Formulas · Transform Phlegm 化痰 · Seui Deukhyobang (世醫得效方)

Dew-Exposed Ginger Drink

Nogang-eum

한글 노강음 · Pinyin Lu Jiang Yin

露薑飮

止取自然汁 almost certainly stands for 只取自然汁, only take the natural juice; the transcription's 止 is printed as it has it. 搗 and 盖 are likewise printed as transcribed rather than 擣 and 蓋. The 露 of the name is the overnight dew-exposure method, not a drug.

Composition 構成

Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

160 g
Chief 君

pounded to a pulp with the skin on, only the natural juice taken, then covered with gauze and left out overnight in the dew

Total 160 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

Cuts the phlegm malaria short
Frees phlegm upward and outward
Warms and opens the stomach

Indications 主治

Pattern-based

Phlegm malaria (痰瘧) that will not stop
Headache with twitching flesh and vomiting of food and foam
Enduring malaria needing to be cut short (截瘧)

Biomedical correlates

Malaria
Relapsing fever with vomiting
Periodic fever with rigors

Source text 原文

Donguibogam 東醫寶鑑

治痰瘧. 生薑四兩, 連皮搗爛, 止取自然汁. 約明日當發, 隔夜安排, 將紗片盖, 露一宿. 五更初澄者一上飮之. 或有痰吐, 任之卽安. 《得效》

Translation

Treats the phlegm malaria. Fresh ginger, 4 nyang, pounded to a pulp with the skin left on, taking only the natural juice. Reckoning that the attack falls due the next day, set the juice out the night before, cover it with a piece of gauze, and leave it overnight in the dew. At the beginning of the fifth watch drink off the clear part at one draught. If phlegm is vomited up, let it come, and peace follows at once. — Deukhyo 得效 (Donguibogam · Haehak)

Clinical commentary 臨床

One drug. Four nyang of fresh ginger is pounded skin and all, only the free juice is kept, and that juice is set out under gauze to take the night dew before being drunk off at the fifth watch on the morning the attack is due. The ginger warms and opens; the night of dew cools it; what comes up is phlegm, and the Deukhyo says plainly to let it come. The chapter uses this as its 截 formula for phlegm malaria — the thing you give when Siljin-tang with tsaoko, Sasu-eum and Naengbu-tang have all failed to stop the cycle. It is the simplest entry in the section and the only one a patient could make in a kitchen, which is probably why the Deukhyo bothered to describe the timing so exactly. Naengbu-tang beside it uses the same dew-cooling and the same fifth-watch dose to the opposite end, driving the phlegm down instead of up, and Nogangyangwi-tang later in the chapter folds this same dew-exposed ginger juice into a tonifying decoction. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.