Lycium Root Bark Powder (Children)

Jigolpi-san

한글 지골피산 · Pinyin Di Gu Pi San

地骨皮散

This is the formula the 虛熱 section prose prescribes by name — 虛熱者身熱不飮水, 大小便如常, 宜服地骨皮散 — so the leaf and the heading belong together. A formula of the same name is already registered in the Fire chapter from the Uihak Immun for 治肺熱: it shares 人參, 地骨皮, 柴胡, 知母, 赤茯苓 and the three slices of ginger, but carries 生地黃, 黃芪 and 石膏 where this one carries 半夏 and 甘草, gives 1 don 5 fun against 3 fun, and comes from a different source with a different indication. They are homonyms and this one takes the chapter tail. The transcription's 麄 is kept over 麤 by corpus majority.

Composition 構成

Insam Ren Shen
人蔘 인삼 · Ginseng

1.2 g
Chief 君
Jigolpi Di Gu Pi
地骨皮 지골피 · Lycium Root Bark

1.2 g
Chief 君
Jimo Zhi Mu
知母 지모 · Anemarrhena

1.2 g
Deputy 臣
Siho Chai Hu
柴胡 시호 · Bupleurum

1.2 g
Deputy 臣
Banha Ban Xia
半夏 반하 · Pinellia

1.2 g
Assistant 佐

toxic raw — requires processing
Jeokbongnyeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

1.2 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

1.2 g
Envoy 使
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices

Total 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

Treats the fever of depletion in a child
Coarsely ground, three slices of ginger added, decocted in water and taken

Indications 主治

Pattern-based

虛熱 — the fever of depletion, with no thirst and the stool and urine normal
Heat with phlegm in a weak child

Biomedical correlates

Low-grade fever in a depleted or convalescent child

Source text 原文

Donguibogam 東醫寶鑑

治虛熱. 知母ㆍ半夏ㆍ柴胡ㆍ人參ㆍ地骨皮ㆍ赤茯苓ㆍ甘草各三分. 右爲麄末, 入薑三片, 水煎服. 《錢乙》

Translation

Treats the fever of depletion. Anemarrhena, pinellia, bupleurum, ginseng, lycium root bark, red poria and licorice, 3 fun each. Grind the above coarsely, add three slices of ginger, decoct in water and take. — Jeoneul 錢乙 (Donguibogam · Soa)

Clinical commentary 臨床

The section's own prescription for its own heading. 虛熱, as the prose defines it, is recognised negatively: the child is hot but does not want to drink, and the stool and urine are normal — which is to say there is no 實熱 to be found. 人參 and 地骨皮 lead, 柴胡 and 知母 cool, and 半夏 with ginger handles the phlegm that goes with a weak Spleen. Read without the frame, this is a formula for a child with a persistent low fever and nothing else wrong — which is most children with a persistent low fever, and most of them are at the end of a viral illness. Nothing in the powder shortens that, and nothing needs to; the signs that matter are how the child looks rather than the temperature, and an antipyretic treats discomfort rather than the illness and does not prevent febrile seizures. See the chapter prose at 1.41 for the taxonomy and why in a child the question is always what is causing the fever. **Contains pinellia, which is toxic in the raw state — the raw tuber is a severe mucosal irritant and causes swelling of the mouth and throat. It is usable only after proper processing, and this leaf specifies none. The text gives no dose by weight anywhere, and the patient is a child.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.