Formulas · Purge Downward 瀉下 · Junggyeong (仲景)
Major Chest-Draining Decoction
Daehamhyung-tang
한글 대함흉탕 · Pinyin Da Xian Xiong Tang
Composition 構成
- Daehwang大黃 대황 · Rhubarb12 g
Chief 君 - Mangcho芒硝 망초 · Mirabilite8 g
Chief 君 - Gamsu甘遂 감수 · Kansui (toxic)2 g
Chief 君powdered · toxic
Total 22 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
- Drives out water and heat bound in the chest
- Purges a major chest bind
Indications 主治
Pattern-based
- Major chest bind with hard painful fullness from the chest to the abdomen
- Water and heat struggling below the heart
Biomedical correlates
- Pleural effusion with empyema
- Peritonitis with effusion
Source text 原文
Donguibogam 東醫寶鑑
治大結胸. 大黃 三錢, 芒硝 二錢, 甘遂末 五分. 右剉, 分二貼, 每取一貼, 先煎大黃至六分, 納硝再煎一二沸, 去滓, 納甘遂末攪服. 得快利止後服. 《仲景》
Translation
Treats a major chest bind. Rhubarb, 3 don; mirabilite, 2 don; powdered kansui, 5 fun. Cut up and divide into two packets. For each packet, first decoct the rhubarb down to six parts, add the mirabilite and bring to a boil once or twice more, strain, then stir in the kansui powder and take. Once a free purge is obtained, stop and do not take the rest. — Junggyeong 仲景 (Donguibogam · Han, lower)