Formulas · Clear Heat 淸熱 · Uihak Immun (醫學入門)

Resolve Toxin Four Substances Decoction

Haedoksamul-tang

한글 해독사물탕  ·  Pinyin Jie Du Si Wu Tang

解毒四物湯

Composition 構成

Total 32 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

Indications 主治

Pattern-based

  • Flooding and spotting with a yellow complexion and abdominal pain

Biomedical correlates

  • Menorrhagia with anaemia
  • Dysfunctional uterine bleeding

Source text 原文

Donguibogam 東醫寶鑑

治崩漏, 面黃腹痛. 黃芩ㆍ黃連ㆍ黃柏ㆍ梔子ㆍ生乾地黃ㆍ當歸ㆍ白芍藥ㆍ川芎 各一錢. 右剉, 作一貼, 水煎服. 《入門》 此方, 乃黃連解毒湯, 與四物湯合劑也.

Translation

Treats flooding and spotting with a yellow complexion and abdominal pain. Scutellaria, coptis, phellodendron, gardenia, dried fresh rehmannia, angelica, white peony and chuanxiong 1 don each. Cut up, make one packet, decoct in water and take. This formula is Coptis Resolve Toxin Decoction combined with Four Substances Decoction. — Uihak Immun 入門 (Donguibogam · Po)

Clinical commentary 臨床

The source names its own construction — Hwangnyeonhaedok-tang joined to Samul-tang — and the two halves answer the two signs. The three yellows and gardenia clear the heat driving the bleeding; Samul-tang replaces what has been lost. 面黃 in a woman who is flooding is anaemia, and the chapter reads it as the reason the formula must nourish as well as clear. This is the pattern for the whole of 13.16: the bleeding is stopped and the blood rebuilt in the same packet. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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