Clinical Application Experience of Si Ni San, July 1, 1978

Clinical Application Experience of Si Ni San, July 1, 1978

Chen Yuansheng, an elderly traditional Chinese medicine practitioner at the First Traditional Chinese Medicine Hospital of Chongqing City, described the formula: Chaihu, Zhishi, Baishao, and Gancao—this formula contains dispelling elements (Chaihu), astringent elements (Baishao), attacking elements (Zhishi), and tonifying elements (Gancao), with all four working together to achieve "harmony."

1. Epigastric Pain

For those with chest and flank distension and pain, add Jinlingzi San; for bitter taste and dry throat, add Chaihu, Huangqin, Xiahukao, Zhizi, Chuanlian, and Chuanlian; for acid regurgitation and cold stomach, add Dingxiang; for acid regurgitation and hot stomach, add Huanglian and Wuzhuyu; for unclear cold and heat, add Caowan and Haipiao; for hematemesis, add Baiji, Ou Jie, and Xianhe Cao; for constipation, add Juemingzi; for rumbling sounds in the stomach, add Xiaobanhua Tang; for excessive phlegm and damp turbidity, add Wendan Tang; for severe epigastric pain, add Danshen Yin; for emotional stagnation, add Yueju Tang; for sharp, fixed, needle-like pain, add Puhuang and Wulingzhi (according to my father's experience, Wulingzhi should be ground into powder and taken orally); for abdominal distension as the main symptom, combine Wupi Yin with Jixueteng, Jineijin, and Tongcao.

2. Chest and Flank Pain

Combine with Jinlingzi San; for flank distension and pain, add Yujin and Foshou; for pain that fluctuates with emotions, add Huaihua, Foshou Pian, and Meihua.