Ginseng and Atractylodes Regulate the Centre Decoction

Samchuljojung-tang

한글 삼출조중탕 · Pinyin Shen Shu Tiao Zhong Tang

參朮調中湯

Composition 構成

Sangbaekpi Sang Bai Pi
桑白皮 상백피 · Mulberry Root Bark

4 g
Chief 君
Hwanggi Huang Qi
黃芪 황기 · Astragalus

3.2 g
Chief 君
Insam Ren Shen
人蔘 인삼 · Ginseng

2.4 g
Deputy 臣
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

2.4 g
Deputy 臣
Baekbongnyeong Fu Ling
白茯苓 백복령 · Poria (white)

2.4 g
Assistant 佐
Jigolpi Di Gu Pi
地骨皮 지골피 · Lycium Root Bark

1.6 g
Assistant 佐
Maengmundong Mai Men Dong
麥門冬 맥문동 · Liriope

1.6 g
Assistant 佐
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

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

0.8 g
Assistant 佐
Omija Wu Wei Zi
五味子 오미자 · Schisandra

—
Assistant 佐

twenty grains
Gamcho Gan Cao
甘草 감초 · Licorice

2.4 g
Envoy 使

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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

Removes heat and supplements the qi
Stops cough and settles panting
Harmonizes the spleen and stomach and brings on the appetite

Indications 主治

Pattern-based

Lung heat on a vacuous spleen with cough and panting
Poor appetite with a long-standing cough

Biomedical correlates

Chronic cough with debility and anorexia

Source text 原文

Donguibogam 東醫寶鑑

除熱補氣, 止嗽定喘, 和脾胃, 進飮食. 桑白皮一錢, 黃芪八分, 人參ㆍ白朮ㆍ白茯苓ㆍ甘草各六分, 地骨皮ㆍ麥門冬ㆍ陳皮各四分, 靑皮二分, 五味子二十粒. 右剉, 作一貼, 水煎服. 《東垣》

Translation

Removes heat and supplements the qi, stops cough and settles panting, harmonizes the spleen and stomach and brings on the appetite. Mulberry root bark, 1 don; astragalus, 8 fun; ginseng, white atractylodes, white poria and licorice, 6 fun each; lycium bark, ophiopogon and tangerine peel, 4 fun each; unripe tangerine peel, 2 fun; schisandra, twenty grains. Cut up, make one packet, and decoct in water. — Dongwon 東垣 (Donguibogam · Haesu)

Clinical commentary 臨床

Sagunja-tang with astragalus, two cooling drugs and the two tangerine peels, and the striking thing is the scale: the largest item is a single don and most of the formula sits at four or six fun. Dongwon's prescriptions are characteristically small, on the reasoning that a depleted stomach cannot digest a heavy decoction, and this one is a good example of it. The indication reads as a list of four separate aims, and that is how it should be read: the formula is for the long case where the cough, the wheeze, the appetite and the strength have all to be addressed at once, and no single one of them is urgent. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.