Formulas · Warm the Interior 溫裏 · Junggyeong (仲景)

Kidney Fixity Decoction

Sinchak-tang

한글 신착탕 · Pinyin Shen Zhuo Tang

腎着湯

Cut and made into one packet, decocted in water and taken.

Composition 構成

Baekchul Bai Zhu
白朮 백출 · White Atractylodes

10 g
Chief 君
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

6 g
Chief 君 blast-fried
Jeokbokryeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

6 g
Deputy 臣
Gamcho Gan Cao
甘草 감초 · Licorice

2 g
Envoy 使 roasted

Total 24 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

Warms and dries cold damp lodged in the lumbar tissues
Lifts a weight that feels like five thousand cash strung about the waist

Indications 主治

Pattern-based

The body heavy
the lumbus cold within as though sitting in water (腰中冷如坐水)
No thirst
urine passing freely
appetite as usual — yet cold pain below the lumbus
The lumbus as heavy as though five thousand cash were strung about it

Biomedical correlates

Low back pain with heaviness and cold
Damp-pattern lumbar pain
Weather-sensitive back pain

Source text 原文

Donguibogam 東醫寶鑑

白朮二錢半, 乾薑(炮)ㆍ赤茯苓各一錢半, 甘草(灸) 五分. 右剉, 作一貼, 水煎服. 《丹心》

Translation

White atractylodes 2 don 5 fun; blast-fried dried ginger and red poria, 1 don 5 fun each; roasted licorice 5 fun. Cut the above, make one packet, decoct in water and take. — Dansim 丹心 (Donguibogam · Yo)

Clinical commentary 臨床

Zhang Zhongjing's formula, and one of the most elegant in the canon: four herbs, none of which touch the Kidney at all. That is deliberate — the cold damp has lodged in the tissues *around* the organ, not in the organ, so the treatment warms and drains the region and leaves the Kidney alone. Anyone tempted to give Kidney tonics for this presentation has misread it, which is why the chapter takes care to describe what is *normal* in this patient: no thirst, normal urine, normal appetite. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.