Formulas · Harmonize 和解 · Junggyeong (仲景)

Bupleurum and Cinnamon Twig Decoction

Sihogyeji-tang

한글 시호계지탕 · Pinyin Chai Hu Gui Zhi Tang

柴胡桂枝湯

The source writes 芍藥 without specifying red or white; registered as white peony.

Composition 構成

Siho Chai Hu
柴胡 시호 · Bupleurum

8 g
Chief 君
Gyeji Gui Zhi
桂枝 계지 · Cinnamon Twig

4 g
Chief 君
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

4 g
Deputy 臣
Insam Ren Shen
人蔘 인삼 · Ginseng

4 g
Deputy 臣
Baekjagyak Bai Shao
白芍藥 백작약 · White Peony

4 g
Deputy 臣
Banha Ban Xia
半夏 반하 · Pinellia

3.2 g
Assistant 佐

processed
Gamcho Gan Cao
甘草 감초 · Licorice

2.4 g
Envoy 使

roasted
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

five slices
Daejo Da Zao
大棗 대조 · Jujube

—
Envoy 使

two dates

Total 29.6 g per packet (첩) · representative dosage — verify against source texts. Excludes 2 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

Harmonizes the shaoyang and releases the exterior together
Settles a throbbing pain from stirred qi

Indications 主治

Pattern-based

Cold damage with stirred qi and a throbbing pain
Exterior pattern remaining with the shaoyang also involved

Biomedical correlates

Febrile illness with palpitations
Post-infectious anxiety with chest pulsation

Source text 原文

Donguibogam 東醫寶鑑

治傷寒動氣築痛. 柴胡二錢, 桂枝ㆍ黃芩ㆍ人參ㆍ芍藥各一錢, 半夏(製) 八分, 甘草(灸) 六分. 右剉, 作一貼, 入薑五片, 棗二枚, 水煎服. 《仲景》

Translation

Treats cold damage with stirred qi and a throbbing pain. Bupleurum, 2 don; cinnamon twig, scutellaria, ginseng and peony, 1 don each; processed pinellia, 8 fun; roasted licorice, 6 fun. Cut up, make one packet, add five slices of ginger and two jujubes and decoct in water. — Junggyeong 仲景 (Donguibogam · Han, upper)

Clinical commentary 臨床

Minor Bupleurum and Cinnamon Twig Decoction merged at roughly half strength each, which is what the pattern asks for: an exterior still unresolved and a shaoyang already involved, neither severe enough to warrant a full formula of its own. 動氣 — stirred qi with a throbbing that the patient can feel — is the Bogam's term for the pulsation that appears when neither level is settled, and the Bogam treats it as a specific contraindication to purging. Five slices of ginger rather than three, which is the Shanghanlun's dose and steadies the stirring. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.