Formulas · Warm the Interior 溫裏 · Uihak Immun (醫學入門)

Aconite Decoction for Shaoyin

Buja-tang

한글 부자탕 · Pinyin Fu Zi Tang

附子湯

Registered with a suffix to distinguish it from the 附子湯 of the Sanyin, given in the Wind chapter, which uses raw aconite and includes cassia and licorice. The Shanghanlun's 附子湯 is this composition.

Composition 構成

Baekchul Bai Zhu
白朮 백출 · White Atractylodes

16 g
Chief 君
Buja Fu Zi
附子 부자 · Prepared Aconite

8 g
Chief 君

blast-fried · toxic
Baekbongnyeong Fu Ling
白茯苓 백복령 · Poria (white)

12 g
Deputy 臣
Baekjagyak Bai Shao
白芍藥 백작약 · White Peony

12 g
Deputy 臣
Insam Ren Shen
人蔘 인삼 · Ginseng

8 g
Deputy 臣

Total 56 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

Treats shaoyin disease with a sunken pulse
cold hands and feet and aching bones and joints
Treats a bland mouth with aversion to cold in the back

Indications 主治

Pattern-based

Shaoyin cold damp with aching joints
Yang vacuity with cold in the back

Biomedical correlates

Hypothermia with arthralgia
Cold-type back pain

Source text 原文

Donguibogam 東醫寶鑑

治少陰病脉沉ㆍ手足寒ㆍ骨節痛, 又治口中和ㆍ背惡寒. 白朮四錢, 茯苓ㆍ芍藥各三錢, 附子(炮)ㆍ人參各二錢. 右剉, 分二貼, 水煎溫服. 《入門》

Translation

Treats shaoyin disease with a sunken pulse, cold hands and feet and aching bones and joints; and treats a bland mouth with aversion to cold in the back. Atractylodes, 4 don; poria and peony, 3 don each; blast-fried aconite and ginseng, 2 don each. Cut up, divide into two packets and decoct in water, taken warm. — Uihak Immun 入門 (Donguibogam · Han)

Clinical commentary 臨床

Two indications and the second is the better one: 口中和 — a bland mouth, meaning no bitter or dry taste and therefore no heat anywhere — together with aversion to cold felt specifically in the back. That pairing is the Shanghanlun's way of establishing that a patient's chill is constitutional rather than febrile, and it is a genuinely useful check. Atractylodes leads at four don with poria behind it, which makes this a damp-draining formula as much as a warming one, suited to the aching cold-and-heavy limb rather than to collapse. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.