Formulas · Invigorate Blood 活血祛瘀 · Manbyeong Hoechun (萬病回春)

Four Substances Regulate the Menses Decoction

Samuljogyeong-tang

한글 사물조경탕  ·  Pinyin Si Wu Tiao Jing Tang

四物調經湯

Composition 構成

Total 47.6 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

Indications 主治

Pattern-based

  • Menses blocked with accumulated lumps that stir and ache

Biomedical correlates

  • Amenorrhoea with pelvic mass
  • Uterine fibroids

Source text 原文

Donguibogam 東醫寶鑑

治經閉有積塊動痛. 香附(醋炒) 一錢, 當歸ㆍ川芎ㆍ白芍藥(酒炒)ㆍ柴胡ㆍ黃芩ㆍ枳殼 各七分, 熟地黃ㆍ陳皮ㆍ白朮ㆍ三稜ㆍ蓬朮(幷醋炒)ㆍ白芷ㆍ茴香(鹽水炒)ㆍ玄胡索 各五分, 靑皮ㆍ縮砂ㆍ紅花ㆍ甘草 各三分. 右剉, 作一貼, 入生薑 三片, 葱白 三莖, 水煎服. 《回春》

Translation

Treats blocked menses with accumulated lumps that stir and ache. Cyperus (vinegar-fried) 1 don; angelica, chuanxiong, white peony (wine-fried), bupleurum, scutellaria and bitter orange 7 pun each; cooked rehmannia, tangerine peel, white atractylodes, sparganium and curcuma (both vinegar-fried), angelica dahurica, fennel (salt-water fried) and corydalis 5 pun each; green tangerine peel, amomum, safflower and licorice 3 pun each. Cut up, make one packet, add 3 slices of ginger and 3 stalks of scallion white, decoct in water and take. — Manbyeong Hoechun 回春 (Donguibogam · Po)

Clinical commentary 臨床

Nineteen medicinals, and nearly every one is processed — vinegar for the liver, wine for the blood, salt water for the lower burner. The Hoechun works this way throughout: the base is ordinary and the direction comes from the frying. 有積塊動痛 — accumulated lumps that stir and ache — describes a mass that moves under the hand and hurts, which is how the chapter distinguishes a conglomeration from a concretion at 13.13. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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