Si Ni San

SKU	GN172
Brand	Great Nature Classic Tablets by Blue Poppy
Unit Size	90 Tablets
Potency	7:1 / 750 mg
Chinese Symptomology	Signs & symptoms of liver depression qi stagnation include: * Irritability * Cold hands as a stress response * Chest and ductal distention and fullness * Rib-side distention and pain * Abdominal pain * A bowstring pulseSigns & symptoms of depressive heat include (but may not be present): * A bitter taste in the mouth * Constipation with dark stools * A red tongueSigns & symptoms of spleen qi vacuity include: * Vomiting * Diarrhea * Lack of appetite
Western Symptomology	Liver-spleen disharmony resulting in 1) disorders characterized by spasmodic pain, such as cholecystitis/cholelithiasis, gastritis, gastric prolapse, peptic ulcers, allergic colitis, appendicitis, adhesive intestinal obstruction, pancreatitis, urolithiasis, and dysmenorrhea; 2) disorders related to psycho-emotional stress, such as neurogenic headache, premenstrual syndrome, impotence, coronary artery disease, stress incontinence, enuresis, and peri- and menopausal syndromes; and 3) disorders characterized by inpatent excretions or secretions, such as rhinitis, acute mastitis, fallopian tube blockage, and encapsulated periappendical abscesses. Other possible indications include intercostal neuralgia, trigeminal neuralgia, epilepsy, autonomic dystonia, hepatitis, and epidemic hemorrhagic fever.
Actions	Out-thrusts depression, soothes the liver, and regulates the spleen
Pattern	Liver-spleen disharmony
Chinese name	Si Ni San
English name	Four Counterflows Powder

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Description	Within this formula, Chai Hu courses the liver and rectifies the qi. Zhi Shi moves the qi, breaks stagnation, and disperses accumulation, thus aiding the movement and transformation of the spleen. Bai Shao nourishes the blood and relaxes the liver. When combined with Chai Hu, these two medicinals together harmonize the liver (qi and blood). Gan Cao combined with Bai Shao relaxes urgency and stops pain. This formula comes from Zhang Zhong-jings late Han dynasty Shang Han Lun (Treatise on Damage [Due to] Cold).
Ingredients	Bai Shao (Radix Alba Paeoniae) 250 mg ~ Chai Hu (Radix Bupleuri) 187.5 mg ~ Zhi Shi (Fructus Immaturus Aurantii) 187.5 mg ~ mix-fried Gan Cao (Radeix Glycyrrhizae) 125 mg

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