Formulas · Purge Downward 瀉下 · Immun (入門)

Three Substances White Powder

Sammulbaek-san

한글 삼물백산 · Pinyin San Wu Bai San

三物白散

Composition 構成

Padu Ba Dou
巴豆 파두 · Croton Seed

4 g
Chief 君

skin and heart removed, parched and ground to a paste · toxic
Gilgyeong Jie Geng
桔梗 길경 · Platycodon

12 g
Deputy 臣
Paemo Bei Mu
貝母 패모 · Fritillaria

12 g
Deputy 臣

Total 28 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

Warms and breaks a cold chest bind
Drives out cold phlegm by vomiting or purging

Indications 主治

Pattern-based

Cold-repletion chest bind with hard fullness and no heat signs
Cold phlegm lodged in the chest

Biomedical correlates

Pleural effusion without fever
Gastric outlet obstruction from cold

Source text 原文

Donguibogam 東醫寶鑑

治寒實結胸. 桔梗ㆍ貝母各三錢, 巴豆(去皮心, 熬, 硏如脂) 一錢. 右爲末, 和勻, 白湯和服半錢. 弱人減半. 或吐或利, 不利, 進熱粥一椀; 利不止, 進冷粥一椀. 《入門》

Translation

Treats a cold-repletion chest bind. Platycodon and fritillaria, 3 don each; croton seed with skin and heart removed, parched and ground to a paste, 1 don. Powder and mix evenly, and take 5 fun in plain hot water; halve the dose for a weak patient. The patient either vomits or purges. If there is no purging, give a bowl of hot gruel; if the purging will not stop, give a bowl of cold gruel. — Immun 入門 (Donguibogam · Han, lower)

Clinical commentary 臨床

**This must not be prepared.** Croton seed is a violent toxic purgative and the formula is in the registry for textual completeness only. What is worth noticing is the gruel instruction: hot gruel to drive the croton on, cold gruel to rein it in. The Bogam's authors had a thermal dial for a drug they knew was dangerous, which is a more honest piece of pharmacology than it first looks. The pattern — a hard chest bind with none of the heat signs of the preceding formula — is real, and modern practice reaches it through warming and phlegm-transforming formulas instead. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.