Formulas · Drain Dampness 利水滲濕 · Donguibogam · Daebyeon

Four Substances Powder with Poria

Saryeong-san

한글 사령산 · Pinyin Si Ling San

四苓散

Given only as a subtraction from Oryeong-san, whose composition the Bogam supplies in the Cold chapter; the four drugs are listed here for reference.

Composition 構成

Jeoryeong Zhu Ling
猪苓 저령 · Polyporus

—
Chief 君

as in Oryeong-san
Taeksa Ze Xie
澤瀉 택사 · Alisma

—
Chief 君

as in Oryeong-san
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

—
Deputy 臣

as in Oryeong-san
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

—
Deputy 臣

as in Oryeong-san

Total 0 g per packet (첩) · representative dosage — verify against source texts. Excludes 4 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

Moves water and drains damp without warming
Treats a hot or damp diarrhoea with scant urine

Indications 主治

Pattern-based

Damp accumulation with scant urine and loose stool
Heat pattern where cassia twig would be wrong

Biomedical correlates

Watery diarrhoea
Oedema

Source text 原文

Donguibogam 東醫寶鑑

卽<a href='/formulas/oryeong-san'>五苓散</a>去肉桂一味也. 《方見寒門》

Translation

This is Oryeong-san with the one drug cassia bark removed. (Its formula is in the Cold chapter.) — Donguibogam · Daebyeon

Clinical commentary 臨床

One line in the Bogam and one of the most used formulas in the tradition. Taking the cassia bark out of Oryeong-san removes its warmth and leaves a plain diuretic quartet, which is what a hot diarrhoea with scant urine wants. The subtraction is the whole teaching: the same four drugs serve a cold pattern or a hot one depending on a single ingredient, and the physician is expected to make that judgement rather than reach for a different prescription. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.