Formulas · Drain Dampness 利水滲濕 · Byeonui (辨疑)

Four Porias and Five Peels Decoction

Sahyeongopi-tang

한글 사령오피탕 · Pinyin Si Ling Wu Pi Tang

四苓五皮湯

Source annotation 《辨疑》 refers to the Uihak Byeonui 醫學辨疑; no prior entry in the database uses this source.

Composition 構成

Sangbaekpi Sang Bai Pi
桑白皮 상백피 · Mulberry Root Bark

4 g
Chief 君
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

4 g
Chief 君
Bokryeongpi Fu Ling Pi
茯苓皮 복령피 · Poria Peel

4 g
Chief 君
Daebokpi Da Fu Pi
大腹皮 대복피 · Areca Husk

4 g
Chief 君
Jigolpi Di Gu Pi
地骨皮 지골피 · Lycium Root Bark

4 g
Deputy 臣
Saenggangpi Sheng Jiang Pi
生薑皮 생강피 · Ginger Peel

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

4 g
Assistant 佐
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

4 g
Assistant 佐
Taeksa Ze Xie
澤瀉 택사 · Alisma

4 g
Assistant 佐
Jeoryeong Zhu Ling
猪苓 저령 · Polyporus

4 g
Assistant 佐
Cheongpi Qing Pi
靑皮 청피 · Green Tangerine Peel

4 g
Assistant 佐
Chajeonja Che Qian Zi
車前子 차전자 · Plantago Seed

4 g
Assistant 佐

stir-fried (炒)

Total 48 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

Disinhibits water and disperses swelling
Drains without damaging the qi

Indications 主治

Pattern-based

Oedema generally

Biomedical correlates

Generalized oedema

Source text 原文

Donguibogam 東醫寶鑑

治浮腫. 桑白皮ㆍ陳皮ㆍ地骨皮ㆍ茯苓皮ㆍ生薑皮ㆍ大腹皮ㆍ蒼朮ㆍ白朮ㆍ澤瀉ㆍ猪苓ㆍ靑皮ㆍ車前子(炒) 各一錢. 右剉, 作一貼, 水煎服. 《辨疑》

Translation

Treats oedema. Mulberry root bark, tangerine peel, lycium root bark, poria peel, ginger peel, areca husk, atractylodes lancea, white atractylodes, alisma, polyporus, green tangerine peel and plantago seed (stir-fried) 1 don each. Cut up, make one packet, decoct in water and take. — Byeonui 辨疑 (Donguibogam · Bujong)

Clinical commentary 臨床

Opi-san and Saryeong-san combined, as the name states, with lycium root bark standing in for one of the five peels. Six peels in all — the peel principle set out at Opi-san carried further, with everything that treats the surface layer drawn from the surface layer of a plant. Lycium root bark is the addition worth noting: it clears heat from the yin aspect rather than draining water, which suits oedema of long standing where the fluid has begun to generate heat. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.