Formulas · Release the Exterior 解表 · Jesaeng (濟生)

Tangerine Peel and Perilla Powder

Gyulso-san

한글 귤소산 · Pinyin Ju Su San

橘蘇散

The prose list at the head of 寒嗽 names this formula 橘蘇飮 while the leaf heads it 橘蘇散; both readings stand in the transcription and the leaf's form is printed here.

Composition 構成

Gyulhong Ju Hong
橘紅 귤홍 · Red Tangerine Peel

4 g
Chief 君
Jasoyeop Zi Su Ye
紫蘇葉 자소엽 · Perilla Leaf

4 g
Chief 君
Haengin Xing Ren
杏仁 행인 · Apricot Kernel

4 g
Deputy 臣
Banha Ban Xia
半夏 반하 · Pinellia

4 g
Deputy 臣

processed · toxic in the raw state
Sangbaekpi Sang Bai Pi
桑白皮 상백피 · Mulberry Root Bark

4 g
Deputy 臣
Paemo Bei Mu
貝母 패모 · Fritillaria

4 g
Deputy 臣
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

4 g
Assistant 佐
Omija Wu Wei Zi
五味子 오미자 · Schisandra

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

three slices

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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

Treats cough from cold damage with fever and sweating and a floating rapid pulse
For those who cannot take Haengja-tang

Indications 主治

Pattern-based

Wind cold cough with sweating and fever
Cough where a warming formula has not been tolerated

Biomedical correlates

Acute bronchitis with fever

Source text 原文

Donguibogam 東醫寶鑑

治傷寒咳嗽, 身熱有汗, 脉浮數, 服<a href='/formulas/haengja-tang'>杏子湯</a>不得者, 宜服此. 橘紅ㆍ紫蘇葉ㆍ杏仁ㆍ白朮ㆍ半夏ㆍ桑白皮ㆍ貝母ㆍ五味子各一錢, 甘草五分. 右剉, 作一貼, 薑三, 水煎服. 《濟生》

Translation

Treats cough from cold damage, with a hot body, sweating and a floating rapid pulse; for those who cannot take Apricot Kernel Decoction, this should be given instead. Red tangerine peel, perilla leaf, apricot kernel, white atractylodes, pinellia, mulberry root bark, fritillaria and schisandra, 1 don each; licorice, 5 fun. Cut up, make one packet, add three slices of ginger, and decoct in water. — Jesaeng 濟生 (Donguibogam · Haesu)

Clinical commentary 臨床

A second line after Haengja-tang, and the indication says exactly why: 身熱有汗, 脉浮數 — a hot body, sweating, and a floating rapid pulse. Haengja-tang is built on dried ginger, asarum and cinnamon, and a patient already hot and sweating cannot take it. This formula keeps the perilla leaf and the descending drugs, drops every warm one, and puts in fritillaria for the heat in the phlegm. It is one of the few places in the chapter where a formula is defined by the failure of another, and the reasoning is clinical rather than theoretical. **Contains pinellia, which is toxic in the raw state and must be properly processed.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.