Tao's Half-and-Half Red-Guiding Decoction

Dossi-dojeokgakban-tang

한글 도씨도적각반탕 · Pinyin Tao Shi Dao Chi Ge Ban Tang

陶氏導赤各半湯

Rhinoceros horn is a CITES Appendix I material and its trade is prohibited; water buffalo horn 水牛角 is the standard substitute at five to ten times the dose. 生芐汁 is fresh rehmannia juice, 芐 being an old graph for 地黃.

Composition 構成

Hwangnyeon Huang Lian
黃連 황련 · Coptis

4 g
Chief 君
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

4 g
Deputy 臣
Chija Zhi Zi
梔子 치자 · Gardenia

4 g
Deputy 臣
Jimo Zhi Mu
知母 지모 · Anemarrhena

4 g
Deputy 臣
Maengmundong Mai Men Dong
麥門冬 맥문동 · Liriope

4 g
Deputy 臣
Seogak Xi Jiao
犀角 서각 · Rhinoceros Horn (prohibited)

4 g
Deputy 臣

CITES
Insam Ren Shen
人蔘 인삼 · Ginseng

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

—
Deputy 臣

three spoonfuls of the pressed juice, added at the end
Boksin Fu Shen
茯神 복신 · Poria with hostwood

4 g
Assistant 佐
Hwalseok Hua Shi
滑石 활석 · Talc

4 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

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

—
Envoy 使

one slice
Daejo Da Zao
大棗 대조 · Jujube

—
Envoy 使

two dates
Deungsimcho Deng Xin Cao
燈心草 등심초 · Rush Pith

—
Envoy 使

a handful

Total 38 g per packet (첩) · representative dosage — verify against source texts. Excludes 4 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

Drains heat from the heart through the urine
Rouses a patient left dull after the fever has broken

Indications 主治

Pattern-based

Dullness and heaviness after recovery from cold damage
Residual heat in the heart and small intestine clouding the spirit

Biomedical correlates

Post-infectious cognitive clouding
Delirium resolving slowly after fever

Source text 原文

Donguibogam 東醫寶鑑

治差後昏沉. 黃芩ㆍ黃連ㆍ梔子ㆍ知母ㆍ麥門冬ㆍ茯神ㆍ犀角ㆍ人參ㆍ滑石各一錢, 甘草五分. 右剉, 作一貼, 入薑一片, 棗二枚, 燈心一握, 煎, 入生芐汁三匙服. 《入門》 ○一名瀉心導赤散. 《回春》

Translation

Treats dullness and heaviness after recovery. Scutellaria, coptis, gardenia, anemarrhena, ophiopogon, poria with the heartwood, rhinoceros horn, ginseng and talc, 1 don each; licorice, 5 fun. Cut up, make one packet, add one slice of ginger, two dates and a handful of juncus, decoct, and take with three spoonfuls of fresh rehmannia juice stirred in. — Immun 入門 ○ Also called <span class='sochu'>Sasim-dojeok-san</span> 瀉心導赤散. — Hoechun 回春 (Donguibogam · Han, lower)

Clinical commentary 臨床

Half a heart-draining formula and half a red-guiding one, which is what the name says: the three cold drugs above and the draining route below, joined in one cup. The pattern is the patient whose fever has broken but who stays dull and heavy — heat left in the heart with nowhere to go — and the solution is to give it an exit through the urine, which is what juncus and talc do. Poria with the heartwood retained quiets the spirit; ginseng, ophiopogon and the rehmannia juice replace what the fever spent. The rehmannia juice stirred in at the end rather than decocted keeps its cooling, moistening part intact, which is the same reasoning as in the lily formulas. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.