Formulas · Warm the Interior 溫裏 · Hwaje Gukbang (和劑局方)

Emergency Five Coughs Pill

Bigeubosu-won

한글 비급오수원 · Pinyin Bei Ji Wu Sou Yuan

備急五嗽元

Composition 構成

Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

—
Chief 君

equal part
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

—
Chief 君

equal part
Jogak Zao Jiao
皂角 조각 · Gleditsia Pod

—
Deputy 臣

equal part

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 3 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 the five coughs — qi cough, fluid cough, dry cough, cold cough and evil cough — which do not stop day or night
with puffy swelling of the face and eyes and food and drink not going down

Indications 主治

Pattern-based

Cold cough unceasing with facial puffiness
The five named coughs

Biomedical correlates

Chronic cough with cor pulmonale — historical treatment

Source text 原文

Donguibogam 東醫寶鑑

一曰氣嗽, 二曰飮嗽, 三曰燥嗽, 四曰冷嗽, 五曰邪嗽, 晝夜不止, 面目浮腫, 飮食不下. 肉桂ㆍ乾薑ㆍ皂莢各等分. 右爲末, 蜜丸梧子大, 溫水下十五丸. 《局方》

Translation

The first is the qi cough, the second the fluid cough, the third the dry cough, the fourth the cold cough, the fifth the evil cough; they do not stop day or night, the face and eyes are puffy and swollen, and food and drink will not go down. Cinnamon bark, dried ginger and soap pod, in equal parts. Grind to a powder, make honey pills the size of a paulownia seed, and give fifteen down with warm water. — Hwaje Gukbang 局方 (Donguibogam · Haesu)

Clinical commentary 臨床

Three hot drugs in equal parts for a cough that never stops, in a patient whose face has begun to swell. The swelling is the detail worth keeping: puffiness of the face and eyes with an unceasing cough and loss of appetite is what a modern clinician reads as right heart failure from chronic lung disease, and the chapter's own 水喘 section describes the same picture. **Soap pod is an irritant saponin drug, emetic and purgative in quantity, and this is a historical record rather than a prescription. Facial swelling with a chronic cough needs assessment of the heart and lungs.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.