Formulas · Stop Cough & Wheeze 止咳平喘 · Dangye Simbeop (丹溪心法)

Apricot Kernel and Perilla Decoction

Haengso-eum

한글 행소음  ·  Pinyin Xing Su Yin

杏蘇飮

Composition 構成

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

Indications 主治

Pattern-based

  • Panting cough with oedema
  • Water and phlegm in the lung with wheeze

Biomedical correlates

  • Wheeze with oedema — cor pulmonale or heart failure

Source text 原文

Donguibogam 東醫寶鑑

治上氣喘嗽浮腫. 紫蘇葉 二錢, 紫菀ㆍ甘草 各一錢, 陳皮ㆍ桔梗ㆍ麻黃ㆍ桑白皮ㆍ阿膠珠 各七分半, 五味子ㆍ大腹皮ㆍ烏梅肉ㆍ杏仁 各五分. 右剉, 作一貼, 入薑五片, 水煎服. 《丹心》

Translation

Treats qi rising with panting cough and puffy swelling. Perilla leaf, 2 don; aster and licorice, 1 don each; tangerine peel, platycodon, ephedra, mulberry root bark and ass-hide glue rolled to pearls, 7 fun 5 ri each; schisandra, areca husk, smoked plum flesh and apricot kernel, 5 fun each. Cut up, make one packet, add five slices of ginger and decoct in water. — Dangye Simbeop 丹心 (Donguibogam · Haesu)

Clinical commentary 臨床

浮腫 — puffy swelling — alongside the panting is what this formula is for, and it is the combination the chapter calls 水喘: wheeze with oedema. The ephedra and perilla leaf open the surface, mulberry root bark and areca husk move the water, and the glue and smoked plum keep a drying formula from stripping a patient who is already short of fluid in the blood while waterlogged in the tissue. Wheeze with swelling of the legs and face is cor pulmonale or heart failure to a modern examiner, and the chapter's own section on it reasons in the same direction: 喘必生脹, 脹必生喘 — panting breeds distension and distension breeds panting. **Contains ephedra, which is a sympathomimetic and raises blood pressure and heart rate; in a patient with heart failure it is dangerous and must not be used.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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