Formulas · Purge Downward 瀉下 · Manbyeong Hoechun (萬病回春)

Thousand-Gold Rhaponticum Decoction

Cheongeumnuro-tang

한글 천금누로탕  ·  Pinyin Qian Jin Lou Lu Tang

千金漏蘆湯

The transcription writes 白歛 for 白斂, the headword under which ampelopsis is registered, normalized here. 癕, 𤍠 and 為 are given above as 癰, 熱 and 爲.

Composition 構成

Total 40 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

Indications 主治

Pattern-based

  • 癰疽 and 發背 (abscess, and effusion on the back)
  • Heat toxin with malign swelling (熱毒惡腫)
  • A repleted body in the early days of the swelling

Biomedical correlates

  • Carbuncle of the back and other deep pyogenic skin infection — historical
  • Febrile cellulitis with spreading swelling

Source text 原文

Donguibogam 東醫寶鑑

治癰疽發背, 熱毒惡腫. 大黃 二錢, 漏蘆ㆍ連翹ㆍ麻黃ㆍ升麻ㆍ赤芍藥ㆍ黃芩ㆍ枳殼ㆍ白斂ㆍ白芨ㆍ甘草 各八分. 右剉, 作一貼, 水煎服, 以通利爲度. 《回春》

Translation

Treats abscess and deep-rooted sore with effusion on the back, heat toxin and malign swelling. Rhubarb, 2 don; rhaponticum, forsythia, ephedra, cimicifuga, red peony, scutellaria, bitter orange peel, ampelopsis, bletilla and licorice, 8 fun each. Cut the above, make one packet, decoct in water and take, taking free passage as the measure. — Hoechun 回春 (Donguibogam · Ongjeo)

Clinical commentary 臨床

One of the three formulas the method leaf sends for at the outset when the body is repleted — on an abscess just effusing in a strong patient, hurry to give Ohyangyeongyo-tang or Cheongeumnuro-tang, it says, and in the young and robust Oridaehwang-tang or Hwadok-dan to get one or two free movements of the bowel. All of these sit on the draining side of the chapter's central pair, opposite the 托裏 and 內托 formulas that supplement a depleted body so the pus is thrust outward. Which side a case belongs to is decided by the strength of the patient and the stage of the swelling, not by the swelling alone, and that is the useful thing the chapter has to teach. Rhubarb leads at 2 don with everything else level at 8 fun, so the structure is one purgative under a flat field of ten. Rhaponticum and forsythia are the drugs the tradition reaches for on a hot swelling; ephedra and cimicifuga push outward through the surface while the rhubarb pulls down, which is the 發表攻裏兼行 of the method leaf in one prescription; ampelopsis and bletilla are the pair used on a sore that has not yet opened. The name is the Cheongeumbang's, but the Bogam takes the leaf from the Hoechun. As with the rest of the draining group, 以通利爲度 is the dose instruction and not a claim of cure. A carbuncle of the back in a febrile patient is a surgical and antibiotic problem, and purging will not reach it. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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