Formulas · Clear Heat 淸熱 · Gogeum Uigam (古今醫鑑)

Bupleurum and Elsholtzia Powder

Sihyang-san

한글 시향산 · Pinyin Chai Xiang San

柴香散

Composition 構成

Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

4 g
Chief 君
Jigolpi Di Gu Pi
地骨皮 지골피 · Lycium Root Bark

4 g
Deputy 臣
Samneung San Leng
三稜 삼릉 · Sparganium

4 g
Deputy 臣
Bongchul E Zhu
莪朮 봉출 · Zedoary

4 g
Deputy 臣
Siho Chai Hu
柴胡 시호 · Bupleurum

2.8 g
Assistant 佐
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

2.8 g
Assistant 佐
Jeokjakyak Chi Shao
赤芍藥 적작약 · Red Peony

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

2 g
Assistant 佐
Hyangyu Xiang Ru
香薷 향유 · Elsholtzia

2 g
Assistant 佐
Hwangryeon Huang Lian
黃連 황련 · Coptis

2 g
Assistant 佐
Hyeonhosaek Yan Hu Suo
玄胡索 현호색 · Corydalis

2 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

1.2 g
Envoy 使

Total 32.8 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

Breaks up a qi lump in the heart and abdomen
Clears heat and relieves distension

Indications 主治

Pattern-based

A lump of qi in the heart and abdomen
Distension with alternating cold and heat

Biomedical correlates

Abdominal mass with fever
Functional distension with inflammatory signs

Source text 原文

Donguibogam 東醫寶鑑

治心腹有氣一塊, 或膨脹, 寒熱. 枳實ㆍ地骨皮ㆍ三稜ㆍ蓬朮各一錢, 柴胡ㆍ黃芩各七分, 赤芍藥ㆍ厚朴ㆍ香薷ㆍ黃連ㆍ玄胡索各五分, 甘草三分. 右剉, 作一貼, 水煎服. 《醫鑑》

Translation

Treats a lump of qi in the heart and abdomen, sometimes with swelling distension and with cold and heat. Bitter orange fruit, lycium root bark, sparganium and curcuma 1 don each; bupleurum and scutellaria 7 pun each; red peony, magnolia bark, elsholtzia, coptis and corydalis 5 pun each; licorice 3 pun. Cut up, make one packet, decoct in water and take. — Gogeum Uigam 醫鑑 (Donguibogam · Jeokchwi)

Clinical commentary 臨床

Lycium root bark and elsholtzia are what set this apart from the other lump formulas here. Lycium root bark clears heat from the yin aspect and treats the steaming fever of depletion, not the surface fever of contraction; elsholtzia releases the exterior and disperses summerheat damp. Together they suggest a lump accompanied by a fever that is neither clearly interior nor clearly exterior, which is what 寒熱 without further qualification usually indicates. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.