Formulas · Purge Downward 瀉下 · Uihak Immun (醫學入門)

Four Compliances Clear and Cool Drink

Sasuncheongryang-eum

한글 사순청량음 · Pinyin Si Shun Qing Liang Yin

四順淸涼飮

Cut and made into one packet with 10 mint leaves, decocted in water and taken. Note on modern practice: rhubarb is a stimulant purgative; short courses only.

Composition 構成

Daehwang Da Huang
大黃 대황 · Rhubarb

5 g
Chief 君 steamed
Danggui Dang Gui
當歸 당귀 · Korean Angelica

5 g
Deputy 臣
Jeokjakyak Chi Shao
赤芍藥 적작약 · Red Peony

5 g
Deputy 臣
Bakha Bo He
薄荷 박하 · Mint

4 g
Assistant 佐 10 leaves
Gamcho Gan Cao
甘草 감초 · Licorice

5 g
Envoy 使 roasted

Total 24 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

Cools a heat that has entered the Blood
Drains it downward while the Blood is kept supplied

Indications 主治

Pattern-based

Blood heat (治血熱)
Heat in the Blood with constipation
Febrile heat requiring downward drainage

Biomedical correlates

Fever with constipation
Inflammatory heat with bowel involvement
Short-course clearing therapy

Source text 原文

Donguibogam 東醫寶鑑

治血熱. 大黃(蒸)ㆍ當歸ㆍ赤芍藥ㆍ甘草(灸) 各一錢二分半. 右剉, 作一貼, 入薄荷十葉, 水煎服. 《入門》

Translation

Treats Blood heat. Steamed rhubarb, Korean angelica, red peony, and roasted licorice, 1 don 2.5 fun each. Cut the above, make one packet, add 10 mint leaves, decoct in water and take. — Immun 入門 (Donguibogam · Hwa)

Clinical commentary 臨床

Four herbs at one flat dose, and the pairing is the point: steamed rhubarb draining downward, angelica and red peony rebuilding and cooling the Blood it drains from. Purging alone would empty a Blood-heat patient; here the drainage arrives with its own compensation, which is what 'four compliances' names. The ten mint leaves at the end lift a little of the heat outward as the rest goes down. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.