寶鑑Bogam

Formulas · Transform Dampness 化濕 · Uihak Immun (醫學入門)

Old Malaria Drink

Nohak-eum

한글 노학음  ·  Pinyin Lao Nue Yin

老瘧飮

Composition 構成

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

Indications 主治

Pattern-based

  • Old malaria (老瘧) bound into a concretion and lump (癥癖)
  • Mass sitting in the abdomen and flank that no medicine has shifted
  • Cold and damp lodged in the centre with a hardened accumulation

Biomedical correlates

  • Splenomegaly in chronic malaria
  • Malaria
  • Abdominal mass with chronic relapsing fever

Source text 原文

Donguibogam 東醫寶鑑

治老瘧結成癥癖, 在腹脇, 諸藥不愈. 蒼朮ㆍ草果ㆍ桔梗ㆍ靑皮ㆍ陳皮ㆍ良薑 各七分, 白芷ㆍ赤茯苓ㆍ半夏ㆍ枳殼ㆍ桂心ㆍ乾薑ㆍ甘草 各五分, 紫蘇葉ㆍ川芎 各四分. 右剉, 作一貼, 入鹽少許, 水煎, 空心服. 《入門》 ○一名痎瘧飮. 《醫鑑》

Translation

Treats old malaria bound into a concretion and lump sitting in the abdomen and flank, which no medicine has cured. Atractylodes, tsaoko fruit, platycodon, green tangerine peel, aged tangerine peel and lesser galangal, 7 fun each; dahurian angelica, red poria, pinellia, bitter orange, cinnamon heartwood, dried ginger and licorice, 5 fun each; perilla leaf and cnidium, 4 fun each. Cut up, make one packet, add a little salt, decoct in water and take on an empty stomach. — Immun 入門 (Donguibogam · Haehak). Also called Haehak-eum. — Uigam 醫鑑

Clinical commentary 臨床

Fifteen drugs, none of them above seven fun, and not one of them aimed at the fever. This is the mass-dissolving counterpart to the aromatic paroxysm formulas: atractylodes and tsaoko fruit lead, lesser galangal, dried ginger and cinnamon heartwood warm the centre hard, and green and aged tangerine peel with bitter orange and platycodon work the qi of the flank where the lump sits. The pinch of salt added to the packet is there to carry the formula downward and inward. The design tells you what the chapter thinks a long-standing malaria mass is made of — cold and damp congealed, not heat — and it treats it with warmth and movement rather than with the purgatives of Sobyeok-won. Taken on an empty stomach, as a daily drink, it is the patient, long-haul version of the same project. Cinnamon heartwood (桂心) is registered here under the cinnamon bark entry, which is the corpus's convention. Pinellia is toxic raw and must be properly processed. The flank mass the leaf describes is most often a malarial spleen; a hard mass with a history of relapsing fever needs imaging and a parasitological diagnosis. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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