Formulas · Transform Dampness 化濕 · Gogeum Uigam (古今醫鑑)

Four Spirits Pill (Womb chapter)

Sasin-hwan

한글 사신환 · Pinyin Si Shen Wan

四神丸

Pill formula, bulk amounts: powdered and bound with cooked yellow millet into pills the size of parasol-tree seeds; 50–70 pills on an empty stomach with wine. Distinct from the Four Spirits Pill of the Naegwa Jeokyo recorded elsewhere on this site, which treats daybreak diarrhea. Note on modern practice: discharge with odor, itching, or bleeding warrants evaluation for infection.

Composition 構成

Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

320 g
Chief 君 rice grade; steeped in four liquids — wine, vinegar, salt water, and child's urine, 2 nyang in each for three days, then dry-fried
Changchul Cang Zhu
蒼朮 창출 · Black Atractylodes

160 g
Deputy 臣 rice-water-soaked, fried with oyster-shell powder
Sain Sha Ren
砂仁 사인 · Amomum

80 g
Assistant 佐 dry-fried
Chungeunbaekpi Chun Gen Bai Pi
椿根白皮 춘근백피 · Tree of Heaven Bark

80 g
Assistant 佐 honey-water-fried (樗根白皮)

Total 640 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

Dries the damp behind a white discharge and moves the constraint beneath it
Binds with ailanthus bark once the damp is drying

Indications 主治

Pattern-based

White vaginal discharge (治白帶)
Damp with constraint as the ground of discharge
Long-course management of chronic discharge

Biomedical correlates

Chronic vaginal discharge
Recurrent discharge with damp-pattern signs
Long-course supportive management

Source text 原文

Donguibogam 東醫寶鑑

治白帶. 香附米八兩(以酒ㆍ醋ㆍ鹽水ㆍ童便, 各浸二兩, 過三日乃出, 炒), 蒼朮四兩(米泔浸, 牡蠣粉炒), 縮砂(炒)ㆍ樗根白皮(蜜水炒) 各二兩. 右爲末, 以黃米煮飯和丸梧子大, 空心, 酒下五七十丸. 《醫鑑》

Translation

Treats white discharge. Rice-grade cyperus 8 nyang — steeped in wine, vinegar, salt water, and child's urine, 2 nyang in each, left three days and then taken out and dry-fried; atractylodes 4 nyang, soaked in rice water and fried with oyster-shell powder; dry-fried amomum and honey-water-fried ailanthus root bark, 2 nyang each. Powder the above and bind with cooked yellow millet into pills the size of parasol-tree seeds; take 50–70 pills on an empty stomach with wine. — Uigam 醫鑑 (Donguibogam · Po)

Clinical commentary 臨床

Half a pound of cyperus processed in four different liquids, then two dryers and a binder — the whole formula is one Qi-mover given four ways of arriving. That the same herb prepared in wine, vinegar, brine, and urine is thought to reach four different places is the tradition's most characteristic idea about processing, and this pill is its clearest demonstration. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.