Formulas · Transform Dampness 化濕 · Hwaje Gukbang (和劑局方)

Double Resolution Drink

Ssanghae-eumja

한글 쌍해음자 · Pinyin Shuang Jie Yin Zi

雙解飮子

Composition 構成

Yukdugu Rou Dou Kou
肉豆蔻 육두구 · Nutmeg

—
Chief 君

2 fruits — one roasted in ashes, one raw
Chodugu Cao Dou Kou
草豆蔲 초두구 · Katsumada Galangal Seed

—
Chief 君

2 fruits — one roasted in ashes, one raw
Hubak Hou Po
厚朴 후박 · Magnolia Bark

—
Deputy 臣

2 chi — 1 chi steeped in ginger juice and roasted, 1 chi raw
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Deputy 臣

2 lumps — one roasted in ashes, one raw
Daejo Da Zao
大棗 대조 · Jujube

—
Assistant 佐

2 fruits
Omae Wu Mei
烏梅 오매 · Mume Plum

—
Assistant 佐

1 fruit
Gamcho Gan Cao
甘草 감초 · Licorice

40 g
Envoy 使

large pieces, 2 nyang for two packets — half roasted, half raw

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 6 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

Warms and opens the centre with aromatics
Resolves both the cold and the heat of the paroxysm
Pairs each drug raw against roasted to work on both halves at once

Indications 主治

Pattern-based

Miasmic malaria (瘴瘧) contracted in southern mists
Cold malaria (寒瘧) with chills predominating
Paroxysms with a cold centre and no appetite

Biomedical correlates

Malaria
Relapsing febrile illness with periodic chills and fever

Source text 原文

Donguibogam 東醫寶鑑

治瘴瘧及寒瘧神效. 肉豆蔲ㆍ草豆蔲各二箇(一箇煨, 一箇生), 厚朴二寸(一寸薑汁浸灸, 一寸生用), 甘草(大者) 二兩(一半灸, 一半生), 生薑二塊(一煨, 一生). 右各剉, 合分二貼, 入棗二梅一, 水煎, 空心溫服. 《局方》 ○一名交解飮, 又名生熟飮. 《類聚》

Translation

Treats miasmic malaria and cold malaria, with divine effect. Nutmeg and katsumada galangal seed, 2 fruits each — one roasted in the ashes and one raw; magnolia bark 2 chi — 1 chi steeped in ginger juice and roasted, 1 chi used raw; large licorice 2 nyang — half roasted, half raw; fresh ginger 2 lumps — one roasted in the ashes, one raw. Cut each of the above, combine and divide into two packets, add 2 jujubes and 1 mume plum, decoct in water and take warm on an empty stomach. — Gukbang 局方 (Donguibogam · Haehak). Also called Gyohae-eum, and also called Saengsuk-eum. — Yuchwi 類聚

Clinical commentary 臨床

The whole method is in the alternate name: 生熟飮, the raw-and-cooked drink. Every one of the four main drugs is halved, one half roasted and one half raw, and the pairing is the formula's argument — the roasted half warms and holds, the raw half moves and disperses, and a paroxysm that swings between chill and fever is met on both swings at once. 雙解, double resolution, and 交解, crossed resolution, say the same thing from the other side. Pharmacologically it is a mild aromatic warming drink: two nutmeg-family fruits, magnolia bark, ginger, licorice, jujube and a single mume plum. There is nothing in it aimed at the fever itself, and nothing toxic. It is the gentlest prescription in this part of the chapter, and the one most plainly aimed at the gut rather than the paroxysm — which is why it reads as supportive care for a patient whose digestion has been wrecked by repeated attacks. Weights are given for the two-packet batch as the leaf states; the licorice figure above is per packet. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.