Formulas · Clear Heat 淸熱 · Uihak Immun (醫學入門)

Four-Ingredient Evodia and Coptis Pill

Samisuryeon-hwan

한글 사미수련환 · Pinyin Si Wei Zhu Lian Wan

四味茱連丸

Pill formula, bulk amounts: powdered and bound with a leaven paste into pills the size of mung beans; 100 pills with a ginger decoction.

Composition 構成

Hwangryeon Huang Lian
黃連 황련 · Coptis

40 g
Chief 君
Banha Ban Xia
半夏 반하 · Pinellia

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

20 g
Assistant 佐
Doin Tao Ren
桃仁 도인 · Peach Kernel

5 g
Assistant 佐 24 kernels
Osuyu Wu Zhu Yu
吳茱萸 오수유 · Evodia

4 g
Envoy 使

Total 129 g per packet (첩) · representative dosage — verify against source texts.

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

Clears the phlegm-fire that brews acid and moves the stasis beneath it
Pairs the cold sovereign with a hot courier in the classic proportion

Indications 主治

Pattern-based

Sour swallowing from phlegm-fire carrying stasis (痰火挾瘀呑酸)
Acid regurgitation with heat signs
The left-metal pattern of liver fire invading the stomach

Biomedical correlates

Acid reflux with burning quality
Gastritis-adjacent sour regurgitation
Heat-type functional dyspepsia

Source text 原文

Donguibogam 東醫寶鑑

治痰火挾瘀呑酸. 半夏一兩半, 陳皮五錢, 黃連一兩, 吳茱萸一錢, 桃仁二十四粒. 右爲末, 神麴糊和丸菉豆大, 薑湯下百丸. 《入門》

Translation

Treats sour swallowing from phlegm-fire carrying stasis. Pinellia 1.5 nyang; tangerine peel 5 don; coptis 1 nyang; evodia 1 don; peach kernel 24 kernels. Powder the above and bind with a leaven paste into pills the size of mung beans; take 100 pills with a ginger decoction. — Immun 入門 (Donguibogam · Naesang)

Clinical commentary 臨床

The famous ten-to-one marriage at the heart of all acid treatment — cold coptis commanding, hot evodia serving as the guide that carries the cooling straight into the sour left flank, with peach kernel for the stasis a long burn leaves. The tradition's proton-pump logic: quench the fire that ferments. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.