Formulas · Transform Phlegm 化痰 · Dansim (丹心)

Rosy Heaven Paste

Hacheon-go

한글 하천고  ·  Pinyin Xia Tian Gao

霞天膏

The preparation is given in full in the Ejection chapter's 霞天膏 section, from the Bihwa, and is entered here from it; an earlier version of this entry recorded no composition because the chapter text was incomplete. The weight is entered as 18 kg of beef, the midpoint of 四五十斤, which renders about 1.5 kg of paste. First-edition collation: the first edition reads 五六寸, the depth of water over the meat, where the transcription reads 五六日.

Composition 構成

Total 18000 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

  • Vacuity phlegm and old phlegm, gluey and lodged in the chest
  • Phlegm clinging along the stomach and intestines
  • Phlegm accumulation in wasting, drum distension and dysphagia

Biomedical correlates

  • Chronic phlegm accumulation in debilitated patients
  • Adjunct in cachexia with phlegm retention

Source text 原文

Donguibogam 東醫寶鑑

此方卽倒倉古法, 傳自西域異人. 黃牯牛一具, 選純黃肥澤無病纔二三歲者, 宰取四腿項脊, 去筋膜, 將精肉切成塊如栗子大, 秤四五十斤, 於靜室大鍋中以長流水不時攪動, 水耗則旋添熱湯, 常使水淹肉至五六寸, 五六日掠去浮沫, 直至肉爛如泥, 濾去滓, 將汁再入小銅鍋, 用桑柴文武火煮, 不住手攪, 不添熱湯, 只用汁煮, 漸如稀餳, 滴水中不散, 色如琥珀, 其膏成矣. 火候最要用心, 否則壞矣. 大段每肉十二斤煉膏一斤爲度, 磁器盛之, 是名霞天膏也. 用調藥劑, 初少漸多, 沸熱自然熔化; 用和丸劑則每三分攙白麪一分同煮成糊, 或用煉蜜. 寒天久收若生黴, 用重湯煮過; 熱天則冷水窨之, 可留三日. 《飛霞》

Translation

This formula is the old method of overturning the granary, handed down from a man of marvels in the western regions. One yellow bull, of a pure yellow, fat and glossy and free of disease, barely two or three years old: take the four legs, the neck and the spine, strip off sinew and membrane, cut the lean flesh into chestnut-sized pieces and weigh out forty or fifty geun. Boil in long-running water in a large pot in a quiet room, stirring from time to time and adding hot water so that the water always covers the flesh by five or six chon; skim the scum for five or six days until the flesh breaks down like mud. Strain off the residue, put the juice in a small copper pot and boil over a mulberry-wood fire, stirring without stopping and adding no water, until it is like thin malt syrup and a drop does not disperse in water, the colour of amber — and the paste is made. The watching of the fire needs the greatest care or it is spoiled. As a rule twelve geun of flesh renders one geun of paste. Store it in porcelain: this is Rosy Sky Paste. — Bihwa 飛霞 (Donguibogam · To)

Clinical commentary 臨床

This entry earns its place less for the paste than for the six-line summary attached to it, which is the closest thing the chapter has to a treatment algorithm — six methods, each with its named pair, sorted by what the phlegm is doing rather than where it sits. Dry it, disperse it, percolate it, downbear it, free it, moisten it downward. The paste itself is beef reduced to a concentrate, and the reason it is worth having is stated plainly: it dislodges phlegm without the depletion that a purge would cause, so it can be folded into supplementing formulas for patients too weak to be attacked. Overturn the Granary, mentioned as the harsher comparison, is the beef-broth flooding method of the Danxi tradition. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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