Formulas · Harmonize 和解 · Uihak Immun (醫學入門)

Bupleurum with Added Cinnamon Decoction

Sihogagye-tang

한글 시호가계탕 · Pinyin Chai Hu Jia Gui Tang

柴胡加桂湯

Composition 構成

Siho Chai Hu
柴胡 시호 · Bupleurum

12 g
Chief 君
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

8 g
Deputy 臣
Gyeji Gui Zhi
桂枝 계지 · Cinnamon Twig

8 g
Deputy 臣
Banha Ban Xia
半夏 반하 · Pinellia

4 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

1.6 g
Envoy 使
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices
Daejo Da Zao
大棗 대조 · Jujube

—
Envoy 使

two jujubes

Total 33.6 g per packet (첩) · representative dosage — verify against source texts. Excludes 2 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

Harmonizes the soyang and releases the surface together
Settles the coming and going of cold and heat in malaria

Indications 主治

Pattern-based

Soyang malaria (少陽瘧) with cold and heat coming and going
Alternation that keeps re-opening the surface

Biomedical correlates

Malaria with regular alternating rigors and fever
Febrile illness with a relapsing course

Source text 原文

Donguibogam 東醫寶鑑

治少陽瘧, 往來寒熱, 極驗. 柴胡三錢, 黃芩ㆍ桂枝各二錢, 半夏一錢, 甘草四分. 右剉, 作一貼, 入薑三棗二, 水煎服. 《入門》

Translation

Treats soyang malaria with cold and heat coming and going; thoroughly proven. Bupleurum, 3 don; scutellaria and cinnamon twig, 2 don each; pinellia, 1 don; licorice, 4 fun. Cut up, make one packet, add three slices of ginger and two jujubes, and decoct in water and take. — Immun 入門 (Donguibogam · Haehak)

Clinical commentary 臨床

Minor Bupleurum Decoction with cinnamon twig added and both ginseng and peony dropped. Bupleurum carries far more weight here than in Sosiho-tang and the licorice falls to 4 fun, so the formula is leaner and more sharply pointed at the alternation itself. The chapter sets it beside Sihogyeji-tang as one of the two soyang prescriptions, and the Bogam's own verdict is simply 極驗 — thoroughly proven. The reasoning is visible in the dose ladder. Bupleurum and scutellaria hold the half-exterior half-interior ground where the alternation of cold and heat is generated, and cinnamon twig at 2 don reaches the surface that each paroxysm re-opens. The two jujubes and three slices of ginger are all that is left of Minor Bupleurum's supplementing side. **Raw pinellia is toxic and must be properly processed before use.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.