Formulas · Tonify Yin 補陰 · Manbyeong Hoechun (萬病回春)

Ginseng and Tangkuei Benefit the Origin Decoction

Samgwi-igwon-tang

한글 삼귀익원탕 · Pinyin Shen Gui Yi Yuan Tang

參歸益元湯

注夏病 — summer-pouring disease — is the chapter's name for the weakness and heat intolerance that come on with the onset of summer; the section on it immediately precedes this formula.

Composition 構成

Danggwi Dang Gui
當歸 당귀 · Korean Angelica

4 g
Chief 君
Sukjihwang Shu Di Huang
熟地黃 숙지황 · Prepared Rehmannia

4 g
Chief 君
Insam Ren Shen
人蔘 인삼 · Ginseng

2 g
Chief 君
Baekjagyak Bai Shao
白芍藥 백작약 · White Peony

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

4 g
Deputy 臣
Maengmundong Mai Men Dong
麥門冬 맥문동 · Liriope

4 g
Deputy 臣
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

2.8 g
Assistant 佐
Jimo Zhi Mu
知母 지모 · Anemarrhena

2.8 g
Assistant 佐

wine-fried
Hwangbaek Huang Bai
黃柏 황백 · Phellodendron

2.8 g
Assistant 佐

wine-fried
Omija Wu Wei Zi
五味子 오미자 · Schisandra

—
Assistant 佐

ten fruits
Gamcho Gan Cao
甘草 감초 · Licorice

1.2 g
Envoy 使
Daejo Da Zao
大棗 대조 · Jujube

—
Envoy 使

one fruit
Gaengmi Jing Mi
粳米 갱미 · Non-glutinous Rice

—
Envoy 使

a pinch of rice

Total 31.6 g per packet (첩) · representative dosage — verify against source texts. Excludes 3 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 summer-pouring disease with dizziness and flowery vision
aching thighs and weak legs
heat vexing the five centres
a bitter mouth and dry tongue
exhaustion and sleepiness and reduced appetite with a rapid forceless pulse
Nourishes the blood and yin and clears the heat of vacuity

Indications 主治

Pattern-based

Yin and blood vacuity with vacuity heat in summer
Summer-pouring disease with qi and yin depletion

Biomedical correlates

Summer fatigue syndrome
Chronic fatigue with heat intolerance

Source text 原文

Donguibogam 東醫寶鑑

治注夏病. 其證頭眩ㆍ眼花ㆍ腿痠ㆍ脚弱ㆍ五心煩熱ㆍ口苦舌乾ㆍ精神困倦ㆍ好睡ㆍ飮食減少ㆍ脉數無力. 當歸ㆍ白芍藥ㆍ熟地黃ㆍ白茯苓ㆍ麥門冬各一錢, 陳皮ㆍ知母ㆍ黃栢(並酒炒) 各七分, 人參五分, 甘草三分, 五味子十粒. 右剉, 作一貼, 入棗一枚, 米一撮, 水煎服. 《回春》

Translation

Treats summer-pouring disease. Its signs are a whirling head and flowery vision, aching thighs and weak legs, vexing heat in the five centres, a bitter mouth and dry tongue, the spirit exhausted and weary, a liking for sleep, reduced appetite, and a pulse rapid and without strength. Tangkuei, white peony, cooked rehmannia, poria and ophiopogon, 1 don each; tangerine peel, and anemarrhena and phellodendron both wine-fried, 7 fun each; ginseng, 5 fun; licorice, 3 fun; schisandra, ten fruits. Cut up, make one packet, add one jujube and a pinch of rice, and decoct in water. — Manbyeong Hoechun 回春 (Donguibogam · Seo)

Clinical commentary 臨床

The formula for the patient who wilts every summer, and the symptom list is specific enough to recognize: dizziness, blurred vision, aching thighs and weak legs, burning palms and soles, dry mouth, sleepiness, no appetite, and a pulse that is fast but weak. That is a yin-and-qi depletion aggravated by heat, and the construction answers it — the four substances for blood, ophiopogon and schisandra for fluid, wine-fried anemarrhena and phellodendron for the heat of vacuity, and a token ginseng. Vexing heat in the five centres, meaning the palms, the soles and the chest, is the sign that distinguishes this from simple exhaustion, and it is the sign the tradition most reliably tied to yin depletion. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.