Formulas · Release the Exterior 解表 · Uihak Jeongjeon (醫學正傳)

Cimicifuga and Turtle Shell Decoction

Seungmabyeolgap-tang

한글 승마별갑탕 · Pinyin Sheng Ma Bie Jia Tang

升麻鱉甲湯

Composition 構成

Seungma Sheng Ma
升麻 승마 · Cimicifuga

8 g
Chief 君

2 don
Danggui Dang Gui
當歸 당귀 · Korean Angelica

4.8 g
Deputy 臣

1 don 2 pun
Byeolgap Bie Jia
鱉甲 별갑 · Turtle Carapace

4 g
Deputy 臣

1 don
Unghwang Xiong Huang
雄黃 웅황 · Realgar

1.6 g
Assistant 佐

4 pun, powdered · toxic
Cheoncho Chuan Jiao
川椒 천초 · Sichuan Pepper

—
Assistant 佐

20 grains
Gamcho Gan Cao
甘草 감초 · Licorice

4.8 g
Envoy 使

1 don 2 pun

Total 23.2 g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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

Treats yin-toxin breaking out as yin macules

Indications 主治

Pattern-based

Yin toxin with macular eruption

Biomedical correlates

Rash in a cold depleted patient

Source text 原文

Donguibogam 東醫寶鑑

治陰毒發陰癍. 升麻二錢, 當歸ㆍ甘草各一錢二分, 鱉甲(灸) 一錢, 雄黃(末) 四分, 川椒二十粒. 右剉作一貼, 水煎服. 《正傳》

Translation

Treats yin-toxin breaking out as yin macules. Cimicifuga 2 don; Korean angelica and licorice 1 don 2 pun each; roasted turtle shell 1 don; powdered realgar 4 pun; twenty Sichuan pepper grains. Cut up as one packet and decoct in water. — Uihak Jeongjeon 正傳 (Donguibogam · Pi)

Clinical commentary 臨床

A Jingui formula, and the pepper and realgar are what make it a yin-toxin formula rather than a yang one — the Jingui pair runs with pepper and realgar for the yin and without them for the yang. Cimicifuga still leads, because whatever the pattern the rash has to come out. **Contains realgar, an arsenic sulphide, taken internally. This must not be prepared.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.