Formulas · Clear Heat 淸熱 · Hwarin Seo (活人書)

Sanguisorba Powder (Pus and Blood)

Jiyu-san

한글 지유산 (농혈) · Pinyin Di Yu San

地楡散

Rhinoceros horn is a CITES Appendix I material and cannot lawfully be obtained or used; water buffalo horn is the usual modern substitution. The Bogam gives two 地楡散 in this chapter; the Dansim's is registered separately.

Composition 構成

Jiyu Di Yu
地楡 지유 · Sanguisorba Root

4 g
Chief 君
Seogak Xi Jiao
犀角 서각 · Rhinoceros Horn (prohibited)

4 g
Chief 君

· CITES
Hwangryeon Huang Lian
黃連 황련 · Coptis

4 g
Deputy 臣

stir-fried
Galgeun Ge Gen
葛根 갈근 · Kudzu Root

4 g
Deputy 臣
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

4 g
Deputy 臣
Chija Zhi Zi
梔子 치자 · Gardenia

2 g
Assistant 佐
Haebaek Xie Bai
薤白 해백 · Chinese Chive Bulb

—
Envoy 使

five stalks

Total 22 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 heat toxin with a dysentery of pus and blood

Indications 主治

Pattern-based

Heat toxin in the intestinal blood
Dysentery with high fever

Biomedical correlates

Bacillary dysentery
Septic colitis

Source text 原文

Donguibogam 東醫寶鑑

治熱毒下痢膿血. 地楡ㆍ犀角ㆍ黃連(炒)ㆍ葛根ㆍ黃芩各一錢, 梔子五分. 右剉, 作一貼, 入薤白五莖, 同煎服. 《活人》

Translation

Treats heat toxin with a dysentery of pus and blood. Sanguisorba, rhinoceros horn, stir-fried coptis, pueraria and scutellaria, 1 don each; gardenia, 5 fun. Cut up, make one packet, add five stalks of Chinese chive, and decoct together. — Hwarin Seo 活人 (Donguibogam · Daebyeon)

Clinical commentary 臨床

The presence of rhinoceros horn marks this as a formula for the febrile end of the disease — the tradition reserved it for heat that had entered the blood, which here means a dysentery with high fever and prostration rather than a local complaint. Pueraria is the interesting addition, used to raise the clear qi and relieve the thirst, and Chinese chive as the vehicle is a pungent counterweight to five cold drugs. The horn cannot be used and nothing is lost by omitting it. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.