Formulas · Clear Heat 淸熱 · Bomyeong (保命)

Bupleurum Four Substances Decoction

Sihosamul-tang

한글 시호사물탕  ·  Pinyin Chai Hu Si Wu Tang

柴胡四物湯

Cut and made into one packet with 3 slices of ginger, decocted in water and taken. Note on modern practice: fever after childbirth may indicate infection and requires prompt medical evaluation.

Composition 構成

Total 44 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

Indications 主治

Pattern-based

  • Postpartum fever with heat entering the chamber of Blood (熱入血室)
  • Fever lighter by day and heavier by night
  • Delirious speech as if seeing ghosts
  • or alternating chills and fever

Biomedical correlates

  • Postpartum fever
  • Puerperal infection presentations — historical
  • Night-predominant fevers after birth

Source text 原文

Donguibogam 東醫寶鑑

治産後發熱, 及熱入血室. 柴胡ㆍ生地黃 各二錢, 川芎ㆍ赤芍藥ㆍ當歸ㆍ黃芩 各一錢, 人參ㆍ半夏ㆍ甘草 各五分. 右剉, 作一貼, 入薑三片, 水煎服. 《保命》

Translation

Treats postpartum heat effusion, and heat entering the chamber of Blood. Bupleurum and raw rehmannia, 2 don each; cnidium, red peony, Korean angelica, and scutellaria, 1 don each; ginseng, pinellia, and licorice, 5 fun each. Cut the above, make one packet, add 3 slices of ginger, decoct in water and take. — Bomyeong 保命 (Donguibogam · Buin)

Clinical commentary 臨床

Minor Bupleurum married to the Four Substances — the classic answer to heat that has gone into the Blood chamber, which the tradition recognized by its schedule: light by day, heavy by night, with the mind wandering at the worst of it. The Blood side is built with raw rehmannia and red peony rather than the warming pair, because here the Blood must be cooled while it is refilled. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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