Plum Flower – Four Pillars Teapills – Si Ni Wan
Plum Flower – Four Pillars Teapills, or Si Ni Wan is a classical Chinese Herbal Medicine formula (c. 220 AD) that helpfully addresses various presentations rooted in stagnation of Liver qi and blood. In the modern clinic, it is most often used to support normal gastro-intestinal function and is used to treat various forms of gastric distress such as:
- coastal fullness and distention
- abdominal or epigastric pain
- loose stools
Note that this is not only a digestive formula; it is also applicable to address symptoms of PMS and hepatomegaly (enlarged liver organ). Also useful as an adjunct formula to address chronic hepatitis and chronic cholesystitis, mastitis, and fibrocystic breasts.
Clinical Notes: Si Ni translates as “four counterflow”– this points to its use when qi and blood are not being properly distributed by the Liver. For this reason it is a base for more subtle and complex formulas that address conditions with constraint in the Liver at the root (source: Fratkin’s Clinical Desk Reference, 1st ed., p 616)