Formulas · Warm the Interior 溫裏 · Yeokro (易老)

Rice-Water Powder

Jangsu-san

한글 장수산 · Pinyin Jiang Shui San

漿水散

Composition 構成

Banha Ban Xia
半夏 반하 · Pinellia

80 g
Chief 君

prepared
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

20 g
Chief 君

blast-fried
Buja Fu Zi
附子 부자 · Prepared Aconite

20 g
Chief 君

blast-fried
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

20 g
Deputy 臣
Yangang Gao Liang Jiang
良薑 양강 · Lesser Galangal

10 g
Deputy 臣
Gamcho Gan Cao
甘草 감초 · Licorice

20 g
Envoy 使

roasted

Total 170 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 a violent diarrhoea with the whole body in cold sweat
a sunken faint pulse
and qi too scant for speech
With vomiting added it is a critical illness

Indications 主治

Pattern-based

Sudden collapse of yang with watery diarrhoea
Cold sweat with a sunken faint pulse

Biomedical correlates

Hypovolaemic shock from acute diarrhoea
Cholera

Source text 原文

Donguibogam 東醫寶鑑

治暴泄, 一身冷汗, 脉沉弱, 氣少不能語, 甚者加吐, 此爲緊病. 半夏(製) 二兩, 乾薑(炮)ㆍ肉桂ㆍ附子(炮)ㆍ甘草(灸) 各五錢, 良薑二錢半. 右爲麄末, 每服五錢, 水二盞, 煎至一盞, 空心熱服. 《易老》

Translation

Treats a violent diarrhoea with the whole body in cold sweat, a sunken faint pulse, and qi too scant for speech; with vomiting added it is a critical illness. Prepared pinellia, 2 nyang; blast-fried dried ginger, cassia bark, blast-fried aconite and roasted licorice, 5 don each; lesser galangal, 2.5 don. Coarsely powdered; take 5 don each time in two cups of water decocted down to one, hot and on an empty stomach. — Yeokro 易老 (Donguibogam · Daebyeon)

Clinical commentary 臨床

The chapter's emergency, and the signs are described with real precision: cold sweat over the whole body, a pulse sunken and faint, too little breath to speak, and vomiting if it is worse. That is hypovolaemic shock, and the Yeokro calls it a critical illness in those words. The prescription is the whole warm pharmacy at once — aconite, dried ginger, cassia, galangal — to hold a collapsing yang, which is the correct instinct with the wrong means. What the patient needs is fluid and salt; the Sweet Dew Drink a few sections earlier would have served better, and the chapter does not connect the two. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.