Formulas · Tonify Qi 補氣 · Uihak Jeongjeon (醫學正傳)

Ginseng, Atractylodes and Pinellia Decoction

Samchulbanha-tang

한글 삼출반하탕 · Pinyin Shen Shu Ban Xia Tang

參朮半夏湯

The leaf writes 薑三 without a counting word, where the corpus usually has 薑三片; it is left as printed.

Composition 構成

Insam Ren Shen
人蔘 인삼 · Ginseng

8 g
Chief 君
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

8 g
Chief 君
Banha Ban Xia
半夏 반하 · Pinellia

2.8 g
Deputy 臣

toxic raw; must be properly processed
Cheonma Tian Ma
天麻 천마 · Gastrodia

2.8 g
Deputy 臣
Baekbongnyeong Fu Ling
白茯苓 백복령 · Poria (white)

2 g
Deputy 臣
Jeongal Quan Xie
全蠍 전갈 · Scorpion (toxic)

—
Deputy 臣

一枚, one scorpion, stir-fried (炒) · toxic
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

2 g
Assistant 佐
Sesin Xi Xin
細辛 세신 · Asarum

0.8 g
Assistant 佐
Bakha Bo He
薄荷 박하 · Mint

0.8 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

0.8 g
Envoy 使
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

薑三, 3

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

Treats chronic fright wind
Mother and child both take it

Indications 主治

Pattern-based

Chronic fright wind with spleen vacuity and phlegm

Biomedical correlates

Convulsion in a depleted, poorly fed infant

Source text 原文

Donguibogam 東醫寶鑑

治慢驚風, 子母俱服. 人參ㆍ白朮各二錢, 半夏ㆍ天麻各七分, 白茯苓ㆍ陳皮各五分, 細辛ㆍ薄荷ㆍ甘草各二分, 全蝎(炒) 一枚. 右剉, 作一貼, 薑三, 水煎服. 《正傳》

Translation

Treats chronic fright wind; mother and child both take it. Ginseng and white atractylodes 2 don each; pinellia and gastrodia 7 fun each; white poria and tangerine peel 5 fun each; asarum, mint and licorice 2 fun each; scorpion (stir-fried) 1 piece. Cut up, make one packet, add 3 of ginger, decoct in water and take. — Jeongjeon 正傳 (Donguibogam · Soa)

Clinical commentary 臨床

子母俱服 — mother and child both take it. The Jeongjeon is dosing the nursing mother on the assumption that what she takes reaches the baby through the milk, which is how the chapter handles an infant too small to swallow a decoction. Drugs do pass into breast milk, so the mechanism is not imaginary; the quantities that cross are small and unpredictable, which makes it a route for harm as readily as for benefit, and the scorpion in the formula is the part that should give pause. The body of it is 六君子湯 — ginseng, white atractylodes, white poria, licorice, pinellia, tangerine peel — with gastrodia for the wind, a little asarum and mint, and one scorpion. Twenty-nine grams of crude drug, two thirds of it ginseng and atractylodes, so as a decoction for a wasted child it is at least a food. **Contains scorpion, a neurotoxic animal venom whose dose in dried material cannot be measured, and pinellia, a severe mucosal irritant unless properly processed. The patients are a child and a nursing mother, and the text gives no dose by weight anywhere.** The reading for this section is at sinhyo-san-soa. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.