寶鑑Bogam

Formulas · Harmonize 和解 · Bomyeongjip (保命集)

Bupleurum Four Substances Decoction

Sihosamul-tang

한글 시호사물탕  ·  Pinyin Chai Hu Si Wu Tang

柴胡四物湯

The Bogam carries two different formulas under the name 柴胡四物湯: this one, from the Haehak chapter, for warm malaria of the three yin channels and for malaria that breaks out at night, while the Buin chapter's Bomyeongjip formula of the same name treats postpartum fever with heat entering the chamber of Blood. The leaf itself prints no source marker; the chapter's own 保命 passage above it names the formula — 或小柴胡合四物湯名曰柴胡四物湯 — and the attribution follows that passage.

Composition 構成

Total 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

Indications 主治

Pattern-based

  • Warm malaria of the three yin channels (三陰經溫瘧)
  • Malaria breaking out at night

Biomedical correlates

  • Malaria
  • Night-onset periodic fever

Source text 原文

Donguibogam 東醫寶鑑

治三陰經溫瘧, 或夜發者. 柴胡ㆍ生乾地黃 各二錢, 人參ㆍ半夏ㆍ黃芩ㆍ甘草ㆍ川芎ㆍ當歸ㆍ赤芍藥 各一錢. 右剉, 作一貼, 入薑三棗二, 水煎服.

Translation

Treats warm malaria of the three yin channels, and the kind that breaks out at night. Bupleurum and dried raw rehmannia, 2 don each; ginseng, pinellia, scutellaria, licorice, cnidium, Korean angelica and red peony, 1 don each. Cut the above, make one packet, add three slices of ginger and two jujubes, and decoct in water and take. (Donguibogam · Haehak)

Clinical commentary 臨床

The chapter says what it is in so many words: Sosiho-tang joined to Samul-tang. The join is not quite even — bupleurum and rehmannia stand together at two don as the two chiefs, and rehmannia is the raw dried kind rather than the prepared one of Samul-tang, so the blood side cools as well as fills. The indication is the chapter's reason for reaching for blood medicinals at all. Dansim's rule runs 老瘧係風暑之邪入在陰分宜用血藥引出陽分而散 — an old malaria is wind and summerheat gone into the yin division, and blood medicinals are what lead it back out to the yang to be scattered. A fit that breaks out at night is the sign that the evil has gone that deep, which is why the leaf names night onset alongside the three yin channels. **Contains pinellia, which is toxic raw and must be properly processed before use.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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