Formulas · Clear Heat 淸熱 · Dongwon (東垣)

Clear Above and Drain Fire Decoction

Cheongsangsahwa-tang

한글 청상사화탕  ·  Pinyin Qing Shang Xie Huo Tang

淸上瀉火湯

Composition 構成

Total 34 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 reversal headache

Biomedical correlates

  • Headache with heat signs

Source text 原文

Donguibogam 東醫寶鑑

治熱厥頭痛. 柴胡 一錢, 羌活 八分, 酒黃芩ㆍ酒知母 各七分, 酒黃栢ㆍ灸甘草ㆍ黃芪 各五分, 生地黃ㆍ酒黃連ㆍ藁本 各四分, 升麻ㆍ防風 各三分半, 蔓荊子ㆍ當歸身ㆍ蒼朮ㆍ細辛 各三分, 荊芥穗ㆍ川芎ㆍ生甘草 各二分, 酒紅花 一分. 右剉, 作一貼, 水煎服. 《東垣》

Translation

Treats heat reversal headache. Bupleurum 1 don; notopterygium 8 pun; wine-fried scutellaria and wine-fried anemarrhena 7 pun each; wine-fried phellodendron, mix-fried licorice and astragalus 5 pun each; fresh rehmannia, wine-fried coptis and ligusticum 4 pun each; cimicifuga and saposhnikovia 3 pun 5 ri each; vitex fruit, angelica body, atractylodes lancea and asarum 3 pun each; schizonepeta spike, chuanxiong and raw licorice 2 pun each; wine-fried safflower 1 pun. Cut up, make one packet, decoct in water and take. — Dongwon 東垣 (Donguibogam · Du)

Clinical commentary 臨床

Nineteen medicinals descending from one don to a single pun — Dongwon at his most finely graded. 1.24's heat reversal headache is the one that worsens with warmth and eases in cold air, and every cooling medicinal here is wine-fried to reach the head. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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