Formulas · Release the Exterior 解表 · Seui Deukhyobang (世醫得效方)

Schizonepeta and Siler Overcome Toxin Powder (Epidemic chapter)

Hyeongbangpaedok-san

한글 형방패독산 · Pinyin Jing Fang Bai Du San

荊防敗毒散

This is the only leaf in the transcription that prints the composition of 荊防敗毒散 in full. The Cold Damage chapter gives the name only as a variant at the foot of the Insampaedok-san leaf (加荊芥穗 · 防風等分), and the twelve drugs here agree with that definition, ginseng included. The entry registered as hyeongbangpaedok-san carries the modern Korean clinical composition, which omits the ginseng, so the two are kept apart.

Composition 構成

Hyeonggae Jing Jie
荊芥 형개 · Schizonepeta

4 g
Chief 君
Bangpung Fang Feng
防風 방풍 · Siler

4 g
Chief 君
Ganghwal Qiang Huo
羌活 강활 · Notopterygium

4 g
Deputy 臣
Dokhwal Du Huo
獨活 독활 · Aralia

4 g
Deputy 臣
Siho Chai Hu
柴胡 시호 · Bupleurum

4 g
Deputy 臣
Jeonho Qian Hu
前胡 전호 · Peucedanum

4 g
Deputy 臣
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

4 g
Deputy 臣
Jigak Zhi Qiao
枳殼 지각 · Bitter Orange

4 g
Assistant 佐
Gilgyeong Jie Geng
桔梗 길경 · Platycodon

4 g
Assistant 佐
Jeokbongnyeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

4 g
Assistant 佐
Insam Ren Shen
人蔘 인삼 · Ginseng

4 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

2 g
Envoy 使

Total 46 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

Treats epidemic disease and the big-head epidemic (大頭瘟)
Releases the exterior and vents toxin towards the head and skin

Indications 主治

Pattern-based

Epidemic disease (瘟疫) with aching and fever
Big-head epidemic (大頭瘟) with the head and face swollen

Biomedical correlates

Febrile epidemic illness with myalgia
Swelling of the head and face in an infectious illness — mumps, facial cellulitis or erysipelas

Source text 原文

Donguibogam 東醫寶鑑

治瘟疫及大頭瘟. 羌活ㆍ獨活ㆍ柴胡ㆍ前胡ㆍ赤茯苓ㆍ人參ㆍ枳殼ㆍ桔梗ㆍ川芎ㆍ荊芥ㆍ防風各一錢, 甘草五分. 右剉, 作一貼, 水煎服. 《得效》

Translation

Treats epidemic disease and the big-head epidemic. Notopterygium, pubescent angelica, bupleurum, peucedanum, red poria, ginseng, bitter orange, platycodon, chuanxiong, schizonepeta and saposhnikovia, 1 don each; licorice, 5 fun. Cut up, make one packet, and decoct in water. — Deukhyo 得效 (Donguibogam · On)

Clinical commentary 臨床

Insampaedok-san with schizonepeta and saposhnikovia added, which is precisely how the Cold Damage chapter defines the name — and here it is printed out in full: twelve drugs, eleven at a don and licorice at five fun. The two added drugs are the lightest and most surface-directed of the wind medicinals, and they shift a formula built for aching limbs towards the head and the skin. That shift is why the indication reaches the big-head epidemic, in which the head and face swell. Whether the chapter means mumps, a spreading facial cellulitis or an erysipelas cannot be settled from the text, and the formula was given for all of them. A hot, swollen, spreading face is not something to treat at home. Still in daily use in Korea, where it is the standard opening prescription for acute eruptive skin complaints — though the clinical version generally drops the ginseng that the Bogam keeps. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.