Four Cold Extremities by Kan

Four Cold Extremities is a classical harmonizing formula first presented in the Discussion of Cold Damage around 220 A.D. This formula addresses patterns resulting from constrained Qi in the Interior, ranging from simple presentations of occasional cold extremities to more complex Liver and Spleen disharmony patterns. The formula disperses while also astringing and nourishing, facilitating both ascent and descent.

TCM Actions

• Regulate Liver Qi, Harmonize Liver and Spleen, Release constraint

Clinical Applications

• Supports healthy circulation to extremities, especially below the elbows and knees
• Supports healthy response to occasional stress
• Supports comfortable flanks
• Supports healthy emotional balance
• Supports healthy body temperature regulation with normal sweating
• Supports healthy liver function
• Supports healthy blood circulation
• Supports a healthy digestive system
• Supports healthy urinary function
• Supports emotional well-being

Ingredients

• Bai shao (White peony root)
• Chai hu (Bupleurum root)
• Chao zhi shi (Dry fried bitter orange immature fruit)
• Zhi gan cao (Honey fried Chinese licorice root and rhizome)

Cautions

Liver Qi stagnation with underlying Yin deficiency.; Occasional cold fingers and toes not due to constrained Liver Qi stagnation.