寶鑑Bogam

Formulas · Transform Phlegm 化痰 · Manbyeong Hoechun (萬病回春)

Clear Fire and Transform Phlegm Decoction

Cheonghwahwadam-tang

한글 청화화담탕  ·  Pinyin Qing Huo Hua Tan Tang

淸火化痰湯

Composition 構成

Total 54.8 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

  • Heat phlegm bound in the chest and diaphragm
  • Phlegm that cannot be coughed up
  • Fullness and oppression with pain

Biomedical correlates

  • Bronchitis with tenacious sputum
  • Retrosternal congestion with pleuritic pain

Source text 原文

Donguibogam 東醫寶鑑

治熱痰結在胸膈, 咯吐不出, 滿悶作痛, 名痰結. 半夏(製)ㆍ陳皮ㆍ赤茯苓 各一錢, 䓀莄ㆍ枳殼ㆍ瓜蔞仁 各七分, 黃連ㆍ黃芩ㆍ梔子ㆍ貝母ㆍ蘇子ㆍ桑白皮ㆍ杏仁ㆍ芒硝 各五分, 木香ㆍ甘草 各三分. 右剉, 作一貼, 薑 三片, 同煎至半, 納芒硝熔化, 去滓, 又入竹瀝, 薑汁調服. 《回春》

Translation

Treats heat phlegm bound in the chest and diaphragm, which cannot be coughed up, with fullness, oppression and pain — the condition called bound phlegm. Pinellia (processed), tangerine peel and red poria 1 don each; platycodon, bitter orange and trichosanthes seed 7 pun each; coptis, scutellaria, gardenia, fritillaria, perilla seed, mulberry root bark, apricot kernel and mirabilite 5 pun each; costus and licorice 3 pun each. Cut up, make one packet, add 3 slices of ginger, decoct together until reduced by half, add the mirabilite and let it melt in, strain, then stir in bamboo sap and ginger juice and take. — Manbyeong Hoechun 回春 (Donguibogam · Damum)

Clinical commentary 臨床

Mirabilite is added after the decoction has been reduced and strained, never boiled with the rest. Salty and cold, it softens what has hardened, and heat would drive off the property being relied on — the same reasoning that puts bamboo sap in last. Mulberry root bark and perilla seed direct the lung downward, apricot kernel frees the qi, and the whole upper half of the formula is aimed at phlegm that has set in the chest rather than phlegm still in motion. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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