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Four Pillars

$20.70 $17.60

Si Ni Wan — Formally known as Si Ni San Wan

200 pills

2 in stock



Moves Liver Qi, Regulates Liver and Spleen, Clears Heat from the Interior, Alleviates Pain


Liver Qi stagnation with heat constrained in the interior impeding the flow of Qi to the extremities presenting with cold fingers and toes with the limbs and body warm. Also for Liver Qi stagnation overacting on the Spleen and Stomach presenting with epigastric, abdominal or costal pain and distention, bitter taste in the mouth, poor appetite, belching, nausea, vomiting, loose stools, diarrhea, irritability, depression, mood swings, breast pain, irregular menstruation. Symptoms may be exacerbated by stress or emotional upset, symptoms may also manifest cyclically. Tongue: red with a yellow coat Pulse: wiry

Biomedical Applications:

peptic ulcer disease, gastritis, cholecystitis, cholelithiasis, hepatitis, costochondritis, intercostal neuralgia, post-herpetic neuralgia, hernia, intestinal obstruction, fibrocystic breast disease, mastitis, premenstrual syndrome, poor peripheral circulation, bruxism

Standard Dosage:

8 pills, 3 x day.

Clinical Dosage:

Administer half an hour before or one hour after eating. In severe cases or in the initial phases of treatment, dosage may be increased to 8-12 teapills 3 times per day, then reduced to a maintenance dose as the treatment takes effect. May be used medium to long-term for several weeks to several months. Monitor for signs of Yin deficiency.


Paeonia lactiflora root, Bupleurum chinense root, Citrus aurantium fruit-immature, Glycyrrhiza uralensis root-prep. – Bai shao, Chai hu, Zhi shi, Zhi gan cao.

Cautions & Contraindications:

Contraindicated during the early stages of acute illness such as cold and flu, or during an acute infection. Contraindicated for cold extremities due to Kidney Yang deficiency. Contraindicated for very weak or deficient patients. Use with caution during pregnancy or Spleen Qi deficiency.

These statements have not been evaluated by the Food and Drug Administration. These products and statements are not intended to diagnose, treat, cure or prevent disease.

This information is provided to assist trained practitioners of traditional Chinese medicine with selection of products. If you are not familiar with these formulas or concepts please consult a licensed practitioner of Chinese herbal medicine and/or more in-depth reference materials.

Additional information

Weight 6.70 oz


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