Formulas · Clear Heat 淸熱 · Uihak Immun (醫學入門)

Pear Juice Drink

Ijang-eum

한글 이장음 · Pinyin Li Jiang Yin

梨漿飮

治同上 points back to 甘露飮 and its 潮熱, the leaf immediately before this one. The transcription writes 秦芃 where the drug is 秦艽; the form is carried in the corpus alias table and is printed here as transcribed. 生地黃一寸 is measured by length rather than weight, as is 生梨一片 by count — neither is given grams.

Composition 構成

Cheongho Qing Hao
靑蒿 청호 · Sweet Wormwood

0.8 g
Chief 君

童便浸一宿, 晒乾 — steeped overnight in a boy's urine, then sun-dried · human material
Siho Chai Hu
柴胡 시호 · Bupleurum

0.8 g
Deputy 臣
Insam Ren Shen
人蔘 인삼 · Ginseng

0.8 g
Deputy 臣
Saengjihwang Sheng Di Huang
生地黃 생지황 · Raw Rehmannia

—
Deputy 臣

one chon, measured by length
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

0.8 g
Assistant 佐
Jeonho Qian Hu
前胡 전호 · Peucedanum

0.8 g
Assistant 佐
Jingyo Qin Jiao
秦艽 진교 · Large Gentian

0.8 g
Assistant 佐

秦芃 as the transcription writes it
I Li
梨 이 · Pear

—
Assistant 佐

生梨, one slice of fresh pear
Gamcho Gan Cao
甘草 감초 · Licorice

0.8 g
Envoy 使
Bakha Bo He
薄荷 박하 · Mint

—
Envoy 使

two leaves

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 3 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

Treats the same as the formula above — tidal fever
Decocted in water as a single packet, with a slice of fresh pear and two mint leaves in it

Indications 主治

Pattern-based

潮熱 — tidal fever, as in the preceding leaf
Lingering heat in a depleted child

Biomedical correlates

Remittent fever in a child — historical cooling decoction

Source text 原文

Donguibogam 東醫寶鑑

治同上. 靑蒿(童便浸一宿, 晒乾)ㆍ柴胡ㆍ人參ㆍ黃芩ㆍ前胡ㆍ秦芃ㆍ甘草各二分, 生梨一片, 薄荷二葉, 生地黃一寸. 右剉, 作一貼, 水煎服. 《入門》

Translation

Treats the same as above — tidal fever. Sweet wormwood, steeped overnight in a boy's urine and sun-dried, bupleurum, ginseng, scutellaria, peucedanum, gentiana macrophylla and licorice, 2 fun each; one slice of fresh pear, two mint leaves, and 1 chon of fresh rehmannia. Cut the above, make one packet, decoct in water and take. — Immun 入門 (Donguibogam · Soa)

Clinical commentary 臨床

A light decoction rather than a mineral powder, and the first leaf in this block that reads like a prescription written for a particular child. 靑蒿 and 柴胡 for the fever that comes and goes, 人參 for the depletion that 虛熱 names, and a slice of pear and two mint leaves for a child who will not drink. 靑蒿 is the one drug in this batch with a demonstrated action: Artemisia annua is the plant from which artemisinin was isolated, and a 潮熱 in a malarial region was often malaria. The crude herb decocted in water delivers very little artemisinin, so this is a hit on the plant and not on the treatment. Most fevers in a child are viral and self-limiting, and nothing in this decoction shortens them; the signs that matter are how the child looks and breathes rather than the height of the temperature. See the chapter prose at 1.41 for the frame. **The sweet wormwood is processed by steeping it overnight in the urine of a young boy. That is a human material, it carries the donor's infections, and the patient is an infant. The text gives no dose by weight anywhere. This must not be prepared.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.