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

Bupleurum, Cinnamon Twig and Ginger Decoction

Sihogyegang-tang

한글 시호계강탕 · Pinyin Chai Hu Gui Jiang Tang

柴胡桂薑湯

Composition 構成

Siho Chai Hu
柴胡 시호 · Bupleurum

12 g
Chief 君
Gyeji Gui Zhi
桂枝 계지 · Cinnamon Twig

6 g
Deputy 臣
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

4 g
Deputy 臣
Moryeo Mu Li
牡蠣 모려 · Oyster Shell

6 g
Assistant 佐
Gwarugeun Gua Lou Gen
瓜蔞根 과루근 · Trichosanthes Root

4 g
Assistant 佐
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

3.2 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

3.2 g
Envoy 使

Total 38.4 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

Harmonizes an evil lodged between the exterior and the interior
Warms the middle with dried ginger while clearing with scutellaria
Softens and moistens with oyster shell and trichosanthes root

Indications 主治

Pattern-based

Evil lodged in the half exterior and half interior (半表裏)
Cold and heat coming and going
Cold malaria (寒瘧) with the middle already cold

Biomedical correlates

Malaria with alternating rigors and fever
Relapsing febrile illness with thirst and chilliness

Source text 原文

Donguibogam 東醫寶鑑

治邪在半表裏, 寒熱往來, 極驗. 柴胡三錢, 桂枝ㆍ牡蠣各一錢半, 天花粉ㆍ黃芩各一錢, 乾薑ㆍ甘草各八分. 右剉, 作一貼, 水煎服. 《入門》

Translation

Treats an evil lodged in the half exterior and half interior with cold and heat coming and going; thoroughly proven. Bupleurum, 3 don; cinnamon twig and oyster shell, 1 don 5 fun each; trichosanthes root and scutellaria, 1 don each; dried ginger and licorice, 8 fun each. Cut up, make one packet, and decoct in water and take. — Immun 入門 (Donguibogam · Haehak)

Clinical commentary 臨床

This is the Shanghanlun's Bupleurum, Cinnamon Twig and Dried Ginger Decoction, carried into the malaria chapter with its composition intact and bupleurum raised to 3 don. The indication given here is the general one — an evil lodged between the exterior and the interior with cold and heat coming and going — and the chapter files it under cold malaria, which fits the dried ginger and the warm half of the formula. Oyster shell and trichosanthes root are the pair that makes this prescription distinctive. They soften and moisten where repeated alternation has already dried and bound things, and in this chapter that line of thinking leads on to the oyster-shell and turtle-shell formulas used for the malaria mother (瘧母), the palpable mass under the flank that long malaria leaves behind. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.