Formulas · Stabilize & Astringe 固澀 · Naegwa Jeokyo (內科摘要)

Four Miracle Pill

Sasin-hwan

한글 사신환  ·  Pinyin Si Shen Wan

四神丸

The Bogam gives this formula in the Stool chapter, citing the Hoechun; the composition matches the Naegwa Jeokyo text under which it is registered here.

Composition 構成

Total 24 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

  • Kidney Yang deficiency with fifth-watch (daybreak) diarrhea
  • Chronic diarrhea with cold low back and abdomen
  • Undigested food in the stool with fatigue

Biomedical correlates

  • Chronic early-morning diarrhea
  • IBS-D with cold pattern
  • Chronic colitis in Yang deficiency

Source text 原文

Donguibogam 東醫寶鑑

治脾腎虛泄痢, 又治晨泄經年者. 破故紙(酒浸炒) 四兩, 肉豆蔲(煨)ㆍ五味子(炒) 各二兩, 吳茱萸(泡炒) 一兩. 右爲末, 生薑 切八兩, 大棗 百枚, 同煮爛, 去薑, 取棗和丸梧子大, 服如上法. 《回春》

Translation

Treats spleen and kidney vacuity diarrhoea and dysentery, and also a dawn diarrhoea of years' standing. Psoralea steeped in wine and stir-fried, 4 nyang; nutmeg roasted in dough and stir-fried schisandra, 2 nyang each; evodia scalded and stir-fried, 1 nyang. Powder; slice 8 nyang of fresh ginger and take a hundred jujubes, boil them soft together, discard the ginger, and with the jujubes form pills the size of a paulownia seed; take as above. — Manbyeong Hoechun 回春 (Donguibogam · Daebyeon)

Clinical commentary 臨床

The formula for the alarm-clock bowel — diarrhea at daybreak, when Yang should rise but cannot. Bogolji warms the fire below while Yukdugu and Omija close the gate; a precise answer to a precisely-timed symptom. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

Related formulas 關聯

Look up another