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Formulas · Purge Downward 瀉下 · Manbyeong Hoechun (萬病回春)

Ginseng Cut Off Malaria Drink

Insamjeolhak-eum

한글 인삼절학음  ·  Pinyin Ren Shen Jie Nue Yin

人參截瘧飮

楂 in 楂再煎朝時服 is written for the dregs of the packet, 渣, and is translated so; the transcription's glyph is normally the hawthorn 山楂, which cannot be the sense here. 並 is printed as the transcription has it.

Composition 構成

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 4 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

  • Malaria to be cut off in a vacuous person (虛人截瘧)
  • Any and every malaria that may be cut off
  • Long malaria with depletion and a mass at the rib-side

Biomedical correlates

  • Malaria in a debilitated patient — historical therapy
  • Chronic relapsing fever with wasting

Source text 原文

Donguibogam 東醫寶鑑

虛人截瘧宜用, 一切瘧並可截. 人參ㆍ白朮ㆍ白茯苓ㆍ當歸ㆍ靑皮ㆍ厚朴ㆍ柴胡ㆍ黃芩ㆍ知母ㆍ常山(酒浸)ㆍ草果ㆍ鼈甲(醋灸) 各八分, 桂枝ㆍ甘草 各三分. 右剉, 作一貼, 入薑三ㆍ棗二ㆍ梅一ㆍ桃仁七箇, 水煎, 露一宿. 臨發日五更空心服, 楂再煎朝時服. 糖拌烏梅下藥. 切忌雞魚豆腐麪食熱物. 《回春》

Translation

For cutting off a malaria in a vacuous person this is the one to use, and any and every malaria may be cut off with it. Ginseng, white atractylodes, white poria, Korean angelica, green tangerine peel, magnolia bark, bupleurum, scutellaria, anemarrhena, wine-steeped dichroa root, tsaoko fruit and vinegar-roasted turtle carapace, 8 fun each; cinnamon twig and licorice, 3 fun each. Cut them up, make one packet, add three slices of ginger, two jujubes, one mume plum and seven peach kernels, decoct in water and leave it out overnight in the dew. On the day the paroxysm is due take it at the fifth watch on an empty stomach; re-decoct the dregs and take that in the morning. Mume plum mixed with sugar is used to take the medicine down. Strictly avoid fowl, fish, bean curd, wheat food and hot things. — Hoechun 回春 (Donguibogam · Haehak)

Clinical commentary 臨床

This is the chapter's answer to its own warning. 截瘧法 says that cutting a malaria off empties the middle, that a patient already depleted will be made worse by it, and that where the cutting drug fails 乃氣大虛, 要扶胃氣為本 — the qi is greatly vacuous and the stomach qi must be propped up first. Here the propping and the cutting are done in one packet: Sagunja-tang with angelica for the qi and blood, Sosiho-tang's bupleurum and scutellaria for the alternation, turtle carapace and peach kernel for the 瘧母 at the rib-side, and wine-steeped dichroa root held down to eight fun so that it cuts without emptying. The instructions around the drugs are as careful as the drugs. Decocted, left out in the dew, taken at the fifth watch on an empty stomach before the paroxysm is due; the dregs re-decocted for a second dose in the morning; sugared mume plum to get it down, since dichroa is bitter and makes the patient retch; and a list of foods to avoid afterwards. The dose has been cut and the timing tightened precisely because the patient cannot afford the full method. **Contains dichroa root, which is emetic and hepatotoxic. This must not be prepared. Malaria requires modern antimalarial treatment.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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