Formulas · Warm the Interior 溫裏 · Seui Deukhyobang (世醫得效方)

Cold-Taken Aconite Decoction

Naengbu-tang

한글 냉부탕 · Pinyin Leng Fu Tang

冷附湯

The transcription writes 胷膈; 胷 is normalised to 胸 and 膈 is kept as printed.

Composition 構成

Buja Fu Zi
附子 부자 · Prepared Aconite

—
Chief 君

one large root, blast-fried, with skin and navel removed, then sliced and divided between two packets
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Deputy 臣

ten slices to each packet

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 2 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

Strengthens the spleen and stomach
Removes phlegm repletion lodged in the chest and diaphragm
Carries the medicine downward by being taken cold

Indications 主治

Pattern-based

Phlegm malaria (痰瘧) with phlegm repletion and a weak spleen and stomach
Phlegm lodged in the chest and diaphragm
Enduring malaria that will not stop

Biomedical correlates

Malaria
Relapsing fever with vomiting
Periodic fever with rigors

Source text 原文

Donguibogam 東醫寶鑑

瘧疾無過是痰實而脾胃弱, 停于胸膈, 所以五更冷服, 使藥下達, 壯脾胃, 去痰實也. 大附子一箇(炮, 去皮臍). 右切片, 分二貼, 每一貼入薑十片, 水煎去滓, 露一宿, 五更初冷服. 《得效》

Translation

Malaria is nothing other than phlegm repletion with a weak spleen and stomach, lodged in the chest and diaphragm; this is why the dose is taken cold at the fifth watch, so that the medicine reaches downward, strengthens the spleen and stomach, and removes the phlegm repletion. One large aconite accessory root, blast-fried, with the skin and navel removed. Slice it, divide it into two packets, and to each packet add ten slices of ginger; decoct in water, strain off the dregs, leave it out overnight in the dew, and take it cold at the beginning of the fifth watch. — Deukhyo 得效 (Donguibogam · Haehak)

Clinical commentary 臨床

Two drugs, and the whole entry is an argument about route rather than about ingredients. The Deukhyo states its premise first — malaria is phlegm repletion on a weak spleen and stomach, lodged in the chest and diaphragm — and then explains that a hot drug taken cold at the fifth watch will sink past the blockage instead of scattering upward at it. The decoction is strained, left out overnight in the dew to go cold, and swallowed before dawn. It is the mirror image of Nogang-eum, which stands in the same phlegm-malaria section and is also dew-cooled and taken at the fifth watch, but reaches the phlegm by making the patient vomit it rather than by driving it down. **Contains aconite (附子), which is toxic. This must not be prepared.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.