Formulas · Warm the Interior 溫裏 · Dansim (丹心)

Four Spirits Pill for Cold Mounting

Sasin-hwan

한글 사신환 (냉산) · Pinyin Si Shen Wan

四神丸

Not the Naegwa Jeokyo formula registered as sasin-hwan; the two share a name only.

Composition 構成

Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

40 g
Chief 君

1 nyang
Osuyu Wu Zhu Yu
吳茱萸 오수유 · Evodia

20 g
Chief 君

5 don, half wine-steeped and half vinegar-steeped, baked dry
Piljingga Bi Cheng Qie
蓽澄茄 필징가 · Cubeb

20 g
Deputy 臣

蓽澄茄, 5 don
Mokhyang Mu Xiang
木香 목향 · Costus Root

20 g
Assistant 佐

靑木香五錢 — the bare name; see 靑木香元 for the identity
Yeom Yan
鹽 염 · Salt

—
Envoy 使

salt decoction as the draught

Total 100 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

Treats cold mounting with distension and pain

Indications 主治

Pattern-based

Cold mounting with distension

Biomedical correlates

Inguinal hernia pain

Source text 原文

Donguibogam 東醫寶鑑

治冷疝脹痛. 吳茱萸一半酒浸ㆍ一半醋浸, 焙乾; 蓽澄茄ㆍ靑木香各五錢, 大香附一兩. 右爲末, 糊丸梧子大, 鹽湯下七八十丸. 《丹心》

Translation

Treats cold mounting with distension and pain. Evodia, half steeped in wine and half in vinegar and baked dry; cubeb and birthwort root 5 don each; large cyperus 1 nyang. Powder them, bind with paste into pills the size of a firmiana seed, and take seventy or eighty with salt decoction. — Dansim 丹心 (Donguibogam · Jeoneum)

Clinical commentary 臨床

The evodia is halved and steeped two different ways in the same formula — wine to send it outward, vinegar to send it to the liver. The chapter does this repeatedly, and Talmyeong-dan at 4.18 takes it as far as four steepings. **The 靑木香 of this formula is costus, not birthwort.** The Bogam glosses the bare name as 木香 at 草部上 1.18 and keeps a qualifier, 土靑木香, for the root of 쥐방울덩굴 (草部下 1.112.1); the companions — evodia, cubeb, cyperus — are a qi-moving set, and 丹心 is fourteenth-century, before the name moved. **The hazard is in sourcing: what is sold as 靑木香 today is Aristolochia root and carries aristolochic acid, nephrotoxic and a Group 1 carcinogen. Dispense 木香.** The identity is set out at greater length under 靑木香元. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.