寶鑑Bogam

Formulas · Harmonize 和解 · Uihak Immun (醫學入門)

Bupleurum and Cinnamon Twig Decoction

Sihogyeji-tang

한글 시호계지탕  ·  Pinyin Chai Hu Gui Zhi Tang

柴胡桂枝湯

The Bogam carries two different formulas under the name 柴胡桂枝湯: this one, from the Haehak chapter, for shaoyang malaria with cold and heat coming and going by turns, while the Cold Damage chapter's Junggyeong formula of the same name treats cold damage with stirred qi and a throbbing pain. The leaf writes 芍藥 without specifying red or white and it is registered here as white peony; it also writes 右剉一貼 without 作.

Composition 構成

Total 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

Indications 主治

Pattern-based

  • Shaoyang malaria (少陽瘧)
  • Cold and heat going and coming by turns

Biomedical correlates

  • Malaria
  • Periodic fever with alternating chills and heat

Source text 原文

Donguibogam 東醫寶鑑

治少陽瘧, 寒熱乍往乍來. 柴胡 二錢, 桂枝ㆍ黃芩ㆍ人參ㆍ芍藥ㆍ半夏 各一錢, 甘草 五分. 右剉一貼, 入薑三棗二, 水煎服. 《入門》

Translation

Treats shaoyang malaria, with cold and heat going and coming by turns. Bupleurum, 2 don; cinnamon twig, scutellaria, ginseng, peony and pinellia, 1 don each; licorice, 5 fun. Cut the above into one packet, add three slices of ginger and two jujubes, and decoct in water and take. — Immun 入門 (Donguibogam · Haehak)

Clinical commentary 臨床

Sosiho-tang with cinnamon twig and peony added — which is to say the Sanghallon formula of the name, carried over into the malaria chapter at the chapter's own lighter weighting, bupleurum alone at two don and everything else at one. The chapter files it under 少陽瘧 beside Sihogagye-tang, and the reasoning is plain in the placement: the alternation of cold and heat is the shaoyang's own sign, so a malaria whose fit comes and goes by turns is treated where that sign belongs rather than by anything that attacks the fit itself. The chapter's rule above it is 瘧屬三陽宜汗宜吐 — malaria in the three yang answers to sweating and ejection — and this is the sweating half, the cinnamon twig opening outward while bupleurum turns the pivot. Read against modern medicine the periodic fever maps onto malaria readily enough, but nothing here is antimalarial; a genuine malaria needs an antimalarial drug and prompt diagnosis. **Contains pinellia, which is toxic raw and must be properly processed before use.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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