Formulas · Dispel Wind-Damp 祛風濕 · Uihak Immun (醫學入門)

Three Impediments Decoction

Sambi-tang

한글 삼비탕 · Pinyin San Bi Tang

三痺湯

Closely related to the Qianjin's 獨活寄生湯; the Immun's version substitutes astragalus and dipsacus for the loranthus.

Composition 構成

Duchung Du Zhong
杜仲 두충 · Eucommia Bark

2.8 g
Chief 君
Useul Niu Xi
牛膝 우슬 · Achyranthes

2.8 g
Chief 君
Insam Ren Shen
人蔘 인삼 · Ginseng

2.8 g
Chief 君
Danggui Dang Gui
當歸 당귀 · Korean Angelica

2.8 g
Chief 君
Hwanggi Huang Qi
黃芪 황기 · Astragalus

2.8 g
Chief 君
Jeokbokryeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

2.8 g
Deputy 臣
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

2.8 g
Deputy 臣
Bangpung Fang Feng
防風 방풍 · Siler

2.8 g
Deputy 臣
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

2.8 g
Deputy 臣
Sokdan Xu Duan
續斷 속단 · Dipsacus

2.8 g
Deputy 臣
Saengjihwang Sheng Di Huang
生地黃 생지황 · Raw Rehmannia

1.2 g
Deputy 臣
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

2.8 g
Assistant 佐
Sesin Xi Xin
細辛 세신 · Asarum

2.8 g
Assistant 佐
Dokhwal Du Huo
獨活 독활 · Aralia

1.2 g
Assistant 佐
Jingyo Qin Jiao
秦艽 진교 · Large Gentian

1.2 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

2.8 g
Envoy 使
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

five slices
Daejo Da Zao
大棗 대조 · Jujube

—
Envoy 使

two fruits

Total 40 g per packet (첩) · representative dosage — verify against source texts. Excludes 2 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

Treats wind impediment with the qi and blood congealed and stagnant and the hands and feet cramping
Dispels wind damp while supplementing qi and blood

Indications 主治

Pattern-based

Wind impediment with qi and blood stagnation
Liver and kidney vacuity with wind damp

Biomedical correlates

Rheumatoid arthritis
Chronic polyarthritis

Source text 原文

Donguibogam 東醫寶鑑

治風痺, 氣血凝滯ㆍ手足拘攣. 杜衝ㆍ牛膝ㆍ桂皮ㆍ細辛ㆍ人參ㆍ赤茯苓ㆍ白芍藥ㆍ防風ㆍ當歸ㆍ川芎ㆍ黃芪ㆍ續斷ㆍ甘草各七分, 獨活ㆍ秦芃ㆍ生地黃各三分. 右剉, 作一貼, 入薑五片, 棗二枚, 水煎服. 《入門》

Translation

Treats wind impediment with the qi and blood congealed and stagnant and the hands and feet cramping. Eucommia, achyranthes, cassia bark, asarum, ginseng, red poria, white peony, saposhnikovia, tangkuei, chuanxiong, astragalus, dipsacus and licorice, 7 fun each; pubescent angelica, gentiana macrophylla and raw rehmannia, 3 fun each. Cut up, make one packet, add five slices of ginger and two jujubes, and decoct in water. — Uihak Immun 入門 (Donguibogam · Pung)

Clinical commentary 臨床

The formula the whole impediment literature descends from, and a near relation of Dokhwal-gisaeng-tang. Its principle is that chronic joint disease is not treated by attacking the wind but by supplementing what the wind has found empty: ginseng, astragalus, tangkuei and rehmannia make up more than half the weights, and the actual wind-damp drugs are a minority. For rheumatoid or chronic polyarthritis with wasting and cold limbs this remains a reasonable prescription and is still prescribed. Of everything in the Wind chapter it is among the three or four formulas with real current standing. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.