Formulas · Tonify Yin 補陰 · Gogeum Uigam (古今醫鑑)

Dark Frost and Snow Pear Paste

Hyeonsangseolli-go

한글 현상설리고  ·  Pinyin Xuan Shuang Xue Li Gao

玄霜雪梨膏

Composition 構成

Total 1280 g per packet (첩) · representative dosage — verify against source texts. Excludes 7 ingredients 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

  • Cough with spitting
  • hawking and vomiting of blood; taxation of the heart stirring fire; taxation cough long unhealed

Biomedical correlates

  • Chronic haemoptysis
  • Tuberculosis

Source text 原文

Donguibogam 東醫寶鑑

治咳嗽唾咯吐血, 除勞心動火, 勞嗽久不愈. 雪梨 六十箇<span class='sochu'>去心皮, 取汁二十鍾, 酸者不用</span>, 生藕汁 十鍾, 生地黃汁 十鍾, 麥門冬(煎取汁) 五鍾, 生蘿葍汁 五鍾, 白茅根汁 十鍾. 右汁合和, 重濾去渣, 火上煎煉, 入煉蜜 一斤, 飴糖 八兩, 柿霜 八兩, 薑汁 半酒盞, 火上再熬, 如稀糊則成膏矣. 每服三五匙, 日三服, 不拘時. 《醫鑑》

Translation

Treats cough with spitting, hawking and vomiting of blood, removes fire stirred by taxation of the heart, and treats the taxation cough long unhealed. Snow pears sixty <span class='sochu'>cored and peeled, for 20 cups of juice; sour ones not used</span>; fresh lotus root juice 10 cups; fresh rehmannia juice 10 cups; ophiopogon decocted for 5 cups of liquor; fresh radish juice 5 cups; imperata root juice 10 cups. Combine the juices, strain twice to remove the dregs, and reduce over the fire; add 1 geun of boiled honey, 8 nyang of malt sugar, 8 nyang of persimmon frost and half a wine cup of ginger juice, and reduce again over the fire until it is like thin paste, and the paste is done. Take three to five spoonfuls, three times a day, at any hour. — Gogeum Uigam 醫鑑 (Donguibogam · Hyeol)

Clinical commentary 臨床

Sixty pears. The formula is a fruit syrup made in quantity — sixty cups of juice reduced with honey, malt sugar and persimmon frost to a paste that keeps — and it is meant to be taken by the spoonful for months. 勞嗽久不愈 — the taxation cough long unhealed — is chronic tuberculosis, and the chapter's answer is nourishment rather than medicine. Snow pear syrup is still sold in East Asia for exactly this. **Chronic cough with blood requires investigation for tuberculosis.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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