Peach Kernel Decoction for the Delusion Pattern

Chihokdoin-tang

한글 치혹도인탕 · Pinyin Zhi Huo Tao Ren Tang

治惑桃仁湯

Composition 構成

Doin Tao Ren
桃仁 도인 · Peach Kernel

8 g
Chief 君
Goegakja Huai Jiao Zi
槐角子 괴각자 · Pagoda Tree Fruit

8 g
Deputy 臣

crushed
Aeyeop Ai Ye
艾葉 애엽 · Mugwort Leaf

8 g
Deputy 臣
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices
Daejo Da Zao
大棗 대조 · Jujube

—
Envoy 使

two dates

Total 24 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

Kills worms and heals ulceration
Moves the blood of a sore that will not close

Indications 主治

Pattern-based

Fox-delusion pattern with sores of the throat and the genitals
Worm toxin with ulceration

Biomedical correlates

Behçet's disease
Aphthous ulceration with genital involvement

Source text 原文

Donguibogam 東醫寶鑑

治同上. 桃仁ㆍ槐子(碎)ㆍ艾葉各二錢. 右剉, 作一貼, 入薑三, 棗二, 水煎, 空心服. 《得效》

Translation

Treats the same as the above. Peach kernel; pagoda tree fruit, crushed; and mugwort leaf, 2 don each. Cut up, make one packet, add three slices of ginger and two dates, decoct in water and take on an empty stomach. — Deukhyo 得效 (Donguibogam · Han, lower)

Clinical commentary 臨床

Three drugs where the preceding formula used five, and the reasoning is narrower: no cooling at all, only worm-killing and blood-moving. Pagoda tree fruit is the classical drug for sores of the lower orifices and still the standard one for haemorrhoids; mugwort was burnt and taken against worms across the whole East Asian tradition; peach kernel opens the blood of a lesion that has stopped healing. Where 黃連犀角湯 reads the fox-delusion pattern as heat toxin, this one reads it as worms in a cold, stagnant lower burner — the same disease approached from the other side, and the Bogam prints both without choosing. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.