Formulas · Harmonize 和解 · Junggyeong (仲景)

Aconite Heart-Draining Decoction

Bujasasim-tang

한글 부자사심탕 · Pinyin Fu Zi Xie Xin Tang

附子瀉心湯

Composition 構成

Daehwang Da Huang
大黃 대황 · Rhubarb

8 g
Chief 君

cut up and steeped, not decocted
Buja Fu Zi
附子 부자 · Prepared Aconite

8 g
Chief 君

blast-fried and decocted separately · toxic
Hwangnyeon Huang Lian
黃連 황련 · Coptis

8 g
Deputy 臣

cut up and steeped, not decocted
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

8 g
Deputy 臣

cut up and steeped, not decocted

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

Drains heat from the epigastrium while warming the yang
Resolves a stuffiness that comes with cold sweating

Indications 主治

Pattern-based

Epigastric stuffiness with heat above and yang collapse below
Stuffiness below the heart with spontaneous sweating and aversion to cold

Biomedical correlates

Functional dyspepsia with autonomic instability
Epigastric fullness with hypotension

Source text 原文

Donguibogam 東醫寶鑑

大黃ㆍ黃連ㆍ黃芩各二錢(剉), 附子(炮) 二錢(別煮作汁). 右取百沸湯一盞, 入三味漬之, 良久去滓, 納附子汁, 分溫再服. 《仲景》

Translation

Rhubarb, coptis and scutellaria, 2 don each, cut up; blast-fried aconite, 2 don, decocted separately to a liquor. Take a cup of water brought to a hundred boils, steep the three drugs in it, after a good while strain them off, add the aconite liquor, and take warm in two divided doses. — Junggyeong 仲景 (Donguibogam · Han, lower)

Clinical commentary 臨床

One of the most deliberate preparations in Zhongjing, and the method is the formula. The three cold drugs are steeped in just-boiled water and strained — never decocted — so that only their light, surface-clearing portion comes out; the aconite is decocted hard and separately, so its warming substance comes out fully. Then the two are combined. The pattern needs opposite things at once: heat bound in the epigastrium above, yang failing below, evidenced by sweating and chill in a patient who also has stuffiness. Decoct them together and you lose both effects. Aconite is toxic and requires a properly processed product and a trained prescriber. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.