Formulas · Purge Downward 瀉下 · Yeokro (易老)

Three Transformations Decoction

Samhwa-tang

한글 삼화탕 · Pinyin San Hua Tang

三化湯

First-edition collation: the first edition attributes this entry to 易老, where the transcription has the single graph 陽. A different 三和湯 of similar romanization is registered separately.

Composition 構成

Hubak Hou Po
厚朴 후박 · Magnolia Bark

—
Chief 君

equal parts
Daehwang Da Huang
大黃 대황 · Rhubarb

—
Chief 君

equal parts
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

—
Deputy 臣

equal parts
Ganghwal Qiang Huo
羌活 강활 · Notopterygium

—
Deputy 臣

equal parts

Total 0 g per packet (첩) · representative dosage — verify against source texts. Excludes 4 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 wind striking both the bowels and the viscera with the stool and urine blocked and not free

Indications 主治

Pattern-based

Wind stroke with repletion of the interior and both passages shut

Biomedical correlates

Stroke with faecal impaction and retention

Source text 原文

Donguibogam 東醫寶鑑

治府藏俱中風, 便尿阻隔不利. 厚朴ㆍ大黃ㆍ枳實ㆍ羌活各等分. 右剉一兩, 作一貼, 水煎服, 日二三次, 微利卽止. 《易老》

Translation

Treats wind striking both the bowels and the viscera, with the stool and urine blocked and not free. Magnolia bark, rhubarb, bitter orange immature fruit and notopterygium, equal parts. Cut up; take 1 nyang as one packet, decocted in water, two or three times a day, and stop as soon as it frees the bowel slightly. — Yeokro 易老 (Donguibogam · Pung)

Clinical commentary 臨床

The Order the Qi purgative trio with notopterygium added to carry it to the wind, for the stroke patient who is also obstructed. The instruction that matters is the last one — stop as soon as it frees the bowel slightly — because a stroke patient cannot afford a thorough purge, and the chapter's three-way scheme puts this formula only at the interior end of it. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.