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

Composition 構成

Bogolji Bu Gu Zhi
補骨脂 보골지 · Psoralea

8 g
Chief 君
Omija Wu Wei Zi
五味子 오미자 · Schisandra

4 g
Deputy 臣
Yukdugu Rou Dou Kou
肉豆蔻 육두구 · Nutmeg

4 g
Deputy 臣
Osuyu Wu Zhu Yu
吳茱萸 오수유 · Evodia

2 g
Assistant 佐
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

3 g
Envoy 使
Daejo Da Zao
大棗 대조 · Jujube

3 g
Envoy 使

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

Warms Kidney and Spleen Yang
Binds the intestines and stops daybreak diarrhea

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

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.