Formulas · Transform Phlegm 化痰 · Uihak Jeonggam (醫學正傳)

Clear the Spirit and Resolve Speech Decoction

Cheongsin-haeeo-tang

한글 청신해어탕 · Pinyin Qing Shen Jie Yu Tang

淸神解語湯

The three-day alum-ginger-gleditsia soak for arisaema and pinellia is given in the formula itself rather than assumed. The three liquids added at the end — boy's urine, ginger juice and bamboo sap — are not weighed.

Composition 構成

Namseong Tian Nan Xing
天南星 천남성 · Arisaema

4 g
Chief 君

soaked three days with alum
Banha Ban Xia
半夏 반하 · Pinellia

4 g
Chief 君

soaked three days with alum
Danggui Dang Gui
當歸 당귀 · Korean Angelica

2 g
Deputy 臣
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

2 g
Deputy 臣
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

2 g
Deputy 臣
Saengjihwang Sheng Di Huang
生地黃 생지황 · Raw Rehmannia

2 g
Deputy 臣
Maekmundong Mai Men Dong
麥門冬 맥문동 · Liriope

2 g
Deputy 臣
Wonji Yuan Zhi
遠志 원지 · Polygala

2 g
Assistant 佐
Seokchangpo Shi Chang Pu
石菖蒲 석창포 · Acorus

2 g
Assistant 佐
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

2 g
Assistant 佐
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

2 g
Assistant 佐
Oyak Wu Yao
烏藥 오약 · Lindera

2 g
Assistant 佐
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

2 g
Assistant 佐
Hwangryeon Huang Lian
黃連 황련 · Coptis

2 g
Assistant 佐
Bangpung Fang Feng
防風 방풍 · Siler

2 g
Assistant 佐
Ganghwal Qiang Huo
羌活 강활 · Notopterygium

2 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

2 g
Envoy 使
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices
Jukyeo Zhu Ru
竹茹 죽여 · Bamboo Shavings

—
Envoy 使

one ball

Total 38 g per packet (첩) · representative dosage — verify against source texts. Excludes 2 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 wind stroke with phlegm confusing the orifice of the heart
Clears phlegm heat and restores speech and consciousness

Indications 主治

Pattern-based

Phlegm confusing the orifice of the heart with halting speech
Phlegm heat with loss of consciousness

Biomedical correlates

Aphasia after stroke
Delirium with stroke

Source text 原文

Donguibogam 東醫寶鑑

治中風痰迷心竅, 言語蹇澁, 或不省人事. 南星ㆍ半夏(二味, 同白礬ㆍ生薑ㆍ皂角水浸三日, 曬乾) 各一錢, 當歸ㆍ川芎ㆍ白芍藥ㆍ生地黃ㆍ麥門冬ㆍ遠志ㆍ石菖蒲ㆍ陳皮ㆍ白茯苓ㆍ烏藥ㆍ枳實ㆍ黃連ㆍ防風ㆍ羌活ㆍ甘草各五分. 右剉, 作一貼, 入薑三片, 竹茹一團, 水煎, 入童便ㆍ薑汁ㆍ竹瀝調服. 《醫鑑》

Translation

Treats wind stroke with phlegm confusing the orifice of the heart, speech halting and rough, or loss of consciousness. Arisaema and pinellia — the two soaked for three days in water with alum, fresh ginger and gleditsia pod, then sun-dried — 1 don each; tangkuei, chuanxiong, white peony, raw rehmannia, ophiopogon, polygala, acorus, tangerine peel, poria, lindera, bitter orange, coptis, saposhnikovia, notopterygium and licorice, 5 fun each. Cut up, make one packet, add three slices of ginger and one ball of bamboo shavings, decoct in water, and take stirred with boy's urine, ginger juice and bamboo sap. — Uihak Jeonggam 醫鑑 (Donguibogam · Pung)

Clinical commentary 臨床

Seventeen drugs and three added liquids, which makes it the broadest of the speech formulas and the one that tries to cover every mechanism at once: phlegm cleared with arisaema, pinellia, bamboo and coptis; blood nourished with the four-substance group; orifices opened with polygala and acorus; wind dispelled with saposhnikovia and notopterygium. Formulas built this way tend to be weak everywhere, and the Jeonggam's own framing — phlegm confusing the orifice of the heart — points at the two or three drugs that matter. The processing instruction is the most useful line in the entry: it shows what a competent hand did to arisaema and pinellia before using them together at a full don each. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.