Formulas · Tonify Qi 補氣 · Uihak Immun (醫學入門)

Atractylodes and Saposhnikovia Decoction

Baekchul-bangpung-tang

한글 백출방풍탕 · Pinyin Bai Zhu Fang Feng Tang

白朮防風湯

Registered with the chapter suffix to distinguish it from the 白朮湯 of the same section; this formula is the three-drug 玉屛風散 in a different proportion.

Composition 構成

Bangpung Fang Feng
防風 방풍 · Siler

16 g
Chief 君
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

8 g
Chief 君
Hwanggi Huang Qi
黃芪 황기 · Astragalus

8 g
Deputy 臣

Total 32 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

Treats lockjaw in which too much sweating has been induced and the sweating will not stop
Secures the exterior and stops the sweating

Indications 主治

Pattern-based

Defence qi insecurity after excessive sweating
Qi vacuity with unceasing sweat

Biomedical correlates

Iatrogenic dehydration
Autonomic instability after tetanus

Source text 原文

Donguibogam 東醫寶鑑

治破傷風發汗過多, 自汗不止. 防風四錢, 白朮ㆍ黃芪各二錢. 右剉, 作一貼, 水煎服. 《入門》

Translation

Treats lockjaw in which sweating has been induced excessively and the spontaneous sweating will not stop. Saposhnikovia, 4 don; atractylodes and astragalus, 2 don each. Cut up, make one packet and decoct in water. — Uihak Immun 入門 (Donguibogam · Pung)

Clinical commentary 臨床

Three drugs, and the indication is the physician's own mistake: sweating was induced too hard and now the patient will not stop sweating. The answer is the Jade Windscreen — saposhnikovia, atractylodes and astragalus — with saposhnikovia at double, which is the proportion used when the exterior must still be guarded while being secured. That an iatrogenic complication gets its own formula in the middle of a section on a lethal disease says something about how often the sweating method was overdone. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.