Formulas · Clear Heat 淸熱 · Uihak Immun (醫學入門)

Sage-Penetrating Pill, Added and Subtracted

Gagamtongseong-hwan

한글 가감통성환 · Pinyin Jia Jian Tong Sheng Wan

加減通聖丸

The leaf gives no composition of its own beyond the added sophora root: 前方 is the 加減通聖散 of the immediately preceding leaf on the same page (025a), which is registered separately. Only the added drug is listed here, as the base is carried by the cross-reference.

Composition 構成

Gosam Ku Shen
苦參 고삼 · Sophora Root

320 g
Chief 君

half a geun, added to the base formula

Total 320 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 the same as above — the opening stage of plum-blossom sores (楊梅瘡)
The preceding powder made into a pill so that it can be taken over weeks rather than days

Indications 主治

Pattern-based

Wind-heat toxin in the blood at the onset of plum-blossom sores
Damp-heat toxin needing a long course

Biomedical correlates

Early secondary syphilis — historical treatment

Source text 原文

Donguibogam 東醫寶鑑

治同上. 卽前方共半斤, 再加苦參半斤. 右爲末, 酒糊或蜜和丸梧子大, 酒飮任下七十丸. 《入門》

Translation

Treats the same as above. It is the preceding formula, half a geun in all, with a further half geun of sophora root added. Grind to powder, bind with wine paste or with honey into pills the size of a seed of the parasol tree, and take seventy pills, washed down with wine as convenient. — Immun 入門 (Donguibogam · Jechang)

Clinical commentary 臨床

This is the preceding 加減通聖散 turned into a pill, with an equal weight of sophora root (苦參) stirred in — half a geun of the powdered base against half a geun of the new drug, so the finished pill is half sophora root by weight. That is a very large proportion for one bitter cold drug, and it tells you what the compiler thought was doing the work: sophora root was the standing remedy for itching damp-heat sores and for the ringworms, and the 通聖 base supplies the wind-dispersing and blood-cooling frame around it. The reason for the change of form is practical. 天疱瘡 — plum-blossom sores, which the chapter correctly knows to be passed between men and women in the bedchamber — runs for months, and a decoction cannot be kept up that long. A wine- or honey-bound pill at seventy a dose can. None of it treats syphilis; the natural course of the disease, including the disappearance of the first crop of lesions, would have been read as the formula working. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.