Formulas · Clear Heat 淸熱 · Seui Deukhyobang (世醫得效方)

Level the Blood Drink

Pyeonghyeol-eum

한글 평혈음 · Pinyin Ping Xue Yin

平血飮

The leaf gives no composition and no weights of its own: it names Seungmagalgeun-tang as the base, two drugs added to it, and four more put in when it is boiled together with Insampaedok-san. Only those six are entered, without grams, as the corpus does for other 卽…加… heads. 蟬殼 is entered under 蟬退. The 細註方見寒門 stands immediately after 升麻葛根湯 and annotates that formula; the section head above carries the same cross-reference on 人參敗毒散, but this leaf does not.

Composition 構成

Cheonma Tian Ma
天麻 천마 · Gastrodia

—
Chief 君

added to the base formula
Seontoe Chan Tui
蟬退 선퇴 · Cicada Moulting

—
Chief 君

蟬殼, added to the base formula
Saengjihwang Sheng Di Huang
生地黃 생지황 · Raw Rehmannia

—
Deputy 臣

put in at the boil
Maengmundong Mai Men Dong
麥門冬 맥문동 · Liriope

—
Deputy 臣

put in at the boil
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Assistant 佐

put in at the boil
Bakha Bo He
薄荷 박하 · Mint

—
Assistant 佐

put in at the boil

Total 0 g per packet (첩) · representative dosage — verify against source texts. Excludes 6 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

Treats sores all over the body that run pus and blood, with pain and itching
Seungmagalgeun-tang with gastrodia and cicada slough added to it
The whole then mixed with Insampaedok-san and boiled with ginger, mint, raw rehmannia and ophiopogon

Indications 主治

Pattern-based

諸瘡遍身出膿血ㆍ痛痒 — sores over the whole body running pus and blood, painful and itching
A generalised eruption carrying both exterior wind signs and heat in the blood

Biomedical correlates

Generalised exudative or pustular dermatitis
Widely impetiginised eczema

Source text 原文

Donguibogam 東醫寶鑑

治諸瘡遍身出膿血ㆍ痛痒. 卽<a href='/formulas/seungmagalgeun-tang'>升麻葛根湯</a><span class='sochu'>方見寒門</span>加天麻ㆍ蟬殼也. 右剉, 與<a href='/formulas/insampaedok-san'>人參敗毒散</a>合和, 加生薑ㆍ薄荷ㆍ生地黃ㆍ麥門冬, 煎服. 《得效》

Translation

Treats sores over the whole body that run pus and blood, with pain and itching. This is Seungmagalgeun-tang — the formula is given in the Cold chapter — with gastrodia and cicada slough added. Cut the above up, mix it together with Insampaedok-san, add fresh ginger, mint, raw rehmannia and ophiopogon, and decoct and take. — Seui Deukhyobang 得效 (Donguibogam · Jechang)

Clinical commentary 臨床

Two formulas run together. Seungmagalgeun-tang — cimicifuga, pueraria, white peony and liquorice — is the standard exterior-releasing base for a rash that is coming out, and Insampaedok-san is the wind-damp exterior formula of the Cold chapter; the leaf stacks them and adds gastrodia and cicada slough for the itching, then ginger and mint at the boil to keep the surface open and raw rehmannia and ophiopogon to cool and moisten underneath. The indication is the section's own: 遍身出膿血, sores over the whole body running pus and blood. That is a generalised, weeping, secondarily infected eruption, and the logic of the prescription is to push outward and cool at once rather than to treat the skin topically. Nothing here reaches a staphylococcal or streptococcal infection of broken skin, which is what widespread pustular sores usually are. The base formulas are mild and the drug list holds nothing hazardous, but a generalised pustular eruption with systemic signs needs an antibiotic and a diagnosis, not a decoction. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.