Formulas · Purge Downward 瀉下 · Uihak Immun (醫學入門)

Major Chuanxiong and Scutellaria Decoction

Dae-gunghwang-tang

한글 대궁황탕 · Pinyin Da Xiong Huang Tang

大芎黃湯

微利爲度 — a slight loosening as the measure — is the standard endpoint for a purge in the cold-damage tradition and is kept here.

Composition 構成

Daehwang Da Huang
大黃 대황 · Rhubarb

8 g
Chief 君
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

8 g
Chief 君
Ganghwal Qiang Huo
羌活 강활 · Notopterygium

8 g
Deputy 臣
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

4 g
Deputy 臣

Total 28 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

Treats lockjaw entered the interior with both stools bound
urine red and sweating that will not stop
Purged to the measure of a slight loosening

Indications 主治

Pattern-based

Wind toxin in the interior with repletion and constipation
Lockjaw with interior heat bind

Biomedical correlates

Tetanus with autonomic instability
Wound sepsis with ileus

Source text 原文

Donguibogam 東醫寶鑑

治破傷風入裏, 二便秘ㆍ小便赤ㆍ自汗不止. 川芎一錢, 大黃ㆍ羌活ㆍ黃芩各二錢. 右剉, 作一貼, 水煎服, 以下之微利爲度. 《入門》

Translation

Treats lockjaw that has entered the interior, with both stools bound, the urine red and sweating that will not stop. Chuanxiong, 1 don; rhubarb, notopterygium and scutellaria, 2 don each. Cut up, make one packet and decoct in water; purge to the measure of a slight loosening. — Uihak Immun 入門 (Donguibogam · Pung)

Clinical commentary 臨床

The interior stage, and the minor formula inverted: chuanxiong drops to a third of its weight and rhubarb comes in at full. The endpoint is the right one — purge until the stool loosens slightly and no further — and the indication is a coherent picture of a patient with bound bowels, dark urine and continuous sweating. In tetanus that combination is autonomic dysfunction, and purging it would be harmful; as a model of staged treatment, though, the three formulas of this section are the clearest in the chapter. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.