Formulas · Clear Heat 淸熱 · Danggye Simbeop (丹溪心法)

Atractylodes Decoction for Unceasing Sweat

Baekchul-tang

한글 백출탕 · Pinyin Bai Zhu Tang

白朮湯

Registered with the chapter suffix to distinguish it from the 白朮湯 of the Jeongjeon for dysentery in pregnancy. The composition is close to Zhongjing's 葛根湯 with the ephedra and cassia removed and peony raised.

Composition 構成

Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

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

8 g
Chief 君
Galgeun Ge Gen
葛根 갈근 · Kudzu Root

8 g
Deputy 臣
Seungma Sheng Ma
升麻 승마 · Cimicifuga

4 g
Deputy 臣
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

4 g
Deputy 臣
Gamcho Gan Cao
甘草 감초 · Licorice

2 g
Envoy 使

Total 38 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 with great sweating that will not stop and the sinews cramping and convulsing
Secures the exterior while clearing the heat that drives the sweat

Indications 主治

Pattern-based

Heat with fluid collapse and unceasing sweat
Sinew contracture from fluid loss

Biomedical correlates

Dehydration with tetany
Autonomic instability in tetanus

Source text 原文

Donguibogam 東醫寶鑑

治破傷風大汗不止, 筋攣ㆍ搐搦. 白芍藥三錢, 白朮ㆍ葛根各二錢, 升麻ㆍ黃芩各一錢, 甘草五分. 右剉, 作一貼, 水煎服. 《丹心》

Translation

Treats lockjaw with great sweating that will not stop and the sinews cramping and convulsing. White peony, 3 don; atractylodes and pueraria, 2 don each; cimicifuga and scutellaria, 1 don each; licorice, 5 fun. Cut up, make one packet and decoct in water. — Danggye Simbeop 丹心 (Donguibogam · Pung)

Clinical commentary 臨床

The last formula of the chapter's lockjaw section and a well-made one: peony at the head to relax the cramping sinew and hold the fluid, atractylodes and licorice to secure the exterior, and pueraria with cimicifuga and scutellaria to clear the heat that is driving the sweat. It is Zhongjing's pueraria decoction with the two sweating drugs taken out, which is exactly the right modification for a patient already sweating to collapse. The connection between fluid loss and cramping sinews, made here and in the two preceding entries, is the soundest physiology in the chapter. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.