寶鑑Bogam

Formulas · Tonify Yang 補陽 · Uibang Yuchwi (醫方類聚)

Kidney Decoction with Sheep's Kidney

Sinryeok-tang

한글 신력탕  ·  Pinyin Shen Li Tang

腎瀝湯

A two-stage decoction: the kidney, ginger and magnetite are boiled down from 1 mal to 5 seung first, and the twelve herbs are added to that liquor. The Bogam attributes it to 得效 here though the formula is older.

Composition 構成

Total 638 g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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

  • Kidney visceral wind with speech impediment
  • Kidney vacuity with wind

Biomedical correlates

  • Dysarthria after stroke
  • Speech impediment of central origin

Source text 原文

Donguibogam 東醫寶鑑

治腎藏風, 語音蹇吃. 羊腎 一具, 生薑 二兩(切), 磁石(碎) 一兩七錢, 以水一斗, 煮取五升, 乃入玄參ㆍ白芍藥ㆍ白茯苓 各一兩二錢半, 黃芪ㆍ川芎ㆍ五味子ㆍ桂心ㆍ當歸ㆍ人參ㆍ防風ㆍ甘草 各一兩, 地骨皮 五錢, 幷剉, 再煮取二升, 去滓, 分三服. 《得效》

Translation

Treats kidney visceral wind with halting, stammering speech. One pair of sheep's kidneys, 2 nyang of sliced ginger and 1 nyang 7 don of crushed magnetite are boiled in 1 mal of water down to 5 seung; then add scrophularia, white peony and poria, 1 nyang 2 don 5 fun each, astragalus, chuanxiong, schisandra, cassia heart, tangkuei, ginseng, saposhnikovia and licorice, 1 nyang each, and lycium bark, 5 don, all cut up, and boil again down to 2 seung. Strain and divide into three doses. — Uibang Yuchwi 得效 (Donguibogam · Pung)

Clinical commentary 臨床

The first of the chapter's two aphasia formulas and the one built on the organ rather than on the orifice. Sheep's kidney as the carrier, magnetite to weigh the ascending qi down, and then a broad kidney-and-blood supplementing body — this is a formula for the slow speech of a depleted patient, not the sudden mutism of an acute stroke. The staging is worth noticing: the heavy animal and mineral ingredients get their own long boil, and the aromatics and tonics are added only for the second reduction, which is how a classical compounder protected the volatile constituents. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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