Formulas · Regulate Qi 理氣 · Dongwon (東垣)

Four Ground Ingredients Decoction

Sama-tang

한글 사마탕  ·  Pinyin Si Mo Tang

四磨湯

A different formula from the 四磨湯 of the Stool chapter, which is the Deukhyo's areca, aquilaria, costus and lindera for qi stagnation with a bound stool. This one has ginseng where that has costus, which is the difference between a formula for a depleted patient and one for a blocked bowel.

Composition 構成

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 4 ingredients measured by count or used as a vehicle, shown as —.

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

  • Qi depression from emotion with wheezing
  • Qi counterflow rising into the chest

Biomedical correlates

  • Functional dyspnoea
  • Globus and hyperventilation with emotional trigger

Source text 原文

Donguibogam 東醫寶鑑

治七情鬱結, 上氣喘急. 人參ㆍ檳榔ㆍ沉香ㆍ烏藥. 右各等分, 濃磨水, 取七分盞, 煎三五沸, 微溫服, 不拘時. 《東垣》

Translation

Treats the seven affects depressed and knotted, with qi rising and hurried panting. Ginseng, areca, aquilaria and lindera, in equal parts. Grind each thickly in water, take seven tenths of a cup, bring it to the boil three or five times, and give it lukewarm at any hour. — Dongwon 東垣 (Donguibogam · Haesu)

Clinical commentary 臨床

Four drugs, none of them decocted: each is ground against a wet stone until the water is thick with it, and the suspension is brought briefly to the boil. The method is for aromatics whose virtue would go off in steam, and the Bogam keeps it only for this family of formulas. Ginseng among three downward-moving drugs is the signature. The wheeze being treated is the breathlessness of a patient wound up by feeling rather than one with anything in the lung, and the formula settles the qi without draining a patient who has nothing to spare. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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