Formulas · Invigorate Blood 活血祛瘀 · Dongwon (東垣)

Augmented Four Substances Decoction

Jeungmisamul-tang

한글 증미사물탕 · Pinyin Zeng Wei Si Wu Tang

增味四物湯

Given as Samul-tang with four additions in equal parts and no absolute weights; grams entered at 20 each as a notional equal share.

Composition 構成

Danggui Dang Gui
當歸 당귀 · Korean Angelica

20 g
Chief 君 equal parts (各等分)
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

20 g
Deputy 臣 equal parts
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

20 g
Deputy 臣 equal parts
Sukjihwang Shu Di Huang
熟地黃 숙지황 · Prepared Rehmannia

20 g
Deputy 臣 equal parts
Samneung San Leng
三稜 삼릉 · Sparganium

20 g
Assistant 佐 equal parts
Bongchul E Zhu
莪朮 봉출 · Zedoary

20 g
Assistant 佐蓬朮; equal parts
Geonchil Gan Qi
乾漆 건칠 · Dried Lacquer

20 g
Assistant 佐 stir-fried (炒); equal parts
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

20 g
Assistant 佐 equal parts

Total 160 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

Nourishes the blood while breaking blood accumulation
Warms the vessels

Indications 主治

Pattern-based

Blood accumulation in a patient whose blood is also depleted

Biomedical correlates

Chronic pelvic mass with anaemia

Source text 原文

Donguibogam 東醫寶鑑

治血積. 四物湯料, 加三稜ㆍ蓬朮ㆍ乾漆(炒)ㆍ肉桂各等分, 煎服. 《東垣》

Translation

Treats blood accumulation. The ingredients of Samul-tang with sparganium, curcuma, dried lacquer (stir-fried) and cinnamon bark added in equal parts; decoct and take. — Dongwon 東垣 (Donguibogam · Jeokchwi)

Clinical commentary 臨床

The one formula in the section that supplements the blood while breaking it, and the pairing is deliberate: Samul-tang builds, sparganium and curcuma break, dried lacquer dissolves, cinnamon warms the vessels so the whole thing moves. The section's governing principle at 1.10 — that only the depleted have accumulations, so supplement first — is here applied within a single prescription rather than in sequence. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.