Formulas · Clear Heat 淸熱 · Dongwon (東垣)

Ginseng Level the Lung Powder

Insampyeongpye-san

한글 인삼평폐산  ·  Pinyin Ren Shen Ping Fei San

人參平肺散

Composition 構成

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 2 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

  • Heart fire scorching the lung with wilting lung
  • Lung heat with night sweats and tidal fever

Biomedical correlates

  • Chronic suppurative lung disease with night sweats

Source text 原文

Donguibogam 東醫寶鑑

治心火刑肺, 傳爲肺痿, 咳嗽喘嘔, 痰涎壅盛, 寒熱盜汗. 桑白皮 二錢, 知母ㆍ人參ㆍ地骨皮ㆍ甘草(灸) 各一錢, 天門冬ㆍ赤茯苓 各八分, 陳皮ㆍ靑皮 各五分, 五味子 二十粒. 右剉, 作一貼, 薑三, 水煎服. 《東垣》

Translation

Treats heart fire punishing the lung and passing into wilting lung, with cough, panting and retching, phlegm and drool filling and brimming, cold and heat, and night sweats. Mulberry root bark, 2 don; anemarrhena, ginseng, wolfberry root bark and honey-roasted licorice, 1 don each; asparagus and red poria, 8 fun each; tangerine peel and unripe tangerine peel, 5 fun each; schisandra, twenty grains. Cut up, make one packet, add three slices of ginger, decoct in water and take. — Dongwon 東垣 (Donguibogam · Haesu)

Clinical commentary 臨床

心火刑肺 — heart fire punishing the lung — is the five-phase name for fire overriding metal, and the formula is built on the pair that answers it: mulberry root bark to drain the lung and wolfberry root bark with anemarrhena for the steaming heat that comes with night sweats. The ginseng and asparagus are there because the patient is wasted, and the two tangerine peels keep the phlegm moving. Night sweats with tidal fever and purulent sputum in a wasting patient is the picture the chapter calls 肺痿 and a modern clinician would work up for tuberculosis or bronchiectasis. **Such a patient needs sputum testing and imaging.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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