Formulas · Dispel Wind 祛風 · Gogeum Uigam (古今醫鑑)

Disperse the Evil Decoction

Sansa-tang

한글 산사탕 · Pinyin San Xie Tang

散邪湯

The transcription writes 溫 as 温 and 醫鑑 as 醫鍳; both are printed here in the corpus forms.

Composition 構成

Cheongung Chuan Xiong
川芎 천궁 · Cnidium

4 g
Chief 君
Mahwang Ma Huang
麻黃 마황 · Ephedra

4 g
Chief 君
Baekji Bai Zhi
白芷 백지 · Dahurian Angelica

4 g
Deputy 臣
Bangpung Fang Feng
防風 방풍 · Siler

4 g
Deputy 臣
Hyeonggae Jing Jie
荊芥 형개 · Schizonepeta

4 g
Deputy 臣
Jasoyeop Zi Su Ye
紫蘇葉 자소엽 · Perilla Leaf

4 g
Deputy 臣
Ganghwal Qiang Huo
羌活 강활 · Notopterygium

4 g
Deputy 臣
Baekjagyak Bai Shao
白芍藥 백작약 · White Peony

4 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

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

—
Envoy 使

three slices
Chongbaek Cong Bai
蔥白 총백 · Scallion White

—
Envoy 使

three stalks

Total 34 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

Disperses wind at the first onset of wind malaria
Opens a surface that is not yet sweating

Indications 主治

Pattern-based

Wind malaria (風瘧) newly arisen
Wind contracted at the surface with no sweat
Heat first and cold after

Biomedical correlates

Early malaria with fever and chills
Acute febrile illness with no diaphoresis

Source text 原文

Donguibogam 東醫寶鑑

治風瘧初起. 川芎ㆍ白芷ㆍ麻黃ㆍ白芍藥ㆍ防風ㆍ荊芥ㆍ紫蘇葉ㆍ羌活各一錢, 甘草五分. 右剉, 作一貼, 入薑三, 葱白三莖, 煎, 露一宿, 早晨溫服. 《醫鑑》

Translation

Treats wind malaria at its first arising. Cnidium, angelica dahurica, ephedra, white peony, saposhnikovia, schizonepeta, perilla leaf and notopterygium, 1 don each; licorice, 5 fun. Cut up, make one packet, add three slices of ginger and three stalks of scallion white, decoct, leave it out in the dew for one night, and take it warm at first light. — Uigam 醫鑑 (Donguibogam · Haehak)

Clinical commentary 臨床

For wind malaria at its first onset and, by the chapter's own division of that section, for the case with no sweat — the sweating case goes to Jeonggi-tang and the undecided case to Mahwangbaekchul-tang. Eight drugs at 1 don with licorice at 5 fun, and every one of the eight reaches the surface: cnidium, angelica dahurica, ephedra, saposhnikovia, schizonepeta, perilla leaf and notopterygium, with white peony alone holding anything back. The preparation is the part worth keeping. The decoction is made, left out overnight in the dew, and taken warm at first light, which places the dose squarely before the hour the attack is expected. The dew-exposure is a method, not an ingredient, and the same step appears in this chapter's Nogang-eum and Nogangyangwi-tang, where the character 露 in the formula name refers to it. Three stalks of scallion white rather than ginger alone push the formula further toward the surface still. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.