Formulas · Purge Downward 瀉下 · Seui Deukhyobang (世醫得效方)

Sophora Powder

Gosam-san

한글 고삼산  ·  Pinyin Ku Shen San

苦參散

Composition 構成

Total 70 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

  • Sudden shivering with no apparent cause
  • the skin throwing off a dust like spent yeast
  • urine red and rough
  • stool bound
  • no medicine clearing it
  • so that it becomes a long-standing jaundice

Biomedical correlates

  • Chronic jaundice
  • Cholestatic liver disease

Source text 原文

Donguibogam 東醫寶鑑

治人無故忽然振寒, 皮膚麴塵出, 小便赤澁, 大便秘, 諸藥不除, 因爲久黃. 葶藶子(炒) 五錢, 苦參ㆍ黃連ㆍ瓜蔕ㆍ黃柏ㆍ大黃 各二錢半. 右爲末, 每一錢, 米飮調服, 當吐下, 消息服之. 《得效》

Translation

Treats a person who without cause suddenly shivers with cold, the skin throwing off a dust like spent yeast, the urine red and rough, the stool bound, no medicine clearing it, so that it becomes a long-standing jaundice. Lepidium seed (stir-fried) 5 don; sophora, coptis, melon stalk, phellodendron and rhubarb 2.5 don each. Powder them and take 1 don at a time stirred into rice broth; vomiting and purging should follow, and the dose is adjusted according to how it goes. — Seui Deukhyobang 得效 (Donguibogam · Hwangdal)

Clinical commentary 臨床

皮膚麴塵出 — the skin throwing off a dust like spent yeast — is a striking description and an accurate one. Chronic cholestasis dries and scales the skin, and the yellow-grey flaking is exactly what the image conveys. 消息服之 — adjust the dose according to how it goes — is the instruction that matters. The formula is titrated against the response rather than given at a fixed course. **Contains melon stalk, an emetic, with rhubarb and lepidium. Not suitable for self-administration.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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