Formulas · Warm the Interior 溫裏 · Sanghallon (傷寒論)

Frigid Extremities Decoction

Sayeok-tang

한글 사역탕  ·  Pinyin Si Ni Tang

四逆湯

Composition 構成

Total 20 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

  • Yang collapse with icy limbs and aversion to cold
  • Diarrhea with undigested food and faint pulse
  • Cold sweat with desire to sleep curled up

Biomedical correlates

  • Severe Yang-collapse presentations (acute care context)
  • Profound cold intolerance with exhaustion

Clinical commentary 臨床

The rescue formula of the cold-damage tradition — Buja and Geongang relighting the fire together, "one walking, one standing guard." Its true cold pattern is the mirror image of Sayeok-san's false one; aconite must be properly processed. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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