Rat Dung and Fermented Soybean Decoction

Seosisi-tang

한글 서시시탕 · Pinyin Shu Shi Chi Tang

鼠屎豉湯

Every drug is counted by the piece, so grams are given as 0 throughout.

Composition 構成

Chija Zhi Zi
梔子 치자 · Gardenia

—
Chief 君

seven fruits
Damdusi Dan Dou Chi
淡豆豉 담두시 · Prepared Soybean

—
Chief 君

thirty grains
Moseobun Mu Shu Shi
牡鼠屎 모서분 · Male Rat Droppings

—
Deputy 臣

seven pieces
Jigak Zhi Qiao
枳殼 지각 · Bitter Orange

—
Assistant 佐

one, parched
Chongbaek Cong Bai
蔥白 총백 · Scallion White

—
Envoy 使

two chi

Total 0 g per packet (첩) · representative dosage — verify against source texts. Excludes 5 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

Vents heat from the chest
Resolves relapse brought on by exertion

Indications 主治

Pattern-based

Relapse of cold damage after exertion with fever
Residual heat pent in the chest

Biomedical correlates

Relapsing fever after premature exertion in convalescence

Source text 原文

Donguibogam 東醫寶鑑

治同上. 梔子七箇, 雄鼠屎七枚, 枳殼一枚(炒). 右剉, 水一盞半, 入葱白二寸, 香豉三十粒, 同煎至一盞, 分二服. 勿令病人知. 《活人》

Translation

Treats the same as the above. Gardenia, seven; male rat droppings, seven pieces; bitter orange, one, parched. Cut up, take a cup and a half of water, add two chi of scallion white and thirty grains of fermented soybean, decoct together down to one cup and take in two doses. Do not let the patient know. — Hwarin 活人 (Donguibogam · Han, lower)

Clinical commentary 臨床

**This is not a formula to prepare.** Rat droppings carry leptospirosis, hantavirus and salmonella, and no classical indication justifies that. The entry is worth keeping for its last four characters: do not let the patient know. The Bogam preserved the instruction because the compilers understood that a patient who learns what is in the cup will not drink it, and the candour is more informative than the drug. The pattern — relapse from exertion — is properly met by the preceding formula, which does the same work with gardenia, fermented soybean and bitter orange alone. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.