Formulas · Release the Exterior 解表 · Seui Deukhyobang (世醫得效方)

Augmented Vanquish Toxin Powder (Foot chapter)

Gamipaedok-san

한글 가미패독산  ·  Pinyin Jia Wei Bai Du San

加味敗毒散

Take 1 nyang of Insampaedok-san <span class='sochu'>— formula in the Cold Damage chapter —</span> and add rhubarb and atractylodes, 1 don each. Cut, make one packet, add 3 slices of ginger and 7 mint leaves, decoct together and take. **Note on modern practice: a hot, red, swollen ankle with fever may indicate cellulitis or septic arthritis and requires urgent medical assessment.**

Composition 構成

Total 17 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

Indications 主治

Pattern-based

  • Leg qi pouring into the three Yang channels (三陽經脚氣流注)
  • The ankle inflamed hot red and swollen (脚踝焮熱赤腫)
  • Chills and fever with spontaneous sweating

Biomedical correlates

  • Acute inflammatory ankle swelling
  • Cellulitis-type presentations — historical management
  • Leg qi with fever

Source text 原文

Donguibogam 東醫寶鑑

治三陽經脚氣流注, 脚踝焮熱赤腫, 寒熱自汗. 卽人參敗毒散 <span class='sochu'>方見寒門</span> 一兩, 加大黃ㆍ蒼朮 各一錢. 右剉, 作一貼, 入薑三片ㆍ薄荷七葉, 同煎服. 《得效》

Translation

Treats leg qi pouring into the three Yang channels, with the ankle inflamed hot, red, and swollen, chills and fever with spontaneous sweating. That is, 1 nyang of Insampaedok-san <span class='sochu'>— formula in the Cold Damage chapter —</span> with rhubarb and atractylodes added, 1 don each. Cut the above, make one packet, add 3 slices of ginger and 7 mint leaves, decoct together and take. — Deukhyo 得效 (Donguibogam · Jok)

Clinical commentary 臨床

A modification rather than a formula in its own right: the standard exterior-resolving powder with rhubarb added to open downward and atractylodes to dry the damp. The indication — an ankle hot, red, and inflamed, with fever and sweating — is one where a modern clinician would be reaching for antibiotics, and the note above says so. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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