Formulas · Warm the Interior 溫裏 · Seui Deukhyobang (世醫得效方)

Fortify the Spleen Powder

Silbi-san

한글 실비산 · Pinyin Shi Pi San

實脾散

Composition 構成

Baekchul Bai Zhu
白朮 백출 · White Atractylodes

4 g
Chief 君
Buja Fu Zi
附子 부자 · Prepared Aconite

4 g
Chief 君

blast-fried (炮) · toxic
Hubak Hou Po
厚朴 후박 · Magnolia Bark

4 g
Deputy 臣
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

4 g
Deputy 臣
Mogwa Mu Gua
木瓜 모과 · Chinese Quince

4 g
Assistant 佐
Chogwa Cao Guo
草果 초과 · Tsaoko Fruit

4 g
Assistant 佐
Binrang Bing Lang
檳榔 빈랑 · Areca Seed

4 g
Assistant 佐

大腹子
Mokhyang Mu Xiang
木香 목향 · Costus Root

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

2 g
Assistant 佐

blast-fried (炮)
Daejo Da Zao
大棗 대조 · Jujube

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

6 g
Envoy 使
Gamcho Gan Cao
甘草 감초 · Licorice

2 g
Envoy 使

mix-fried (灸)

Total 48 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

Warms the yang and fortifies the spleen
Moves water and disperses yin swelling

Indications 主治

Pattern-based

Yin water with swelling
Swelling that calls for the spleen earth to be made substantial first

Biomedical correlates

Oedema with cold extremities
Hypothyroid or cardiac oedema

Source text 原文

Donguibogam 東醫寶鑑

治陰水發腫, 先實脾土. 厚朴ㆍ白朮ㆍ木瓜ㆍ草果ㆍ大腹子ㆍ附子(炮)ㆍ白茯苓各一錢, 木香ㆍ乾薑(炮)ㆍ甘草(灸) 各五分. 右剉, 作一貼, 薑三棗二, 水煎服. 《得效》

Translation

Treats yin water breaking out as swelling; first make the spleen earth substantial. Magnolia bark, white atractylodes, chaenomeles, tsaoko, areca seed, aconite (blast-fried) and white poria 1 don each; costus, dry ginger (blast-fried) and licorice (mix-fried) 5 pun each. Cut up, make one packet, add 3 slices of ginger and 2 jujubes, decoct in water and take. — Seui Deukhyobang 得效 (Donguibogam · Bujong)

Clinical commentary 臨床

The standard formula for yin water and the one the chapter names first when the swelling is cold rather than hot. Aconite and dry ginger warm, white atractylodes and poria fortify and drain, and nothing here attacks — the instruction 先實脾土, make the spleen earth substantial first, is the whole design. Yin water is the counterpart to the yang water treated by the ephedra formulas above: it comes on slowly, pits deeply, the skin is dull rather than shiny, and the patient is cold. **Contains aconite, which is toxic even when blast-fried. Not suitable for self-administration.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.