Formulas · Clear Heat 淸熱 · Uihak Immun (醫學入門)

Turn the Tongue Paste

Jeonseol-go

한글 전설고 · Pinyin Zhuan She Gao

轉舌膏

Built on 凉膈散, cross-referenced to the Fire chapter, which is not yet transcribed on this site; the name is left unlinked. The cinnabar coating is mercuric sulphide.

Composition 構成

Jusa Zhu Sha
朱砂 주사 · Cinnabar (toxic)

—
Deputy 臣

as a coating · toxic
Wonji Yuan Zhi
遠志 원지 · Polygala

—
Assistant 佐

added to the base formula
Seokchangpo Shi Chang Pu
石菖蒲 석창포 · Acorus

—
Envoy 使

added to the base formula

Total 0 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

Treats wind stroke with a stiff tongue and loss of speech
Drains heat from the chest and diaphragm and opens the orifice

Indications 主治

Pattern-based

Heat in the chest and diaphragm with the tongue stiff and speechless
Wind stroke with heat clouding the orifices

Biomedical correlates

Aphasia after stroke
Hypertensive encephalopathy

Source text 原文

Donguibogam 東醫寶鑑

治中風舌强不語. 卽凉膈散《方見火門》加石菖蒲ㆍ遠志, 爲末, 蜜丸彈子大, 朱砂爲衣, 每一丸, 薄荷湯化下. 《入門》

Translation

Treats wind stroke with a stiff tongue and loss of speech. That is, Ryanggyeok-san with acorus and polygala added; powder, make honey pills the size of a bullet, coat with cinnabar, and dissolve one in mint decoction for each dose. — Uihak Immun 入門 (Donguibogam · Pung)

Clinical commentary 臨床

A modification rather than a formula of its own: take the heat-draining Ryanggyeok-san, add the two orifice-opening drugs acorus and polygala, pill it and coat it in cinnabar. The reasoning is the tradition's standard one for aphasia with a red face and a hard pulse — the heat is in the chest and diaphragm, clear that and the tongue will turn. It sits in deliberate opposition to Jihwang-eumja a few entries earlier, which treats the same symptom from vacuity, and a physician was expected to choose between them. The cinnabar coating makes this one unsafe to prepare as written. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.