Formulas · Release the Exterior 解表 · Immun (入門)

Anemarrhena and Ephedra Decoction

Jimomahwang-tang

한글 지모마황탕 · Pinyin Zhi Mu Ma Huang Tang

知母麻黃湯

Composition 構成

Jimo Zhi Mu
知母 지모 · Anemarrhena

12 g
Chief 君
Mahwang Ma Huang
麻黃 마황 · Ephedra

4 g
Chief 君
Jeokjagyak Chi Shao
赤芍藥 적작약 · Red Peony

4 g
Deputy 臣
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

4 g
Deputy 臣
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

4 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使

roasted

Total 32 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

Drives out toxin left in the pericardium after cold damage
Releases the exterior with a light sweat

Indications 主治

Pattern-based

Ruined pattern after cold damage with the spirit unsettled and speech confused
Lingering tidal fever with flushed cheeks and alternating chill and heat like malaria

Biomedical correlates

Post-infectious confusional state
Protracted febrile illness after incomplete treatment

Source text 原文

Donguibogam 東醫寶鑑

治壞傷寒. 以傷寒差後經久, 精神不守ㆍ言語錯謬, 或潮熱ㆍ頰赤ㆍ寒熱如瘧, 皆由汗下不盡, 毒留心胞間所致也. 知母三錢, 麻黃ㆍ赤芍藥ㆍ黃芩ㆍ桂心ㆍ甘草(灸) 各一錢. 右剉, 作一貼, 水煎服, 微汗卽愈. 《入門》 ○一本去桂心, 代桂枝. 《入門》

Translation

Treats ruined cold damage. Where a long time has passed since the cold damage resolved and the spirit is unsettled and the speech confused, or there is tidal fever, flushed cheeks and chill and heat like malaria, it is in every case because the sweating or purging was not carried through and toxin has lodged in the pericardial space. Anemarrhena, 3 don; ephedra, red peony, scutellaria, cinnamon heartwood and roasted licorice, 1 don each. Cut up, make one packet and decoct in water; a slight sweat and the patient is cured. — Immun 入門 ○ One edition removes the cinnamon heartwood and substitutes cinnamon twig. — Immun 入門 (Donguibogam · Han, lower)

Clinical commentary 臨床

The Bogam's diagnosis here is worth the whole entry: a patient left confused and feverish weeks after the acute illness, and the cause given as treatment that stopped halfway — the sweat never completed, the purge never finished, and what was left behind lodged where the text puts it, in the pericardial space. Anemarrhena at triple dose cools that residue; ephedra with cinnamon opens a last light sweat to carry it out. The variant reading matters in practice: cinnamon twig suits the exterior, cinnamon heartwood the interior, and which one an edition chose tells you how its compiler read the pattern. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.