Formulas · Purge Downward 瀉下 · Gogeum Uigam (古今醫鑑)

Surpassing Gold Pill

Seunggeum-hwan

한글 승금환 · Pinyin Sheng Jin Wan

勝金丸

Composition 構成

Sangsan Chang Shan
常山 상산 · Dichroa Root (toxic)

160 g
Chief 君

酒浸一宿, 晒乾, steeped in wine overnight and sun-dried — dichroa root, emetic and toxic
Changchul Cang Zhu
蒼朮 창출 · Atractylodes Lancea

80 g
Deputy 臣

泔浸, 晒, steeped in rice-washing water and sun-dried
Billang Bing Lang
檳榔 빈랑 · Areca Seed

80 g
Deputy 臣
Chogwa Cao Guo
草果 초과 · Tsaoko Fruit

80 g
Assistant 佐

Total 400 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

Cuts off every kind of malaria in pill form
Drives the water down and dries the damp of the middle

Indications 主治

Pattern-based

Every kind of malaria (一切瘧)
Malaria to be cut off
Malaria dosed the night before and again at cockcrow

Biomedical correlates

Malaria — historical antimalarial therapy
Recurrent febrile paroxysms

Source text 原文

Donguibogam 東醫寶鑑

治一切瘧, 能截去. 常山四兩(酒浸一宿, 晒乾)ㆍ蒼朮(泔浸, 晒)ㆍ檳榔ㆍ草果各二兩. 右爲末, 將浸常山餘酒煮糊和丸梧子大. 每服五十丸, 前一日臨卧時, 溫酒送下, 便卧. 至當發日雞鳴時, 服七十丸. 忌生冷熱物. 《醫鑑》

Translation

Treats every kind of malaria and is able to cut it off. Dichroa root, 4 nyang, steeped in wine overnight and sun-dried; black atractylodes steeped in rice-washing water and sun-dried, areca seed and tsaoko fruit, 2 nyang each. Powder them; take the wine left over from steeping the dichroa, cook it into a paste and make pills the size of a firmiana seed. Fifty pills a dose, sent down with warm wine on going to bed the day before, and then lie down; at cockcrow on the day the paroxysm is due take seventy pills. Avoid raw, cold and hot things. — Uigam 醫鑑 (Donguibogam · Haehak)

Clinical commentary 臨床

Four drugs and nothing wasted: the wine the dichroa was steeped in is boiled down for the pill paste, so the alcohol-soluble part of the root that would otherwise be thrown away goes back into the medicine. That is a deliberate piece of pharmacy, and it makes this the most concentrated of the chapter's dichroa preparations even though the drug list is the shortest. 截瘧法 names this pill with Buri-eum as the pair to use when a malaria has run several paroxysms and must be stopped. The dosing follows the same clock as the drinks — fifty pills at bedtime, seventy more at cockcrow on the day the fever is due — and the food prohibitions after it are the chapter's standing ones, since 凡瘧大忌飽食, malaria above all forbids eating to fullness. **Contains dichroa root, which is emetic and hepatotoxic, and the dose here is large. This must not be prepared. Malaria requires modern antimalarial treatment.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.