寶鑑Bogam

Formulas · Clear Heat 淸熱 · Gogeum Uigam (古今醫鑑)

Three Yellows Overcome Toxin Powder

Samhwangpaedok-san

한글 삼황패독산  ·  Pinyin San Huang Bai Du San

三黃敗毒散

The transcription writes 蚕 for 蠶 and 醫鍳 for 醫鑑; the standard forms are printed. The two dose glosses 上部倍用 and 下部倍用 are set as interlinear notes because the transcription encloses them in the double-angle marks; the ingredient list records the base weight of 一兩 for both drugs with the doubling noted in the prep field.

Composition 構成

Total 1920 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

  • Damp-heat and wind toxin throughout the body
  • Sores of every stage, upper body or lower

Biomedical correlates

  • Syphilis at any stage — historical treatment

Source text 原文

Donguibogam 東醫寶鑑

通治天疱ㆍ楊梅等瘡. 防風ㆍ荊芥ㆍ連翹ㆍ白芷ㆍ當歸ㆍ赤芍藥ㆍ黃芩ㆍ黃連ㆍ梔子ㆍ地骨皮ㆍ五加皮ㆍ白鮮皮ㆍ木瓜ㆍ苦參ㆍ蟬退ㆍ金銀花ㆍ薏苡仁ㆍ白殭蠶ㆍ皂角刺ㆍ黃栢ㆍ白蒺藜ㆍ川芎<span class='sochu'>上部倍用</span>ㆍ木通<span class='sochu'>下部倍用</span>ㆍ甘草 各一兩, 土茯苓 一斤半. 右剉, 分作二十五貼, 每取一貼, 水煎服, 日二. 《醫鑑》

Translation

A general treatment for heavenly blister, plum-blossom and the rest of the sores. Saposhnikovia, schizonepeta, forsythia, angelica dahurica, tangkuei, red peony, scutellaria, coptis, gardenia, lycium root bark, acanthopanax bark, dictamnus root bark, chaenomeles, sophora root, cicada slough, honeysuckle, coix seed, silkworm, the soap-bean thorn, phellodendron, caltrop, chuanxiong — doubled for the upper body —, akebia — doubled for the lower body — and licorice, 1 nyang each; smilax 1 geun 5 nyang. Cut up and divide into twenty-five packets; take one packet, decoct in water and drink, twice a day. — Uigam 醫鑑 (Donguibogam · Jechang)

Clinical commentary 臨床

Twenty-four drugs at an even nyang each with a geun and a half of smilax over them — the section's omnibus formula, and the one the chapter's own index names as the general treatment. The three yellows of the title are scutellaria, coptis and phellodendron, draining heat from the three burners; around them is everything the book has for a skin toxin: the wind-openers, the four-substance blood group, the two skin barks and lycium bark, sophora root, caltrop, cicada slough and silkworm, honeysuckle and forsythia, coix and chaenomeles to carry damp down. The two glosses are the clinical content. Chuanxiong is doubled when the sores are above and akebia when they are below, which is a neat way of making one list serve the palmar and nasal lesions and the genital and leg ones — the former reached by a drug that rises, the latter by one that drains down the water passages. It is the only formula in the section that uses no mercury and no metal at all, and at twenty-five packets it was clearly meant for a long course. **Sophora root (苦參) in quantity is bitter and cold enough to injure the stomach, and silkworm (白殭蠶) is an animal material. Syphilis is curable with penicillin, and nothing here should be substituted for it.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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