Formulas · Release the Exterior 解表 · Uihak Jeongjeon (醫學正傳)

Ten Spirits Decoction (Epidemic chapter)

Sipsin-tang

한글 십신탕 · Pinyin Shi Shen Tang

十神湯

The Bogam carries more than one version of 十神湯. The Cold Damage chapter prints an Immun version with the same ten drugs all at one don, for doubly-affected wind cold, and it is registered as sipsin-tang; this Jeongjeon version doubles the pueraria to two don, changes the ginger and scallion to five and three, and carries the epidemic indication.

Composition 構成

Galgeun Ge Gen
葛根 갈근 · Kudzu Root

8 g
Chief 君
Seungma Sheng Ma
升麻 승마 · Cimicifuga

4 g
Deputy 臣
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

4 g
Deputy 臣
Mahwang Ma Huang
麻黃 마황 · Ephedra

4 g
Deputy 臣
Jasoyeop Zi Su Ye
紫蘇葉 자소엽 · Perilla Leaf

4 g
Deputy 臣
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

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

4 g
Assistant 佐
Baekji Bai Zhi
白芷 백지 · Dahurian Angelica

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

4 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

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

—
Envoy 使

five slices
Chongbaek Cong Bai
蔥白 총백 · Scallion White

—
Envoy 使

three stalks

Total 44 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

Treats a season out of order with epidemic disease running wild
Lifts and releases the yangming surface and forces a sweat

Indications 主治

Pattern-based

The season out of order (時令不正) with epidemic running wild (瘟疫妄行)
Epidemic disease taken at the surface, before it has localised

Biomedical correlates

Early febrile epidemic illness
Influenza-like illness in an outbreak

Source text 原文

Donguibogam 東醫寶鑑

治時令不正, 瘟疫妄行. 葛根二錢, 赤芍藥ㆍ升麻ㆍ白芷ㆍ川芎ㆍ陳皮ㆍ麻黃ㆍ紫蘇葉ㆍ香附子ㆍ甘草各一錢. 右剉, 作一貼, 入薑五, 葱白三, 煎服. 《正傳》 ○此方乃升麻葛根湯合芎芷香蘇散加麻黃發汗之劑也. 《入門》

Translation

Treats a season out of order with epidemic disease running wild. Pueraria, 2 don; red peony, cimicifuga, angelica dahurica, chuanxiong, tangerine peel, ephedra, perilla leaf, cyperus and licorice, 1 don each. Cut up, make one packet, add five slices of ginger and three stalks of scallion white, and decoct. — Jeongjeon 正傳 ○ This formula is Seungmagalgeun-tang combined with Gungji-hyangso-san, with ephedra added, and is an agent for raising a sweat. — Immun 入門 (Donguibogam · On)

Clinical commentary 臨床

Ten drugs, but not quite the ten of the other Sipsin-tang: here pueraria is doubled to two don and the rest stand at one, and the Immun's gloss at the foot of the leaf spells the construction out — Seungmagalgeun-tang combined with Gungji-hyangso-san, with ephedra added to make it sweat. That gloss is worth more than the name. It says the formula is three recipes stacked: pueraria and cimicifuga for the yangming surface, cyperus and perilla leaf for the stagnant qi, chuanxiong and angelica dahurica for the head, and ephedra to force the pores. Five slices of ginger and three stalks of scallion white at the end push it the same way again. Given for a season out of order and an epidemic running wild — which is to say, a dispensary formula for the first days of an outbreak, when nobody yet knows what the illness is. Flat, broad formulas of this kind are weak individually and wide collectively, and that was the point of them. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.