寶鑑Bogam

Formulas · Transform Phlegm 化痰 · Manbyeong Hoechun (萬病回春)

Disperse and Resolve Powder

Sohae-san

한글 소해산  ·  Pinyin Xiao Jie San

消解散

A collation line, 术 : 水(初刊本), is printed on its own line within this leaf's span at the page boundary before [037a]. It is apparatus and not part of this text, and the word it annotates is not in this leaf: the only 朮 here is the 蓬朮 of the drug list, a different graph, and the 术 the note marks stands on page 036b in the 五片术煎服 of 消風化痰湯 two heads earlier, where the first edition reads 水煎服. See the note on Sopunghwadam-tang. The transcription writes 蘓子 for 蘇子; the corpus prints 蘇 in 233 places against 7 and the standard form is given above. 蓬朮 is registered under 蓬朮 by way of the 莪朮 alias, and 燈心 under 燈心草.

Composition 構成

Total 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

Indications 主治

Pattern-based

  • 咽喉結核腫痛 — nodules of the throat, swollen and painful
  • 頸項不得回轉 — the neck cannot be turned
  • 兩腋下或有塊如石硬 — masses under both armpits, hard as stone

Biomedical correlates

  • Cervical lymphadenopathy with restricted neck movement
  • Generalised lymph-node enlargement of the neck and axillae
  • Deep neck-space infection

Source text 原文

Donguibogam 東醫寶鑑

治咽喉結核腫痛, 頸項不得回轉, 兩腋下或有塊如石硬. 南星ㆍ半夏 各一錢, 陳皮ㆍ枳實ㆍ桔梗ㆍ柴胡ㆍ前胡ㆍ黃連ㆍ連翹ㆍ赤芍藥ㆍ防風ㆍ獨活ㆍ白附子ㆍ蘇子ㆍ蓬朮ㆍ蔓荊子ㆍ木通ㆍ甘草 各五分. 右剉, 作一貼, 薑 三片, 燈心 一團, 同煎服. 《回春》

Translation

Treats nodules of the throat, swollen and painful, with the neck unable to turn, and masses under both armpits sometimes hard as stone. Arisaema and pinellia, 1 don each; tangerine peel, bitter orange fruit, platycodon, bupleurum, peucedanum, coptis, forsythia, red peony, saposhnikovia, pubescent angelica, typhonium, perilla seed, zedoary, vitex fruit, akebia and licorice, 5 fun each. Cut up, make one packet, add 3 slices of ginger and a wad of rush pith, decoct together and take. — Hoechun 回春 (Donguibogam · Jechang)

Clinical commentary 臨床

Eighteen drugs built outward from 二陳湯 — arisaema and pinellia doubled at the head of the list, tangerine peel and licorice behind them — with bupleurum, peucedanum, vitex and pubescent angelica added to reach the side and back of the neck, and zedoary to break up what has hardened. Coptis, forsythia and red peony cool. The rush pith is there to drain downward and is the one ingredient that tells you the 回春 read this as heat with water held in the tissues. The three signs in the indication are a progression, not a list. Nodules in the throat, then a neck that will not turn, then stone-hard masses under both arms: that is enlargement spreading from one chain to the next, and it reads as generalised cervical and axillary lymphadenopathy. A neck that cannot be turned is also the sign of a deep neck-space infection, which is an emergency. **Contains arisaema, pinellia and typhonium, all toxic raw and requiring proper processing. This must not be prepared.** Hard, fixed nodes in more than one chain, in an adult, are the presentation of lymphoma until proved otherwise, and they need imaging and a biopsy rather than a decoction. Trismus, a fixed neck, fever or difficulty swallowing need urgent assessment the same day. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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