Formulas · Tonify Yin 補陰 · Uihak Immun (醫學入門)

Fourfold-Processed Atractylodes and Phellodendron Pill

Sajechangbaek-hwan

한글 사제창백환  ·  Pinyin Si Zhi Cang Bai Wan

四製蒼柏丸

Only the phellodendron and atractylodes are taken and powdered, the frying agents being picked out and discarded; bound with honey into pills the size of parasol-tree seeds. Take 30–50 pills — with wine in the morning, tea at midday, and plain boiled water in the evening. **Note on modern practice: human milk and child's urine as processing media are not used in contemporary practice; the formula is recorded as classical text.**

Composition 構成

Total 1600 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

  • Damp heat exuberant with legs and knees wilting and weak (濕熱盛 脚膝痿弱)
  • Able to enrich the Yin and downbear fire
  • Long-course therapy for damp heat wilting

Biomedical correlates

  • Chronic damp-heat leg weakness
  • Long-course maintenance therapy
  • Yin depletion with heat

Source text 原文

Donguibogam 東醫寶鑑

治濕熱盛, 脚膝痿弱, 能滋陰降火. 黃柏 二斤, 以乳汁ㆍ童便ㆍ米泔 各浸八兩, 酥灸八兩, 浸灸各宜十三次. 蒼朮 八兩, 用川椒ㆍ破故紙ㆍ五味子ㆍ川芎 各炒二兩, 揀去炒藥, 只取柏朮爲末, 蜜丸梧子大, 早酒ㆍ午茶ㆍ晚白湯呑下三五十丸. 《入門》

Translation

Treats damp heat exuberant with legs and knees wilting and weak; it is able to enrich the Yin and downbear fire. Phellodendron 2 geun — 8 nyang steeped in human milk, 8 in child's urine, and 8 in rice water, with 8 nyang butter-roasted, the steeping and roasting done thirteen times each. Atractylodes 8 nyang, fried with 2 nyang each of Sichuan pepper, psoralea, schisandra, and cnidium; the frying agents are then picked out and discarded, and only the phellodendron and atractylodes taken and powdered. Bind with honey into pills the size of parasol-tree seeds; take 30–50 pills — wine in the morning, tea at midday, plain boiled water in the evening. — Immun 入門 (Donguibogam · Jok)

Clinical commentary 臨床

Two herbs and an enormous amount of labor: the phellodendron steeped and roasted thirteen times over in four different media, the atractylodes fried with four aromatics that are then thrown away. Nothing is added to the final powder — every one of those agents exists only to alter how the two remaining herbs behave. The three-times-daily dosing with three different vehicles continues the same logic into the taking. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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