TCM Book Club Issue 1175
Daily updates to accompany the growth of TCM practitioners
IIntroduction: We have studied several articles on Dang Gui Si Ni Tang (Dang Gui Four Reversal Decoction) (you can download the Linglan TCM APP and search for “Dang Gui Si Ni Tang” to read). “If a person has long-standing cold internally, one must add Wu Zhu Yu (Evodia) and Sheng Jiang (Fresh Ginger) to disperse it, especially using clear wine to moisten the meridians and disperse the long-stagnant cold.” (Editor/Wang Chao)
Dang Gui Si Ni Decoction with Wu Zhu Yu and Ginger
Author/Liu Duzhou
Ingredients: Dang Gui (Angelica Sinensis) 3 liang, Bai Shao (White Peony) 3 liang, Gan Cao (Licorice, roasted) 2 liang, Tong Cao (Rice Paper Plant) 2 liang, Gui Zhi (Cinnamon Twig, peeled) 3 liang, Xi Xin (Asarum) 3 liang, Sheng Jiang (Fresh Ginger, sliced) 0.5 jin, Wu Zhu Yu (Evodia) 2 sheng, Da Zao (Jujube, split) 25 pieces.
Preparation Method: Combine the nine ingredients with 6 sheng of water and 6 sheng of clear wine, boil to obtain 5 sheng, strain, and divide into five doses to take warm. (One recipe uses 4 sheng each of wine and water)
Indications: Symptoms of Dang Gui Si Ni Tang syndrome, with accompanying symptoms of cold in the Jue Yin Liver Meridian such as abdominal pain and vomiting.
Original Text: Article 352.
Formula Explanation: Dang Gui Si Ni Tang treats blood deficiency and cold stagnation, warming the meridians and unblocking the vessels; adding Wu Zhu Yu and Sheng Jiang provides warmth and disperses cold to warm the liver and stomach, reduce counterflow, stop vomiting, and treat lower abdominal pain.
Selected Annotation: Especially in Jing: “If a person has long-standing cold internally, one must add Wu Zhu Yu and Sheng Jiang to disperse it, especially using clear wine to moisten the meridians and disperse the long-stagnant cold.”
Commentary: Long-standing cold internally refers to the accumulation of cold that has penetrated deeply into the organs, not just in the meridians, hence the symptoms of cold pain in the stomach and vomiting. Dang Gui Si Ni Decoction with Wu Zhu Yu and Ginger warms the meridians to disperse internal cold. This formula does not use dried ginger or Aconite because of the deficiency of Yin and blood; strong medicines may harm the Yin.
Formula Song:
Dang Gui Si Ni with Yu and Jiang, clear wine boiled to show its effect; long-standing cold in Jue Yin, medicine divided into five doses for recovery.
Case Record:
Ms. Bai, 36 years old. During her menstrual period, she participated in labor, sweating and wetting her clothes. While using the restroom, a wind blew at her lower body, causing immediate discomfort. After returning home, she experienced severe cramping pain in her lower abdomen. Her pulse was thin and wiry, and her tongue was pale. Diagnosed with blood deficiency and cold invasion, with the pathogen affecting the liver meridian.
For treatment: Dang Gui 12g, Bai Shao 12g, Gui Zhi 10g, Gan Cao 6g, Tong Cao 6g, Xi Xin 6g, Da Zao 15 pieces. After three doses, the abdominal pain resolved.
(Case by Liu Duzhou)
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