Formulas · Stabilize & Astringe 固澀 · Naegwa Jeokyo (內科摘要)
Four Miracle Pill
Sasin-hwan
한글 사신환 · Pinyin Si Shen Wan
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
- Bogolji補骨脂 보골지 · Psoralea8 g
Chief 君 - Omija五味子 오미자 · Schisandra4 g
Deputy 臣 - Yukdugu肉豆蔻 육두구 · Nutmeg4 g
Deputy 臣 - Osuyu吳茱萸 오수유 · Evodia2 g
Assistant 佐 - Saenggang生薑 생강 · Fresh Ginger3 g
Envoy 使 - Daejo大棗 대조 · Jujube3 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
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)