Formulas · Clear Heat 淸熱 · Gogeum Uigam (古今醫鑑)

Immediate Effect Powder (Dysentery)

Iphyo-san

한글 입효산 (이질) · Pinyin Li Xiao San

立效散

A different 立效散 from the four others of the same name registered on this site, for lower-burner heat, accumulated blood, breast swelling and toothache.

Composition 構成

Hwangryeon Huang Lian
黃連 황련 · Coptis

160 g
Chief 君

mixed with water and 2 nyang of evodia and stir-fried with it
Osuyu Wu Zhu Yu
吳茱萸 오수유 · Evodia

80 g
Deputy 臣

stir-fried with the coptis
Jigak Zhi Qiao
枳殼 지각 · Bitter Orange

80 g
Deputy 臣

bran stir-fried

Total 320 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 red and white dysentery of pus and blood with abdominal pain
inner urgency and dragging-down behind
stopping it at a single dose

Indications 主治

Pattern-based

Heat accumulation with qi stagnation in dysentery

Biomedical correlates

Bacillary dysentery
Acute colitis

Source text 原文

Donguibogam 東醫寶鑑

治赤白膿血痢, 腹痛裏急後重, 一服立止. 黃連四兩, 以吳茱萸二兩水拌同炒, 去茱萸; 枳殼(麩炒) 二兩. 右爲末, 每三錢, 空心, 黃酒送下. 此治熱積氣滯之痢. 黃連淸熱, 枳殼破氣. 《醫鑑》

Translation

Treats red and white dysentery of pus and blood with abdominal pain, inner urgency and dragging-down behind, stopping it at a single dose. Coptis, 4 nyang, mixed with water and 2 nyang of evodia and stir-fried with it, the evodia then discarded; bran-stir-fried bitter orange, 2 nyang. Powder, and take 3 don each time on an empty stomach sent down with yellow wine. This treats a dysentery of heat accumulation and qi stagnation: coptis clears the heat and bitter orange breaks the qi. — Gogeum Uigam 醫鑑 (Donguibogam · Daebyeon)

Clinical commentary 臨床

Two drugs in the finished powder with the Uigam's own explanation attached — coptis clears the heat, bitter orange breaks the qi — which is exactly the two-part reading of tenesmus the chapter uses throughout. It sits in the section on the essentials of treating dysentery, where the Bogam gathers the formulas it considers most reliable, and a single dose stopping it is the claim that earned it the name. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.