Formulas · Invigorate Blood 活血祛瘀 · Manbyeong Hoechun (萬病回春)

Bupleurum, Cnidium and Angelica Decoction

Sihogunggwi-tang

한글 시호궁귀탕 · Pinyin Chai Hu Xiong Gui Tang

柴胡芎歸湯

The leaf abbreviates the added items as 入薑三棗二, 梅一; 梅 here is 烏梅, registered as omae. 茯苓 unqualified is registered as baekbokryeong. The follow-on formula 人參截瘧飮 is named in the leaf but is not yet registered in the database.

Composition 構成

Siho Chai Hu
柴胡 시호 · Bupleurum

4 g
Chief 君
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

4 g
Chief 君
Galgeun Ge Gen
葛根 갈근 · Kudzu Root

4 g
Deputy 臣
Danggwi Dang Gui
當歸 당귀 · Korean Angelica

2.8 g
Deputy 臣
Jeokjagyak Chi Shao
赤芍藥 적작약 · Red Peony

2.8 g
Deputy 臣
Gilgyeong Jie Geng
桔梗 길경 · Platycodon

2.8 g
Assistant 佐
Insam Ren Shen
人蔘 인삼 · Ginseng

2.8 g
Assistant 佐
Hubak Hou Po
厚朴 후박 · Magnolia Bark

2.8 g
Assistant 佐
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

2.8 g
Assistant 佐
Baekbongnyeong Fu Ling
白茯苓 백복령 · Poria (white)

2.8 g
Assistant 佐
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

2.8 g
Assistant 佐
Honghwa Hong Hua
紅花 홍화 · Safflower

1.2 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

1.2 g
Envoy 使
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices
Daejo Da Zao
大棗 대조 · Jujube

—
Envoy 使

two jujubes
Omae Wu Mei
烏梅 오매 · Mume Plum

—
Envoy 使

one fruit

Total 36.8 g per packet (첩) · representative dosage — verify against source texts. Excludes 3 ingredients 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

Draws a yin malaria out into the yang division and disperses it
Moves the Blood with carthamus, Korean angelica and red peony
Supports the centre so that the drawing out does not empty it

Indications 主治

Pattern-based

Yin malaria (陰瘧) with onset at night
Old malaria lodged in the Blood division
Long malaria with the centre already depleted

Biomedical correlates

Chronic malaria with nocturnal paroxysms
Relapsing fever with debility

Source text 原文

Donguibogam 東醫寶鑑

治夜發陰瘧, 引出陽分而散, 後服人參截瘧飮止之. 柴胡ㆍ乾葛ㆍ川芎各一錢, 桔梗ㆍ當歸ㆍ赤芍藥ㆍ人參ㆍ厚朴ㆍ白朮ㆍ茯苓ㆍ陳皮各七分, 紅花ㆍ甘草各三分. 右剉, 作一貼, 入薑三棗二, 梅一, 水煎服. 《回春》

Translation

Treats a yin malaria that comes on at night, drawing it out into the yang division and dispersing it; afterwards take Insamjeolhak-eum to arrest it. Bupleurum, kudzu root and cnidium, 1 don each; platycodon, Korean angelica, red peony, ginseng, magnolia bark, white atractylodes, poria and tangerine peel, 7 fun each; carthamus and licorice, 3 fun each. Cut up, make one packet, add three slices of ginger, two jujubes and one mume fruit, and decoct in water and take. — Hoechun 回春 (Donguibogam · Haehak)

Clinical commentary 臨床

The second of the chapter's night formulas, and the one that follows Dansim's rule for old malaria exactly: use Blood drugs to draw the evil out of the yin division into the yang, and then disperse it. Carthamus, Korean angelica, red peony and cnidium are the Blood half; bupleurum, kudzu root and cnidium at the top weight are the drawing-out half, with platycodon lifting. Behind them sits most of a Sagunja-tang with magnolia bark and tangerine peel added, which is the chapter's standing assumption at work — a malaria that has lasted long enough to come at night has also emptied the middle, and drawing an evil outward from an empty body simply fails. Dansim's own warning in this chapter is against the harsh prescriptions (峻劑) for precisely this reason. The instruction to arrest it afterwards with Insamjeolhak-eum makes this a two-stage treatment rather than a single prescription: open and disperse first, cut the malaria second. Hoechun's three-tier dosing of 1 don, 7 fun and 3 fun keeps the Blood-moving drugs deliberately light. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.