Formulas · Purge Downward 瀉下 · Manbyeong Hoechun (萬病回春)
Two Sages Relieve Suffering Pill
Iseonggugo-hwan
한글 이성구고환 · Pinyin Er Sheng Jiu Ku Wan
The transcription prints 麫 for 麪, 真 for 眞, 禀 for 稟, 囬春 for 回春 and 𤍠 for 熱; all are normalized here.
Composition 構成
- Daehwang大黃 대황 · Rhubarb160 g
Chief 君wine-steamed
- Jogak皂角 조각 · Gleditsia Pod80 g
Deputy 臣pig-tusk gleditsia pods
- Baengmyeon白麪 백면 · White Wheat Flour—
Envoy 使as paste, to bind the pills
- Nokdu菉豆 녹두 · Mung Bean—
Envoy 使as a decoction, to send the pills down
Total 240 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
- Opens the gates and barriers with gleditsia to issue the exterior
- Drains all the fires and frees the interior with rhubarb
- Brings on sweat, by which it is judged effective
Indications 主治
Pattern-based
- Epidemic swelling of the head (大頭瘟)
- Aversion to cold with vigorous heat, head, face, neck and nape red and swollen
- Throat swollen and painful with clouded confusion
Biomedical correlates
- Epidemic illness with red swelling of the head, face and neck and altered consciousness
- Severe febrile cervicofacial infection as recorded in an outbreak
Source text 原文
Donguibogam 東醫寶鑑
大黃 四兩(酒蒸), 猪牙皂角 二兩. 右爲末, 麪糊和丸菉豆大, 每五七十丸, 以菉豆湯送下, 汗出爲效. ○萬曆丙戌, 余寓大梁, 屬瘟疫大作, 士民多斃, 甚至滅門. 其證增寒壯熱, 頭面頸項赤腫, 咽喉腫痛, 昏憒, 名曰大頭瘟. 余發一秘方, 名二聖救苦丸, 用牙皂以開關竅而發其表, 用大黃以瀉諸火而通其裏, 一服卽汗, 一汗卽愈, 眞仙方也. 稟壯者百發百中, 虛弱者先服荊防敗毒散, 若未愈, 用牛蒡芩連湯亦效. 《回春》
Translation
Wine-steamed rhubarb, 4 nyang; pig-tusk gleditsia pods, 2 nyang. Powder them, bind with a wheat-flour paste into pills the size of a mung bean, and take fifty to seventy at a dose, sent down with a mung bean decoction; sweating is taken as the effect. ○ In the bingxu year of the Wanli reign I was lodging at Daliang when an epidemic pestilence broke out greatly. Gentry and commoners died in numbers, to the point of whole households being wiped out. The signs were aversion to cold with vigorous heat, head, face, neck and nape red and swollen, the throat swollen and painful, and a clouded confusion; it was called epidemic swelling of the head. I brought out a secret prescription and named it Iseonggugo-hwan. Gleditsia was used to open the gates and orifices and so issue the exterior, and rhubarb to drain all the fires and so free the interior. One dose and there was sweat; one sweat and there was recovery — truly an immortal’s prescription. In those of a strong constitution it hit a hundred times out of a hundred; for the vacuous and weak, give Hyeongbangpaedok-san first, and if that does not cure, Ubanggeumryeon-tang is also effective. — Hoechun 回春 (Donguibogam · On)