After Completion Toxin-Resolving Decoction

Gijehaedok-tang

한글 기제해독탕 · Pinyin Ji Ji Jie Du Tang

旣濟解毒湯

並 is printed as the transcription has it.

Composition 構成

Daehwang Da Huang
大黃 대황 · Rhubarb

4 g
Chief 君

wine-roasted in embers
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

4 g
Chief 君

wine-stir-fried
Hwangnyeon Huang Lian
黃連 황련 · Coptis

4 g
Chief 君

wine-stir-fried
Yeongyo Lian Qiao
連翹 연교 · Forsythia

2 g
Deputy 臣
Gilgyeong Jie Geng
桔梗 길경 · Platycodon

4 g
Assistant 佐
Danggwi Dang Gui
當歸 당귀 · Korean Angelica

2 g
Assistant 佐

the body of the root
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使
Seungma Sheng Ma
升麻 승마 · Cimicifuga

2 g
Envoy 使
Siho Chai Hu
柴胡 시호 · Bupleurum

2 g
Envoy 使

Total 28 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

Clears heat toxin from the head and face and drains it through the stool
Resolves toxin and disperses red swelling with pain

Indications 主治

Pattern-based

Epidemic swelling of the head (天行大頭瘟)
Head and face red, swollen and painful

Biomedical correlates

Epidemic illness with red painful swelling of the head and face
Febrile facial and cervical soft-tissue swelling with constipation

Source text 原文

Donguibogam 東醫寶鑑

治天行大頭瘟, 頭面赤腫而痛. 大黃(酒煨)ㆍ黃芩ㆍ黃連(並酒炒)ㆍ桔梗ㆍ甘草各一錢, 升麻ㆍ柴胡ㆍ連翹ㆍ當歸身各五分. 右剉, 作一貼, 水煎服. 《丹心》

Translation

Treats epidemic swelling of the head that goes about with the season, the head and face red, swollen and painful. Rhubarb roasted in embers with wine, scutellaria and coptis both wine-stir-fried, platycodon and licorice, 1 don each; cimicifuga, bupleurum, forsythia and the body of the angelica root, 5 fun each. Cut up, make one packet, decoct in water and take. — Dansim 丹心 (Donguibogam · On)

Clinical commentary 臨床

The short, workable version of the same idea as Bojesodok-eumja: the three bitter colds at parity with platycodon and licorice, and the four light-rising drugs at half that weight to take the action to the head. The difference is rhubarb, roasted in embers with wine so that it still moves the stool but less harshly, and it sits at the top of the list. Where the Dongwon prescription sips a powder at the swelling, this one opens a way out below. The name is from the Yijing hexagram 旣濟, After Completion — fire below water, the two in their right places. Whether that was meant as a statement about the drugs or simply as a good name for a prescription, the formula does put water over fire. It is a nine-drug decoction with nothing hazardous in it, which makes it one of the few leaves in this chapter that could be read as pharmacology rather than history. **Red swelling of the face and neck in a febrile patient still needs assessment for a bacterial infection.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.