Formulas · Transform Phlegm 化痰 · Gogeum Uigam (古今醫鑑)

Four Combined Decoction

Sahap-tang

한글 사합탕 · Pinyin Si He Tang

四合湯

Composition 構成

Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

6 g
Chief 君

1 don 5 pun
Banha Ban Xia
半夏 반하 · Pinellia

6 g
Chief 君

1 don 5 pun
Hubak Hou Po
厚朴 후박 · Magnolia Bark

2.8 g
Deputy 臣

7 pun
Jigak Zhi Qiao
枳殼 지각 · Bitter Orange

2.8 g
Deputy 臣

7 pun
Jeokbokryeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

2.8 g
Deputy 臣

7 pun
Jasoyeop Zi Su Ye
紫蘇葉 자소엽 · Perilla Leaf

2.8 g
Deputy 臣

7 pun
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

2.8 g
Deputy 臣

7 pun
Ulgeum Yu Jin
鬱金 울금 · Curcuma Tuber

2.8 g
Assistant 佐

7 pun
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

10 g
Envoy 使

5 slices
Gamcho Gan Cao
甘草 감초 · Licorice

2 g
Envoy 使

5 pun

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

Treats abdominal pain from phlegm accumulated with qi stagnant

Indications 主治

Pattern-based

Phlegm accumulated with qi stagnant — abdominal pain

Biomedical correlates

Functional dyspepsia with abdominal pain

Source text 原文

Donguibogam 東醫寶鑑

治痰積氣滯腹痛. 陳皮ㆍ半夏各一錢半, 厚朴ㆍ枳殼ㆍ赤茯苓ㆍ紫蘇葉ㆍ香附子ㆍ鬱金各七分, 甘草五分. 右剉, 作一貼, 薑五片, 水煎服. 《醫鑑》

Translation

Treats abdominal pain from phlegm accumulated with qi stagnant. Tangerine peel and pinellia 1 don 5 pun each; magnolia bark, bitter orange, red poria, perilla leaf, cyperus and curcuma 7 pun each; licorice 5 pun. Cut up, make one packet, add 5 slices of ginger, decoct in water and take. — Gogeum Uigam 醫鑑 (Donguibogam · Bok)

Clinical commentary 臨床

四合 — four formulas combined: Ijin-tang, Pyeongwi-san's magnolia bark, Hyangso-san's perilla and cyperus, and curcuma for the depression. The Uigam names it for the method rather than the medicinals. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.