寶鑑Bogam

Formulas · Calm the Spirit 安神 · Yiro (易老)

Four Whites Elixir

Sabaek-dan

한글 사백단  ·  Pinyin Si Bai Dan

四白丹

Taken down with 羌活愈風湯, cross-referenced as 方見上 to the same chapter. 甜竹葉 is the leaf of the sweet bamboo, distinguished in the materia medica from the bitter.

Composition 構成

Total 383 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

  • Wind stroke with the spirit clouded
  • Lung qi clouded with the corporeal soul unsettled

Biomedical correlates

  • Post-stroke confusion
  • Delirium

Source text 原文

Donguibogam 東醫寶鑑

治中風昏冒, 能淸肺氣ㆍ養魄. 甜竹葉 三兩, 白芷 一兩, 白朮ㆍ縮砂ㆍ白茯苓ㆍ香附子ㆍ防風ㆍ川芎ㆍ人參ㆍ甘草 各五錢, 羌活ㆍ獨活ㆍ薄荷 各二錢半, 細辛ㆍ知母 各二錢, 藿香ㆍ白檀 各一錢半, 龍腦ㆍ牛黃 各半錢, 麝香 一字. 右爲末, 蜜和, 每一兩作十丸, 臨卧細嚼一丸, 以愈風湯《方見上》送下. 《易老》

Translation

Treats wind stroke with clouding and stupor; it can clear the lung qi and nourish the corporeal soul. Sweet bamboo leaf, 3 nyang; angelica dahurica, 1 nyang; atractylodes, amomum, poria, cyperus, saposhnikovia, chuanxiong, ginseng and licorice, 5 don each; notopterygium, pubescent angelica and mint, 2 don 5 fun each; asarum and anemarrhena, 2 don each; agastache and sandalwood, 1 don 5 fun each; borneol and ox gallstone, half a don each; musk, one ja. Powder and mix with honey; make ten pills to the nyang, and at bedtime chew one finely and send it down with Yupung-tang. — Yiro 易老 (Donguibogam · Pung)

Clinical commentary 臨床

Zhang Yuansu's formula and one of a pair with Isam-dan in the next entry — four whites for the lung and corporeal soul, two ginsengs for the heart and ethereal soul. The name counts the white drugs: angelica dahurica, atractylodes, poria and sandalwood. What it actually is, under the five-phase framing, is a large aromatic pill: sweet bamboo leaf at three nyang as the base, twelve mild qi-moving and wind-dispelling drugs in the middle, and then the four penetrating aromatics — borneol, ox gallstone, sandalwood, musk — in minute quantities at the top. The instruction to chew it slowly at bedtime and wash it down with Yupung-tang tells you it was a long convalescent medicine, not an emergency one. Musk is from a CITES-listed species. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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