Formulas · Clear Heat 淸熱 · Uihak Immun (醫學入門)

Immortal's Leftover Grain Decoction

Seonyuryang-tang

한글 선유량탕 · Pinyin Xian Yi Liang Tang

仙遺粮湯

The dose gloss 濕者一兩 is set as an interlinear note because the transcription encloses it in the double-angle marks; the weight recorded in the ingredient list is the 七錢 of the dried root. The transcription writes 毁 for 毀; the transcription's form is printed, as the corpus does not normalize that pair.

Composition 構成

Tobongnyeong Tu Fu Ling
土茯苓 토복령 · Smilax

28 g
Chief 君

7 don; 1 nyang if the root is fresh (濕者一兩)
Bangpung Fang Feng
防風 방풍 · Siler

2 g
Deputy 臣
Mogwa Mu Gua
木瓜 모과 · Chinese Quince

2 g
Deputy 臣
Moktong Mu Tong
木通 목통 · Akebia

2 g
Deputy 臣
Uiiin Yi Yi Ren
薏苡仁 의이인 · Coix Seed

2 g
Deputy 臣
Baekseonpi Bai Xian Pi
白鮮皮 백선피 · Dictamnus Bark

2 g
Assistant 佐
Geumeunhwa Jin Yin Hua
金銀花 금은화 · Honeysuckle

2 g
Assistant 佐
Jogak Zao Jiao
皂角 조각 · Gleditsia Pod

1.6 g
Assistant 佐

the thorn (皂角刺)

Total 41.6 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

Treats the wind toxin of plum-blossom sores, and the paralysis, aching sinews and bones and wasted flesh and damaged bone that follow taking calomel in error
Taking it clears the root so that there is no later trouble
One packet decocted in water, three doses a day

Indications 主治

Pattern-based

Wind toxin of the sores lodged in the sinews and bones
Calomel toxin with paralysis and wasting

Biomedical correlates

Mercury poisoning following treatment — historical remedy
Syphilitic bone pain

Source text 原文

Donguibogam 東醫寶鑑

治楊梅風毒, 或誤服輕粉, 以致癱瘓ㆍ筋骨疼痛ㆍ毁肌傷骨者. 服此除根, 永無後患. 土茯苓七錢<span class='sochu'>濕者一兩</span>, 防風ㆍ木瓜ㆍ木通ㆍ薏苡仁ㆍ白鮮皮ㆍ金銀花各五分, 皂角刺四分. 右剉, 作一貼, 水煎, 日三服. 《入門》

Translation

Treats the wind toxin of plum-blossom sores, and the case where calomel has been taken in error so that paralysis, aching of the sinews and bones, and wasted flesh and damaged bone have followed. Taking this removes the root of it and there is never any later trouble. Smilax 7 don — 1 nyang if the root is fresh —; saposhnikovia, chaenomeles, akebia, coix seed, dictamnus root bark and honeysuckle, 5 fun each; the soap-bean thorn 4 fun. Cut up, make one packet, decoct in water and take three times a day. — Immun 入門 (Donguibogam · Jechang)

Clinical commentary 臨床

Seven don of smilax against five fun of each of the six supporting drugs — a ratio of fourteen to one. This is the most nearly single-drug of the smilax formulas, and the dose note is a piece of real pharmacy: fresh root is mostly water, so 1 nyang of it is allowed where 7 don of the dried will do. What makes this leaf important is the second half of its indication. It is prescribed not for syphilis but for the paralysis, bone pain and wasting that follow when calomel has been given — which is to say, for the damage done by the treatment that fills the rest of this section. The chapter is quite clear-eyed about this: at 2.2 it describes mercury poisoning after quicksilver or calomel taken in error, and here it offers a remedy for it. Smilax will not chelate mercury, and the neurological injury of mercury poisoning is largely permanent, so the promise that there will be no later trouble cannot be kept. **Mercury poisoning is a medical emergency and is treated with chelation under specialist care, not with a decoction. Nothing in this section should be prepared.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.