Formulas · Drain Dampness 利水滲濕 · Dongwon (東垣)

Raise the Yang and Eliminate Dampness Decoction (Stool)

Seungyang-jeseup-tang

한글 승양제습탕 (대변) · Pinyin Sheng Yang Chu Shi Tang

升陽除濕湯

The Bogam's Women chapter gives a different 升陽除濕湯 for flooding and spotting; that formula is registered separately.

Composition 構成

Changchul Cang Zhu
蒼朮 창출 · Black Atractylodes

6 g
Chief 君
Seungma Sheng Ma
升麻 승마 · Cimicifuga

2.8 g
Deputy 臣
Siho Chai Hu
柴胡 시호 · Bupleurum

2.8 g
Deputy 臣
Ganghwal Qiang Huo
羌活 강활 · Notopterygium

2.8 g
Deputy 臣
Bangpung Fang Feng
防風 방풍 · Siler

2.8 g
Deputy 臣
Singok Shen Qu
神麴 신곡 · Medicated Leaven

2.8 g
Assistant 佐
Taeksa Ze Xie
澤瀉 택사 · Alisma

2.8 g
Assistant 佐
Jeoryeong Zhu Ling
猪苓 저령 · Polyporus

2.8 g
Assistant 佐
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

2 g
Assistant 佐
Maega Mai Ya
麥芽 맥아 · Barley Sprout

2 g
Assistant 佐

stir-fried
Gamcho Gan Cao
甘草 감초 · Licorice

2 g
Envoy 使

roasted

Total 31.6 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

Treats qi vacuity diarrhoea with no thought of food
Treats exhaustion and want of strength

Indications 主治

Pattern-based

Spleen qi sinking with chronic loose stool
Damp with clear yang not rising

Biomedical correlates

Chronic diarrhoea with fatigue
Irritable bowel syndrome

Source text 原文

Donguibogam 東醫寶鑑

治氣虛泄瀉, 不思飮食, 困弱無力. 蒼朮一錢半, 升麻ㆍ柴胡ㆍ羌活ㆍ防風ㆍ神麴ㆍ澤瀉ㆍ猪苓各七分, 陳皮ㆍ麥芽(炒)ㆍ甘草(灸) 各五分. 右剉, 作一貼, 空心, 水煎服. 《東垣》

Translation

Treats qi vacuity diarrhoea with no thought of food, exhaustion and want of strength. Atractylodes, 1.5 don; cimicifuga, bupleurum, notopterygium, saposhnikovia, medicated leaven, alisma and polyporus, 7 fun each; tangerine peel, stir-fried barley sprout and roasted licorice, 5 fun each. Cut up, make one packet, and decoct in water on an empty stomach. — Dongwon 東垣 (Donguibogam · Daebyeon)

Clinical commentary 臨床

Dongwon's formula and the clearest statement of his central idea: a chronic diarrhoea with fatigue and no appetite is the clear yang failing to rise, so the treatment lifts it with small doses of the four wind drugs — cimicifuga, bupleurum, notopterygium, saposhnikovia — rather than binding the bowel. The large dose of atractylodes dries, the leaven and barley sprout digest, and alisma and polyporus take the water out by the urine. It reads oddly to a modern eye because the lifting drugs are aromatics with no such action, but the clinical target — functional diarrhoea in a depleted patient, treated by restoring appetite rather than by constipating — is recognizable and sensible. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.