Formulas · Transform Phlegm 化痰 · Seui Deukhyobang (世醫得效方)

Thin the Drool Powder

Huiyeon-san

한글 희연산  ·  Pinyin Xi Xian San

稀涎散

Composition 構成

Total 40 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

  • Wind drool blocking the throat so that the qi does not pass

Biomedical correlates

  • Acute upper airway obstruction by secretions
  • Stroke with drooling

Source text 原文

Donguibogam 東醫寶鑑

治風涎塞喉, 氣不通. 猪牙皂角 四挺(去皮子), 明白礬 一兩. 右爲末, 溫水調下半錢, 病重者一錢, 不大嘔吐, 只微微出稀冷涎一二升便醒. 《得效》 一方, 二味 等分. 又一方, 皂角ㆍ明礬ㆍ半夏 各等分 爲末, 每二錢, 白湯調下, 名曰稀涎散. 《入門》

Translation

Treats wind drool blocking the throat so that the qi does not pass. Gleditsia, four pods with skin and seeds removed; clear alum 1 nyang. Powder them and take half a don stirred into warm water, or 1 don where the disease is severe. There is no great retching — only a slight issuing of one or two seung of thin cold drool, and the patient wakes. Another formula uses the two in equal parts. A further formula of gleditsia, clear alum and pinellia in equal parts, powdered and taken 2 don at a dose in plain hot water, is also called Thin the Drool Powder. — Seui Deukhyobang 得效 (Donguibogam · To)

Clinical commentary 臨床

不大嘔吐 — no great retching — is the point of the formula and what separates it from everything else in this section. It does not empty the stomach; it thins secretions so they can be expelled, and the patient wakes. That makes it the one entry here usable in a collapsed patient, where a true emetic would be dangerous. Alum is astringent and precipitates mucus; gleditsia is acrid and opens the orifices. **Airway obstruction is a medical emergency requiring immediate attention.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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