicated when the limbs are cold, and 'rebel' by turning inward toward the trunk of the body to keep warm.

The formula is a variation of GUI ZHI TANG (Cinnamon Twig Decoction), and is most appropriate when internal or internalized 'Cold' has injured the YIN, manifesting as extremely cold hands and feet and possibly an extremely 'thin' pulse.  Other possible signs include joint pain, irregular menses, abdominal pain and cold, as well as lower back and leg pain.

Uses of DANG GUI SI NI TANG 

  • Warms the Interior 
  • Warm The Channels
  • Chilblain
  • Cold Bi-Syndrome
  • Cold Hands And/Or Feet
  • Muscle Pain
  • Low Back Pain

DANG GUI SI NI TANG  Safety & Side Effects

Pregnant or nursing women should consult their health care provider before taking any supplement.

The combination should be used with care during warm weather since it can injure the fluids when it is improperly used.  The formula is contraindicated for those with 'weak heat' from YIN or fluid deficiency.

DANG GUI SI NI TANG is intended for health care professionals or for those knowledgeable of Traditional Chinese Medicine.TCM is powerful and reliable, but it can be complex. Self-diagnosis and self-treatment aren't usually recommended. Best to start an Email, TeleVisit, or Phone consultation .

Shen Clinic TCM Advice

DANG GUI SI NI TANG Dosage

Granules: 2-4 grams, taken 2-3 times a day, best on an empty stomach

Whole Herbs: Using a container made of ceramic, glass, or stainless steel (no aluminum, iron or copper) boil 1 packet (50 grams) of herbs in 2-3 quarts of water for about 30 minutes, or until 2 cups of medicine remain. Strain herbs; save and refrigerate for a second boiling. Drink 1 cup in the AM. And 1 cup in the PM. If desired, repeat the following day, using the saved herbs from the refrigerator.

DANG GUI SI NI TANG Ingredients

Dang Gui 
(Radix Angelicae Sinensis)
Bai Shao Yao 
(Radix Paeoniae Lactiflorae)
Gui Zhi 
(Ramulus Cinnamomi Cassiae)
Zhi Gan Cao 
(Radix Glycyrrhizae Uralensis)
Da Zao 
(Fructus Jujubae)
Mu Tong 
(Caulis Akebiae Trifoliatae)
Xi Xin (Herba cum Radice Asari) omitted due to potential toxicity


* What’s the Difference Between, PIAN, WAN, TANG, SAN, SHUI and GAO?

  • PIAN = Tablet (modern looking pill)
  • WAN = Pill (old-style or handmade pill, or black teapill)
  • TANG = Water Decoction (boiled whole herbs)
  • SAN = Powder (milled or granulated)
  • SHUI = Tincture (extract with alcohol or other solvent)
  • GAO = Paste (topical unguent or plaster)

** These statements have not been evaluated by the US Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease. 

Select option: DANG GUI SI NI TANG granules or whole herbs - no returns on custom blends: 100g Granules