Formulas · Clear Heat 淸熱 · Manbyeong Hoechun (萬病回春)

Disperse Wind and Overcome Toxin Powder

Sopungpaedok-san

한글 소풍패독산 · Pinyin Xiao Feng Bai Du San

消風敗毒散

Composition 構成

Danggwi Dang Gui
當歸 당귀 · Korean Angelica

4 g
Chief 君

the root tails (當歸尾)
Saengjihwang Sheng Di Huang
生地黃 생지황 · Raw Rehmannia

4 g
Chief 君
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

4 g
Deputy 臣
Jeokjagyak Chi Shao
赤芍藥 적작약 · Red Peony

4 g
Deputy 臣
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

4 g
Deputy 臣
Hwangnyeon Huang Lian
黃連 황련 · Coptis

3.2 g
Deputy 臣
Hwangbaek Huang Bai
黃柏 황백 · Phellodendron

3.2 g
Deputy 臣
Daehwang Da Huang
大黃 대황 · Rhubarb

8 g
Assistant 佐

added on the first dose only, 2 don; dropped once the foul matter has been passed down
Mangcho Mang Xiao
芒硝 망초 · Mirabilite

6 g
Assistant 佐

added on the first dose only, 1 don 5 fun; dropped once the foul matter has been passed down
Seungma Sheng Ma
升麻 승마 · Cimicifuga

4 g
Assistant 佐
Galgeun Ge Gen
葛根 갈근 · Kudzu Root

4 g
Assistant 佐

乾葛
Yeongyo Lian Qiao
連翹 연교 · Forsythia

3.2 g
Assistant 佐
Bangpung Fang Feng
防風 방풍 · Siler

3.2 g
Assistant 佐
Ganghwal Qiang Huo
羌活 강활 · Notopterygium

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

2 g
Assistant 佐
Seontoe Chan Tui
蟬退 선퇴 · Cicada Moulting

—
Assistant 佐

two cicada shells (蟬殼)
Gamcho Gan Cao
甘草 감초 · Licorice

2 g
Envoy 使

Total 60.8 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 the onset of heavenly blister sores and plum-blossom sores (天疱ㆍ楊梅瘡)
On the first dose rhubarb and mirabilite are added to carry the foul matter down, then dropped

Indications 主治

Pattern-based

Wind-heat toxin at the surface with heat in the blood
Heat toxin bound in the bowel at the onset

Biomedical correlates

Early syphilitic eruption — historical treatment

Source text 原文

Donguibogam 東醫寶鑑

治天疱ㆍ楊梅瘡初起. 當歸尾ㆍ川芎ㆍ赤芍藥ㆍ升麻ㆍ乾葛ㆍ黃芩ㆍ生地黃各一錢, 黃連ㆍ黃栢ㆍ連翹ㆍ防風各八分, 羌活ㆍ金銀花ㆍ甘草各五分, 蟬殼二箇. 初服加大黃二錢ㆍ芒硝一錢半<span class='sochu'>利下惡物後勿用</span>. 右剉, 作一貼, 水煎服. 《回春》

Translation

Treats the onset of heavenly blister sores and plum-blossom sores. The tails of tangkuei, chuanxiong, red peony, cimicifuga, pueraria, scutellaria and fresh rehmannia, 1 don each; coptis, phellodendron, forsythia and saposhnikovia, 8 fun each; notopterygium, honeysuckle and licorice, 5 fun each; two cicada shells. On the first dose add rhubarb 2 don and mirabilite 1 don 5 fun — once the foul matter has been passed down, do not use them again. Cut up, make one packet, decoct in water and take. — Hoechun 回春 (Donguibogam · Jechang)

Clinical commentary 臨床

The frame is the four-substance group with the three yellows laid over it: tangkuei tails, chuanxiong, red peony and fresh rehmannia cooling and moving the blood, scutellaria, coptis and phellodendron taking out the heat, and saposhnikovia, notopterygium, cimicifuga, pueraria and cicada shell pushing the eruption outward. Honeysuckle and forsythia are the pair the chapter reaches for in any toxic sore. The rhubarb-and-mirabilite addition is the interesting part, and the gloss is explicit that it is for the first dose only and is dropped as soon as the bowel has moved. The reasoning is that the toxin of a new eruption is still movable and should be sent out below before the surface is opened; keeping a strong purge going would only waste the patient. It is a well-judged instruction about dosing, applied to a disease it could not affect. 天疱瘡 and 楊梅瘡 are the same thing — syphilis — and the chapter knows it is passed in the bedchamber. **Mirabilite (芒硝) with rhubarb is a strong purge and will cause fluid and electrolyte loss if repeated; the leaf's own instruction to stop after one dose should be read as part of the prescription.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.