Formulas · Tonify Qi 補氣 · Uihak Immun (醫學入門)

Raise the Yang and Regulate the Cycle Decoction

Seungyangjogyeong-tang

한글 승양조경탕 · Pinyin Sheng Yang Tiao Jing Tang

升陽調經湯

Cut and made into one packet, decocted in water and taken, pressed down afterward with rice. Note on modern practice: heavy or sudden uterine bleeding requires gynecological evaluation.

Composition 構成

Siho Chai Hu
柴胡 시호 · Bupleurum

4 g
Chief 君
Ganghwal Qiang Huo
羌活 강활 · Notopterygium

4 g
Chief 君
Changchul Cang Zhu
蒼朮 창출 · Black Atractylodes

4 g
Deputy 臣
Hwanggi Huang Qi
黃芪 황기 · Astragalus

4 g
Deputy 臣
Danggui Dang Gui
當歸 당귀 · Korean Angelica

2.8 g
Assistant 佐
Bangpung Fang Feng
防風 방풍 · Siler

2.8 g
Assistant 佐
Seungma Sheng Ma
升麻 승마 · Cimicifuga

2.8 g
Assistant 佐
Gobon Gao Ben
藁本 고본 · Ligusticum Root

2.8 g
Assistant 佐
Manhyeongja Man Jing Zi
蔓荊子 만형자 · Vitex

2 g
Assistant 佐
Dokhwal Du Huo
獨活 독활 · Aralia

1.2 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

2.8 g
Envoy 使

Total 33.2 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

Lifts a center Qi that has fallen and taken the Blood down with it
Stops a sudden flood by raising rather than by binding

Indications 主治

Pattern-based

Internal damage with the center Qi fallen and sudden flooding that will not stop (中氣下陷暴崩不止)
Heavy bleeding on a depleted overworked ground
Bleeding that astringents have not held

Biomedical correlates

Abnormal uterine bleeding with fatigue and depletion
Bleeding unresponsive to astringent measures
Postpartum or post-illness heavy bleeding

Source text 原文

Donguibogam 東醫寶鑑

治內傷, 中氣下陷, 暴崩不止. 柴胡ㆍ羌活ㆍ蒼朮ㆍ黃芪各一錢, 當歸ㆍ防風ㆍ升麻ㆍ藁本ㆍ甘草各七分, 蔓荊子五分, 獨活三分. 右剉, 作一貼, 水煎服, 以飯壓之. 《入門》

Translation

Treats internal damage with the center Qi fallen and sudden flooding that will not stop. Bupleurum, notopterygium, atractylodes, and astragalus, 1 don each; Korean angelica, saposhnikovia, cimicifuga, ligusticum, and licorice, 7 fun each; vitex 5 fun; pubescent angelica 3 fun. Cut the above, make one packet, decoct in water and take, pressing it down afterward with rice. — Immun 入門 (Donguibogam · Po)

Clinical commentary 臨床

The counterintuitive formula of the flooding shelf: not one astringent in it. Its reading is that the bleeding is a consequence of collapse — the center Qi has sunk, and the Blood has followed it down — so the treatment is to raise. Bupleurum, notopterygium, cimicifuga, and ligusticum all lift; astragalus and atractylodes supply what is being lifted. Dongyuan's logic applied to the uterus, and the instruction to press it down with a meal afterward is characteristic of him. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.