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

Bupleurum and Calm the Stomach Decoction

Sipyeong-tang

한글 시평탕 · Pinyin Chai Ping Tang

柴平湯

Composition 構成

Siho Chai Hu
柴胡 시호 · Bupleurum

8 g
Chief 君
Changchul Cang Zhu
蒼朮 창출 · Atractylodes Lancea

8 g
Chief 君
Hubak Hou Po
厚朴 후박 · Magnolia Bark

4 g
Deputy 臣
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

4 g
Deputy 臣
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

4 g
Deputy 臣
Banha Ban Xia
半夏 반하 · Pinellia

4 g
Assistant 佐

toxic raw — must be properly processed
Insam Ren Shen
人蔘 인삼 · Ginseng

2 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

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

—
Envoy 使

薑三, three slices
Daejo Da Zao
大棗 대조 · Jujube

—
Envoy 使

棗二, two jujubes
Omae Wu Mei
烏梅 오매 · Mume Plum

—
Envoy 使

梅一, one mume plum

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 3 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

Harmonizes the lesser yang and dries the damp of the middle
Treats the various malarias at once

Indications 主治

Pattern-based

The various malarias (諸瘧)
Alternating cold and heat with a thick tongue coating and no appetite
Damp phlegm in the middle behind a lesser yang pattern

Biomedical correlates

Relapsing febrile illness with dyspepsia
Malaria
Febrile illness with gastric stagnation

Source text 原文

Donguibogam 東醫寶鑑

治諸瘧. 柴胡ㆍ蒼朮各二錢, 厚朴ㆍ陳皮ㆍ半夏ㆍ黃芩各一錢, 人參ㆍ甘草各五分. 右剉, 入薑三ㆍ棗二ㆍ梅一, 煎服. ○一名平胡飮子. 《入門》

Translation

Treats the various malarias. Bupleurum and black atractylodes, 2 don each; magnolia bark, aged tangerine peel, pinellia and scutellaria, 1 don each; ginseng and licorice, 5 fun each. Cut them up, add three slices of ginger, two jujubes and one mume plum, decoct and take. ○ Another name for it is Pyeongho-eumja 平胡飮子. — Immun 入門 (Donguibogam · Haehak)

Clinical commentary 臨床

The name is the recipe: 柴 for Sosiho-tang and 平 for Pyeongwi-san, the two formulas run together and the shared licorice counted once. Bupleurum, scutellaria, pinellia, ginseng and licorice are the one; black atractylodes, magnolia bark, aged tangerine peel and licorice the other. The chapter's own instruction at 瘧疾治法 is that 挾痰合二陳湯, 食積合平胃散 — pair the lesser yang formula with Pyeongwi-san where there is food accumulation — and this is that pairing written out as a standing prescription. The reasoning behind it is visible and sound on its own terms: the alternating cold and heat is read as a lesser yang matter and the thick tongue and lost appetite as damp in the middle, so one formula is given for each. The mume plum at the end is the chapter's own addition, 口渴加烏梅, for the thirst. **Contains pinellia, which is toxic raw and must be properly processed before use.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.