Formulas · Transform Phlegm 化痰 · Gogeum Uigam (古今醫鑑)

Stand Them Up Powder

Ipjeong-san

한글 입정산 · Pinyin Li Ding San

立定散

Composition 構成

Jogak Zao Jiao
皂角 조각 · Gleditsia Pod

—
Chief 君

one large pod, split open and the seeds removed
Padu Ba Dou
巴豆 파두 · Croton Seed

—
Chief 君

the kernel, packed into the pod, bound with iron wire and roasted to a scorched yellow · toxic
Banha Ban Xia
半夏 반하 · Pinellia

4 g
Deputy 臣

boiled yellow in sesame oil · toxic in the raw state
Haengin Xing Ren
杏仁 행인 · Apricot Kernel

4 g
Deputy 臣

boiled yellow in sesame oil
Cheongyu Qing You
淸油 청유 · Clear Sesame Oil

—
Assistant 佐

sesame oil, for boiling the pinellia and apricot kernel
Geonsi Gan Shi
乾柿 건시 · Dried Persimmon

—
Envoy 使

one dried persimmon cake, as the vehicle for each dose

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

A secret formula for wheezing and roaring in the throat

Indications 主治

Pattern-based

Wheezing with phlegm blocking the airway

Biomedical correlates

Acute asthma — historical treatment

Source text 原文

Donguibogam 東醫寶鑑

治哮吼秘方. 大皂角一箇, 劈開去子, 入巴豆肉, 鐵線札緊, 灸焦黃色, 末每一錢, 用半夏ㆍ杏仁各一錢, 香油煮黃, 俱爲細末. 每柿餠一枚, 入一錢, 細嚼服之, 溫水送下. 《醫鑑》

Translation

A secret formula for wheezing and roaring in the throat. Take one large soapberry pod, split it open and remove the seeds, pack in croton kernels, bind it tight with iron wire and roast it to a scorched yellow; of its powder, 1 don to each dose. With it take pinellia and apricot kernel, 1 don each, boiled yellow in sesame oil, and grind them all to a fine powder. To each dried persimmon cake add 1 don, have the patient chew it finely and swallow it, washed down with warm water. — Gogeum Uigam 醫鑑 (Donguibogam · Haesu)

Clinical commentary 臨床

**Contains croton, a violent purgative and a severe irritant, roasted inside a soapberry pod. This must not be prepared.** Soapberry and croton together are the chapter's most aggressive phlegm-expelling pair, and the intention is to make the patient vomit the phlegm out — the Dansim passage at the head of 哮證 says plainly that wheezing is to be treated by the vomiting method. The persimmon cake is the interesting part of the preparation: a sweet, sticky carrier that masks a bitter and acrid powder and is chewed slowly, which keeps the dose small and slow. It is the same device as the honey pill held in the mouth elsewhere in the chapter. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.