Formulas · Purge Downward 瀉下 · Jikji (直指)

Rhubarb Drink

Daehwang-eumja

한글 대황음자 · Pinyin Da Huang Yin Zi

大黃飮子

Composition 構成

Saengjihwang Sheng Di Huang
生地黃 생지황 · Raw Rehmannia

8 g
Chief 君
Daehwang Da Huang
大黃 대황 · Rhubarb

4 g
Chief 君

roasted in dough
Haengin Xing Ren
杏仁 행인 · Apricot Kernel

4 g
Deputy 臣
Chija Zhi Zi
梔子 치자 · Gardenia

4 g
Deputy 臣
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

2 g
Deputy 臣
Jigak Zhi Qiao
枳殼 지각 · Bitter Orange

4 g
Assistant 佐
Insam Ren Shen
人蔘 인삼 · Ginseng

2 g
Assistant 佐
Seungma Sheng Ma
升麻 승마 · Cimicifuga

4 g
Envoy 使
Gamcho Gan Cao
甘草 감초 · Licorice

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

—
Envoy 使

five slices
Damdusi Dan Dou Chi
淡豆豉 담두시 · Prepared Soybean

—
Envoy 使

twenty-one fermented soybeans
Omae Wu Mei
烏梅 오매 · Mume Plum

—
Envoy 使

one fruit

Total 34 g per packet (첩) · representative dosage — verify against source texts. Excludes 3 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 heat dryness with the stool not passing

Indications 主治

Pattern-based

Heat dryness in the intestines with obstructed stool

Biomedical correlates

Constipation with fever

Source text 原文

Donguibogam 東醫寶鑑

治熱燥大便不通. 生地黃二錢, 大黃(煨)ㆍ杏仁ㆍ梔子ㆍ升麻ㆍ枳殼各一錢, 人參ㆍ黃芩ㆍ甘草各五分. 右剉, 作一貼, 入薑五片, 豉二十一粒, 烏梅一箇, 同煎服. 《直指》

Translation

Treats heat dryness with the stool not passing. Raw rehmannia, 2 don; rhubarb roasted in dough, apricot kernel, gardenia, cimicifuga and bitter orange, 1 don each; ginseng, scutellaria and licorice, 5 fun each. Cut up, make one packet, add five slices of ginger, twenty-one fermented soybeans and one mume plum, and decoct together. — Jikji 直指 (Donguibogam · Daebyeon)

Clinical commentary 臨床

Rhubarb roasted in dough rather than used raw, which moderates it, in a formula otherwise built to cool and moisten — rehmannia leading, gardenia and scutellaria behind it, ginseng to hold the qi. The fermented soybean and mume plum at the end are the Jikji's way of keeping the stomach settled under five cold drugs. For a febrile patient with a dry bound stool it is a careful prescription. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.