Raise the Yang and Scatter the Fire Decoction

Seungyangsanhwa-tang

한글 승양산화탕 · Pinyin Sheng Yang San Huo Tang

升陽散火湯

Also called Sihoseungma-tang (柴胡升麻湯).

Composition 構成

Seungma Sheng Ma
升麻 승마 · Cimicifuga

4 g
Chief 君
Galgeun Ge Gen
葛根 갈근 · Kudzu Root

4 g
Chief 君
Ganghwal Qiang Huo
羌活 강활 · Notopterygium

4 g
Deputy 臣
Dokhwal Du Huo
獨活 독활 · Aralia

4 g
Deputy 臣
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

4 g
Deputy 臣
Insam Ren Shen
人蔘 인삼 · Ginseng

4 g
Assistant 佐
Siho Chai Hu
柴胡 시호 · Bupleurum

2.4 g
Assistant 佐
Bangpung Fang Feng
防風 방풍 · Siler

2 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

2.4 g
Envoy 使 roasted
Gamcho Gan Cao
甘草 감초 · Licorice

1.6 g
Envoy 使 raw

Total 32.4 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 out the fire that has sunk and depressed into the Earth
Scatters rather than drains — the constrained fire's own method

Indications 主治

Pattern-based

Fire constraint with vexing heat of the five hearts (火鬱五心煩熱)
Burning palms and soles that cannot be borne
Heat buried in the flesh from Blood vacuity or excess cold food

Biomedical correlates

Burning sensations of palms and soles
Heat symptoms unrelieved by cooling therapy
Paradoxical heat in the depleted

Source text 原文

Donguibogam 東醫寶鑑

治火鬱, 及五心煩熱. 升麻ㆍ乾葛ㆍ羌活ㆍ獨活ㆍ白芍藥ㆍ人參各一錢, 柴胡ㆍ甘草(灸) 各六分, 防風五分, 甘草(生) 四分. 右剉, 作一貼, 水煎服. 一名柴胡升麻湯. 《東垣》

Translation

Treats fire constraint, and vexing heat of the five hearts. Cimicifuga, kudzu root, notopterygium, pubescent angelica, white peony, and ginseng, 1 don each; bupleurum and roasted licorice, 0.6 don each; saposhnikovia 0.5 don; raw licorice 0.4 don. Cut the above, make one packet, decoct in water and take. Also called Sihoseungma-tang. — Dongwon 東垣 (Donguibogam · Hwa)

Clinical commentary 臨床

The chapter's great counterintuition, and Dongyuan's proof of it — when fire has sunk into the Earth of the spleen and burns there, cooling it further only packs the coals down. 'When fire is constrained, effuse it': the lifters and wind herbs open a chimney instead. The formula that explains why some burning hands get worse on cold medicine. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.