Formulas · Warm the Interior 溫裏 · Uibang Yuchwi (醫方類聚)

Rectify the Yang Powder

Jeongyang-san

한글 정양산  ·  Pinyin Zheng Yang San

正陽散

Registered without a suffix as the better-known 正陽散; the 正陽散 of this chapter's 傷寒陰證 section is a ten-drug formula from the Benshifang and is registered separately.

Composition 構成

Total 64 g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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

Indications 主治

Pattern-based

  • Yin toxin with the yang collapsing
  • Cold collapse with clouded consciousness

Biomedical correlates

  • Circulatory collapse with hypothermia
  • Septic shock

Source text 原文

Donguibogam 東醫寶鑑

治傷寒陰毒證. 附子(炮) 一兩, 乾薑(炮)ㆍ甘草(灸) 各二錢半, 皂角 二挺, 麝香 一錢. 右爲末, 每二錢, 水一盃, 煎至五分, 和渣熱服. 一方用白湯調下. 《得效》

Translation

Treats the yin toxin pattern of cold damage. Blast-fried aconite, 1 nyang; blast-fried dried ginger and honey-roasted licorice, 2 don 5 fun each; gleditsia pod, two; musk, 1 don. Powder; 2 don each time in 1 cup of water, boiled down to 5 fun, and taken hot with the dregs. One version takes it stirred into plain hot water. — Uibang Yuchwi 得效 (Donguibogam · Han)

Clinical commentary 臨床

Aconite at a nyang against everything else, which makes it the plainest statement of the yin toxin treatment: force the yang back. What distinguishes it from Gangbu-tang is the gleditsia pod and musk — two orifice-opening drugs — so the formula is for the collapsed patient who is also unconscious, not merely cold. Taken with the dregs rather than strained, which gets more of the material in. Musk is CITES-listed; aconite at this dose needs no further comment. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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