Formulas · Tonify Blood 補血 · Uihak Jeongjeon (醫學正傳)

Augmented Four Substances Decoction (Foot chapter)

Gamisamul-tang

한글 가미사물탕 · Pinyin Jia Wei Si Wu Tang

加味四物湯

Cut and made into one packet, decocted in water and taken on an empty stomach. Distinct from the Augmented Four Substances Decoction of other chapters.

Composition 構成

Sukjihwang Shu Di Huang
熟地黃 숙지황 · Prepared Rehmannia

8 g
Chief 君
Danggui Dang Gui
當歸 당귀 · Korean Angelica

4 g
Deputy 臣
Maekmundong Mai Men Dong
麥門冬 맥문동 · Liriope

4 g
Deputy 臣
Hwangbaek Huang Bai
黃柏 황백 · Phellodendron

4 g
Deputy 臣
Changchul Cang Zhu
蒼朮 창출 · Black Atractylodes

4 g
Deputy 臣
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

2.8 g
Deputy 臣
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

2.8 g
Deputy 臣
Insam Ren Shen
人蔘 인삼 · Ginseng

2 g
Deputy 臣
Duchung Du Zhong
杜仲 두충 · Eucommia Bark

2.8 g
Assistant 佐
Hwangryeon Huang Lian
黃連 황련 · Coptis

2 g
Assistant 佐
Omija Wu Wei Zi
五味子 오미자 · Schisandra

2 g
Assistant 佐 9 grains
Jimo Zhi Mu
知母 지모 · Anemarrhena

1.2 g
Assistant 佐
Useul Niu Xi
牛膝 우슬 · Achyranthes

1.2 g
Envoy 使

Total 40.8 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

Builds the Blood while damp heat is cleared from the legs
Restores strength to legs gone wilting and soft

Indications 主治

Pattern-based

Damp heat with both legs wilting soft and strengthless (濕熱兩脚痿軟無力)
Blood vacuity with damp heat
Leg weakness in a depleted patient

Biomedical correlates

Leg weakness with anemia-adjacent depletion
Damp-heat weakness
Long-course therapy

Source text 原文

Donguibogam 東醫寶鑑

治濕熱, 兩脚痿軟無力. 熟地黃二錢, 當歸身ㆍ麥門冬ㆍ黃柏ㆍ蒼朮各一錢, 白芍藥ㆍ川芎ㆍ杜沖各七分, 人參ㆍ黃連各五分, 知母ㆍ牛膝各三分, 五味子九粒. 右剉, 作一貼, 水煎, 空心服. 《正傳》

Translation

Treats damp heat with both legs wilting, soft, and strengthless. Prepared rehmannia 2 don; angelica body, ophiopogon, phellodendron, and atractylodes, 1 don each; white peony, cnidium, and eucommia, 7 fun each; ginseng and coptis, 5 fun each; anemarrhena and achyranthes, 3 fun each; schisandra, 9 grains. Cut the above, make one packet, decoct in water and take on an empty stomach. — Jeongjeon 正傳 (Donguibogam · Jok)

Clinical commentary 臨床

The Four Substances with the wilting pair — atractylodes and phellodendron — worked in, which is exactly the rule Danxi lays down in the treatment section: add those two to whatever base fits the patient. Here the base is Blood, so this is the version for a wilting patient who is also depleted rather than merely damp. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.