Formulas · Clear Heat 淸熱 · Uihak Immun (醫學入門)

Fresh Rehmannia, Scutellaria and Coptis Decoction

Saengjigeumryeon-tang

한글 생지금련탕  ·  Pinyin Sheng Di Qin Lian Tang

生地芩連湯

Composition 構成

Total 37.2 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

Indications 主治

Pattern-based

  • A woman after flooding or a man after excessive blood loss
  • with the blood dried up — picking at the clothes
  • groping at the bed and the air
  • the eyes closed and unaware
  • the arms and legs flailing
  • confused speech and loss of spirit
  • the nose dry and the breath coarse

Biomedical correlates

  • Hypovolaemic delirium after major haemorrhage

Source text 原文

Donguibogam 東醫寶鑑

治婦人因崩漏大脫血, 或男子去血過多, 因而涸燥, 循衣摸床撮空, 閉目不省, 揚手擲足, 錯語失神, 鼻乾氣麄. 生地黃ㆍ川芎ㆍ當歸 各一錢半, 赤芍藥ㆍ山梔子ㆍ黃芩ㆍ黃連 各七分, 防風 二錢. 右剉, 水煎, 徐徐呷下. 此危證也. 以此救之. 《入門》

Translation

Treats a woman after flooding with great loss of blood, or a man after excessive blood loss, so that the blood is dried up — picking at the clothes, groping at the bed and clutching at the air, the eyes closed and unaware, the arms and legs flailing, confused speech and loss of spirit, the nose dry and the breath coarse. Fresh rehmannia, chuanxiong and angelica 1 don 5 pun each; red peony, gardenia, scutellaria and coptis 7 pun each; saposhnikovia 2 don. Cut up, decoct in water and sip slowly. This is a critical pattern, and this is what rescues it. — Uihak Immun 入門 (Donguibogam · Hyeol)

Clinical commentary 臨床

The formula the Women chapter sends to at 1.29.8.3, and its indication is the most complete description of hypovolaemic delirium in the book — plucking at the sheets, grasping at nothing, thrashing, coarse breathing, the mucous membranes dry. 徐徐呷下 — sip slowly — is the instruction, because a patient in this state cannot swallow a cup. 此危證也: the chapter names it a critical pattern and does not pretend the decoction is enough. **This describes haemorrhagic shock and requires immediate transfusion.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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