寶鑑Bogam

Formulas · Tonify Qi 補氣 · Seui Deukhyobang (世醫得效方)

Four Beasts Drink

Sasu-eum

한글 사수음  ·  Pinyin Si Shou Yin

四獸飮

包褁 is printed as the transcription has it rather than 包裹. The little salt (鹽少許) is part of the wrapping and roasting method, not a constituent, and is left out of the ingredient list.

Composition 構成

Total 40 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

Indications 主治

Pattern-based

  • Phlegm malaria (痰瘧) from phlegm gathered by the seven affects
  • Qi vacuity of the five viscera with malaria long unresolved
  • Enduring malaria (久瘧) with poor appetite and vomiting of foam

Biomedical correlates

  • Malaria
  • Relapsing fever in a debilitated patient
  • Convalescence after repeated febrile attacks

Source text 原文

Donguibogam 東醫寶鑑

治七情聚痰, 五藏氣虛, 瘧久不已. 人參ㆍ白朮ㆍ白茯苓ㆍ陳皮ㆍ半夏ㆍ草果ㆍ甘草ㆍ烏梅ㆍ生薑ㆍ大棗 各一錢. 右剉, 作一貼, 拌鹽少許, 淹食頃, 以皮紙包褁, 水浸濕, 慢火煨香熟, 取出, 水煎服. 未發前連進數貼, 卽效. 《得效》

Translation

Treats phlegm gathered by the seven affects, qi vacuity of the five viscera, and malaria long unresolved. Ginseng, white atractylodes, white poria, aged tangerine peel, pinellia, tsaoko, licorice, mume, fresh ginger and jujube, 1 don each. Cut them up and make one packet; mix in a little salt and let it steep for the time it takes to eat a meal, wrap the packet in skin paper, soak it in water until damp, and roast it over a slow fire until fragrant and cooked through; take it out, decoct in water and take. Several packets taken in succession before the attack comes on are effective at once. — Deukhyo 得效 (Donguibogam · Haehak)

Clinical commentary 臨床

Yukgunja-tang with tsaoko, mume, ginger and jujube added, and all ten drugs weighed the same — which is where the name comes from, four drugs tonifying and four beasts of burden carrying them. Ginger and jujube are counted as drugs here and given a weight, not thrown in as harmonisers. What makes the entry distinctive is the preparation: the packet is salted, left to stand, wrapped in skin paper, damped and roasted in embers until it smells cooked, and only then decocted. The Deukhyo is treating a depleted patient whose phlegm came from the seven affects, so the drugs are softened and warmed before they are ever boiled, and the dose is given in the clear interval before the attack rather than during it. The chapter puts this in the phlegm-malaria section beside Siljin-tang and Naengbu-tang, and it is the one of the three a vacuous patient can take repeatedly without being emptied out. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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