Formulas · Regulate Qi 理氣 · Uihak Immun (醫學入門)

Four Ingredient Patchouli Decoction

Samigwakhyang-tang

한글 사미곽향탕 · Pinyin Si Wei Huo Xiang Tang

四味藿香湯

Composition 構成

Gwakhyang Huo Xiang
藿香 곽향 · Korean Mint

8 g
Chief 君
Insam Ren Shen
人蔘 인삼 · Ginseng

8 g
Chief 君
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

8 g
Deputy 臣

tangerine peel
Banha Ban Xia
半夏 반하 · Pinellia

8 g
Deputy 臣
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices

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

Treats stomach vacuity with vomiting where neither gruel nor medicine will stay down

Indications 主治

Pattern-based

Stomach vacuity with vomiting
Rejection of food and medicine alike

Biomedical correlates

Intractable vomiting with intolerance of oral intake

Source text 原文

Donguibogam 東醫寶鑑

治胃虛嘔吐, 粥藥不停. 藿香ㆍ人參ㆍ橘皮ㆍ半夏各二錢. 右剉, 作一貼, 薑三, 煎服. 《入門》

Translation

Treats stomach vacuity with vomiting, where neither gruel nor medicine stays down. Patchouli, ginseng, tangerine peel and pinellia, 2 don each. Cut up, make one packet, and decoct with three slices of ginger. — Uihak Immun 入門 (Donguibogam · Guto)

Clinical commentary 臨床

Four drugs at a double dose each, and three of them are the chapter's own stated mainstays — 2.3 says that pinellia, tangerine peel and ginger are the chief drugs for a vomiting patient. Ginseng is the fourth because the indication is vacuity, and 粥藥不停, neither gruel nor medicine staying down, is the practical problem the small number of drugs answers: the fewer things in the cup the better the chance of keeping it down. **Contains pinellia, which is toxic in the raw state and must be properly processed before use.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.