Formulas · Tonify Qi 補氣 · Uihak Immun (醫學入門)

Modified Four Gentlemen Decoction

Gagamsagunja-tang

한글 가감사군자탕 · Pinyin Jia Jian Si Jun Zi Tang

加減四君子湯

黃茋 — the transcription writes 茋 for 芪; 黃芪, astragalus, is meant. The base medicinals are carried over from Sagunja-tang without weights, and the poria is removed.

Composition 構成

Insam Ren Shen
人蔘 인삼 · Ginseng

4 g
Chief 君

added over and above the base formula
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

—
Chief 君

as in Sagunja-tang
Hwanggi Huang Qi
黃芪 황기 · Astragalus

4 g
Deputy 臣
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

4 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

—
Envoy 使

as in Sagunja-tang
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 3 ingredients measured by count or used as a vehicle, shown as —.

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 a weak stomach in long illness
taking no food at all
retching at the very smell of it

Indications 主治

Pattern-based

Stomach qi vacuity with aversion to food
Vomiting at the smell of food

Biomedical correlates

Anorexia with nausea in chronic illness

Source text 原文

Donguibogam 東醫寶鑑

治久病胃弱, 全不納食, 聞食氣卽嘔. <a href='/formulas/sagunja-tang'>四君子湯</a><span class='sochu'>方見氣門</span>去茯苓, 加人參ㆍ黃茋ㆍ香附子各一錢. 右剉, 作一貼, 入生薑三片, 水煎服. 《入門》

Translation

Treats a weak stomach in long illness, taking no food at all and retching at the very smell of it. Four Gentlemen Decoction with the poria taken out and ginseng, astragalus and cyperus added, 1 don each. Cut up, make one packet, add three slices of fresh ginger, and decoct in water. — Uihak Immun 入門 (Donguibogam · Guto)

Clinical commentary 臨床

Sagunja-tang with the poria out, a second dose of ginseng in, and astragalus and cyperus added. Taking out the poria is the point of the modification: in a patient who is taking nothing at all, nothing should be drawing fluid downward, and what is wanted is the sweet warm half of the formula only. 聞食氣卽嘔, retching at the smell of food, is the sign that brings this formula rather than one of the heat ones — a patient repelled by food rather than unable to keep it down. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.