Formulas · Clear Heat 淸熱 · Seui Deukhyobang (世醫得效方)

Vie for Merit Powder

Jaenggong-san

한글 쟁공산 · Pinyin Zheng Gong San

爭功散

蟬退二七箇 is fourteen pieces, two sevens. The optional addition 過路葛藤 — the kudzu vine that runs across the path — has no entry in the herb dictionary and is left out of the ingredient list; it is named in the translation.

Composition 構成

Jimo Zhi Mu
知母 지모 · Anemarrhena

4 g
Chief 君
Sangsan Chang Shan
常山 상산 · Dichroa Root (toxic)

4 g
Chief 君
Paemo Bei Mu
貝母 패모 · Fritillaria

4 g
Deputy 臣
Siho Chai Hu
柴胡 시호 · Bupleurum

4 g
Deputy 臣
Chija Zhi Zi
梔子 치자 · Gardenia

4 g
Assistant 佐
Billang Bing Lang
檳榔 빈랑 · Areca Seed

4 g
Assistant 佐
Jigolpi Di Gu Pi
地骨皮 지골피 · Lycium Root Bark

4 g
Assistant 佐
Seontoe Chan Tui
蟬退 선퇴 · Cicada Moulting

—
Assistant 佐

fourteen pieces
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使
Dojicho Tao Zhi Shao
桃枝梢 도지초 · Peach Twig Tip

—
Envoy 使

a peach twig five inches long, added to the decoction
Yujicho Liu Zhi Shao
柳枝梢 유지초 · Willow Twig Tip

—
Envoy 使

a willow twig five inches long, added to the decoction

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 3 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

Clears the heat malaria
Drains fire from the qi aspect
Cuts the malarial paroxysm short

Indications 主治

Pattern-based

Heat malaria (熱瘧) with much heat and little cold
Summerheat malaria (暑瘧) — also called danhak (癉瘧)
Malarial heat with thirst and vexation

Biomedical correlates

Malaria
Relapsing fever of other cause
Periodic fever with rigors

Source text 原文

Donguibogam 東醫寶鑑

治熱瘧, 多效. 知母ㆍ貝母ㆍ柴胡ㆍ常山ㆍ梔子ㆍ檳榔ㆍ地骨皮ㆍ甘草各一錢, 蟬退二七箇. 右剉, 作一貼, 入桃ㆍ柳枝各五寸, 煎服. 未效, 加過路葛藤五寸, 同煎服. 《得效》

Translation

Treats the heat malaria; much effect. Anemarrhena, fritillaria, bupleurum, dichroa, gardenia, areca seed, lycium root bark and licorice, 1 don each; cicada moulting, fourteen pieces. Cut them up and make one packet, add peach twig and willow twig, five inches of each, and decoct and take. If it has no effect, add five inches of the wayside kudzu vine and decoct them together. — Deukhyo 得效 (Donguibogam · Haehak)

Clinical commentary 臨床

A heat-malaria formula and one of the three the chapter names for it, beside Insambaekho-tang and Siho-jimo-tang. Anemarrhena, gardenia and lycium root bark take the heat out of the qi aspect and the bone-steaming heat with it; bupleurum holds the half-exterior; fritillaria and areca seed move the phlegm and the stagnation downward; cicada moulting is the chapter's light, outward-releasing drug. Dichroa is the drug that actually cuts the paroxysm, and the rest of the formula is built around keeping it from scalding a heat patient. The peach and willow twigs and the wayside kudzu vine added when the first dose fails are not pharmacy drugs but hedgerow ones, gathered on the spot. They belong to the 禳 side of this chapter — the formulas that drive the malaria off rather than treat a viscus — and the Deukhyo gives them as a plain field remedy. **Contains dichroa (常山), which is a powerful emetic and is hepatotoxic. This must not be prepared.** The entry is kept for the record of how the chapter reasoned, not as something to dispense. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.