Dang Gui Si Ni Tang
Classical TCM Formula Profile
Part of the HJMEDICAL TCM Discovery Center
当归四逆汤 · Dāng Guī Sì Nì Tāng
Formula for Blood deficiency with Cold in the channels, presenting with cold extremities, pain, and a fine almost imperceptible pulse. Commonly used for cold-type pain and Raynaud-like presentations.
Read the complete guide →Quick Facts
- Formula Category
- Blood-Tonifying Formulas
- Primary Pattern
- Blood Deficiency
- Primary Function
- Warm channels, nourish Blood, disperse Cold
- Primary Therapeutic Principle
- Warm the channels, disperse Cold, nourish Blood and unblock the vessels
- Classical Source
- Shang Han Lun (Zhang Zhongjing, Eastern Han)
- Available as Granules
- Yes
Formula Overview
Formula for Blood deficiency with Cold in the channels, presenting with cold extremities, pain, and a fine almost imperceptible pulse. Commonly used for cold-type pain and Raynaud-like presentations.
Therapeutic Principle
Traditionally selected when Blood deficiency and Cold lodged in the channels produce cold, painful extremities — nourishing Blood while warming, unlike Huang Qi Gui Zhi Wu Wu Tang, which leads with Qi tonification for numbness, or Si Ni Tang, which rescues systemic Yang collapse rather than channel-level Cold.
Composition
(Sovereign / Minister / Assistant / Envoy)
Related Conditions
Related Health Topics
How does this formula compare?
| Compare | Dang Gui Si Ni Tang | Si Ni Tang | Si Ni San | Wen Jing Tang |
|---|---|---|---|---|
| Primary Function | Warm channels, nourish Blood, disperse Cold | Restore Yang, rescue from collapse | Course Liver Qi, resolve constraint, harmonize | Warm channels, nourish Blood, regulate menses |
| Formula Category | Blood-Tonifying Formulas | Yang-Tonifying Formulas | Harmonising Formulas | Blood-Tonifying Formulas |
| Typical TCM Pattern | Blood Deficiency | Yang Deficiency | Qi Stagnation | Blood Deficiency |
| Main Conditions | Cold Limbs ·Joint Discomfort ·Low Back Pain | Cold Limbs ·Abdominal Pain ·Stomach Discomfort ·Fatigue & Low Energy | Cold Limbs ·Hypochondriac Distension ·Bloating ·Emotional Depression | Irregular Menstruation ·Dysmenorrhea ·Cold Limbs ·Abdominal Pain |
| Main Herbs | Chinese Angelica Root ·Cinnamon Twig ·White Peony Root ·Asarum / Wild Ginger ·Tetrapanax Pith | Prepared Aconite Accessory Root ·Dried Ginger ·Honey-fried Licorice | Bupleurum Root ·Immature Bitter Orange ·White Peony Root ·Honey-fried Licorice | Evodia Fruit ·Cinnamon Twig ·Chinese Angelica Root ·Chuanxiong Rhizome ·White Peony Root |
| Classical Source | Shang Han Lun (Zhang Zhongjing, Eastern Han) | Shang Han Lun (Zhang Zhongjing, Eastern Han) | Shang Han Lun (Zhang Zhongjing, Eastern Han) | Jin Gui Yao Lue (Zhang Zhongjing, Eastern Han) |
Clinical Perspective
Dang Gui Si Ni Tang focuses on Blood deficiency with Cold in the channels. Huang Qi Gui Zhi Wu Wu Tang emphasises Qi deficiency with numbness. Gui Zhi Tang is the exterior parent. Si Ni Tang is for deeper Yang collapse without significant Blood nourishment.
For educational reference only, based on traditional pattern differentiation — not a substitute for professional advice.
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Medical Disclaimer
For general TCM education only — not medical advice. Consult a qualified TCM practitioner or licensed healthcare provider before use, especially if pregnant, nursing, on medication, or managing a chronic condition.
Dang Gui Si Ni Tang: Classic TCM Formula for Blood Deficiency, Cold Extremities & Pain
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