Formulas · Harmonize 和解 · Sanghallon (傷寒論)

Frigid Extremities Powder

Sayeok-san

한글 사역산 · Pinyin Si Ni San

四逆散

Composition 構成

Siho Chai Hu
柴胡 시호 · Bupleurum

6 g
Chief 君
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

6 g
Deputy 臣
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

6 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

6 g
Envoy 使

Total 24 g per packet (첩) · representative dosage — verify against source texts.

Received this formula from your practitioner? Amounts shown here are classical reference values — granule and prepared products differ. Always follow your prescribed dosage and directions.

Actions 效能

Vents constrained Yang and releases stagnation
Soothes the Liver and regulates the Spleen

Indications 主治

Pattern-based

Yang Qi constrained inward with cold fingers and toes
Liver-Spleen disharmony with hypochondriac and abdominal pain
Irritability with a wiry pulse and warm trunk

Biomedical correlates

Stress-related cold hands and feet
IBS with pain and constraint
Functional GI disorders with emotional component

Clinical commentary 臨床

Cold extremities from trapped Yang, not absent Yang — the crucial differential from Sayeok-tang despite the shared name. Four herbs that became the chassis for Soyo-san, Siho-sogansan, and the entire Liver-soothing lineage. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.