Formulas · Tonify Blood 補血 · Mangye (回春)

Four Substances Quiet the Spirit Decoction

Samulansin-tang

한글 사물안신탕 · Pinyin Si Wu An Shen Tang

四物安神湯

Cut and made into one dose with 2 jujubes, a pinch of dry-fried rice, and one dark plum, decocted in water; the separately powdered cinnabar is stirred in before taking. **Note on modern practice: cinnabar is a mercury sulfide and is omitted from contemporary preparations.**

Composition 構成

Danggui Dang Gui
當歸 당귀 · Korean Angelica

2.8 g
Chief 君
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

2.8 g
Chief 君
Saengjihwang Sheng Di Huang
生地黃 생지황 · Raw Rehmannia

2.8 g
Deputy 臣
Sukjihwang Shu Di Huang
熟地黃 숙지황 · Prepared Rehmannia

2.8 g
Deputy 臣
Insam Ren Shen
人蔘 인삼 · Ginseng

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

2.8 g
Deputy 臣
Boksin Fu Shen
茯神 복신 · Poria with hostwood

2.8 g
Assistant 佐
Sanjoin Suan Zao Ren
酸棗仁 산조인 · Sour Jujube Seed

2.8 g
Assistant 佐 dry-fried
Hwangryeon Huang Lian
黃連 황련 · Coptis

2.8 g
Assistant 佐 dry-fried
Chija Zhi Zi
梔子 치자 · Gardenia

2.8 g
Assistant 佐 dry-fried
Maekmundong Mai Men Dong
麥門冬 맥문동 · Liriope

2.8 g
Assistant 佐
Jukyeo Zhu Ru
竹茹 죽여 · Bamboo Shavings

2.8 g
Assistant 佐
Jusa Zhu Sha
朱砂 주사 · Cinnabar (toxic)

2 g
Assistant 佐 separately powdered, stirred in at the end
Daejo Da Zao
大棗 대조 · Jujube

4 g
Envoy 使 2 pieces
Omae Wu Mei
烏梅 오매 · Mume Plum

2 g
Envoy 使 1 piece

Total 41.6 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

Refills a heart that has no Blood left in it
Settles the throbbing and leaping that emptiness causes

Indications 主治

Pattern-based

No Blood within the heart — like a fish without water (心中無血如魚無水)
Fearful throbbing with the heart leaping (怔忡跳動)
Palpitations from Blood vacuity

Biomedical correlates

Palpitations with anemia-adjacent presentation
Anxiety with exhaustion
Post-hemorrhagic or postpartum palpitations

Source text 原文

Donguibogam 東醫寶鑑

治心中無血, 如魚無水, 怔忡跳動. 當歸ㆍ白芍藥ㆍ生地黃ㆍ熟地黃ㆍ人參ㆍ白朮ㆍ茯神ㆍ酸棗仁(炒)ㆍ黃連(炒)ㆍ梔子(炒)ㆍ麥門冬ㆍ竹茹各七分, 辰砂(另末) 五分. 右剉, 作一服, 棗二枚ㆍ炒米一撮ㆍ烏梅一箇, 煎水調辰砂末服. 《回春》

Translation

Treats there being no Blood within the heart — like a fish without water — with fearful throbbing and the heart leaping. Korean angelica, white peony, raw rehmannia, prepared rehmannia, ginseng, white atractylodes, hostwood poria, dry-fried sour jujube seed, dry-fried coptis, dry-fried gardenia, ophiopogon, and bamboo shavings, 7 fun each; separately powdered cinnabar 5 fun. Cut the above and make one dose with 2 jujubes, a pinch of dry-fried rice, and one dark plum; decoct in water and stir in the powdered cinnabar before taking. — Hoechun 回春 (Donguibogam · Sin)

Clinical commentary 臨床

The formula behind the finest line in the Spirit chapter — *no Blood within the heart, like a fish without water.* That is what the tradition thought a heart pounding from emptiness felt like from the inside: not racing so much as stranded. Both rehmanniās appear, raw and prepared together, which is unusual and deliberate — build and cool at once. The pinch of dry-fried rice in the pot is the same instinct that puts grain in the wasting-fever formulas: protect the stomach that has to take all this. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.