Formulas · Clear Heat 淸熱 · Uibang Yuchwi (醫方類聚)

Life-Guarding Trichosanthes Pill

Wisaengcheonhwa-won

한글 위생천화원  ·  Pinyin Wei Sheng Tian Hua Yuan

衛生天花元

Pill formula, bulk amounts: the powder is bound with fresh trichosanthes-root juice and raw honey into pills the size of parasol-tree seeds; 30–50 pills with an ophiopogon decoction. The source prefaces the formula with a song on the three wastings — 'urine sweet as honey, slick as oil… of the three wastings the signs are gravest here; in this immortal formula lies the true and wondrous secret.' Note on modern practice: cinnabar, iron powder, and metallic leaf are restricted or unused in contemporary U.S. practice; the formula is shown as recorded, for textual fidelity.

Composition 構成

Total 372 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

Indications 主治

Pattern-based

  • The three wastings at their most perilous (三消病狀最爲危) — per the formula's own song
  • Bladder cold as ice below while the three burners steam above
  • Urine sweet as honey and slick as oil with parched flesh and marrow

Biomedical correlates

  • Advanced diabetes with marked polyuria and glycosuria
  • Severe wasting with heat intolerance and agitation
  • Historical mineral formula — see modern-practice note

Source text 原文

Donguibogam 東醫寶鑑

治三消. 歌曰, 消渴消中消腎病, 三焦五藏生虛熱, 惟有膀胱冷似氷, 意中飮水無休歇, 小便晝夜不流通, 骨冷皮焦心肺裂, 本因飮酒炙煿多, 酒餘色慾勞無節, 飮水喫食日加增, 肌肉精髓轉枯竭, 漩甛如蜜滑如油, 口苦咽乾舌如血, 三消病狀最爲危, 有此仙方眞妙訣. 黃連(童便浸三日) 三兩, 白扁豆(炒) 二兩, 蘆薈 七錢半, 辰砂ㆍ白茯苓ㆍ牡蠣粉ㆍ知母ㆍ苦參ㆍ鐵粉ㆍ天花粉 各五錢, 金ㆍ銀箔 各二十片. 右爲末, 生瓜蔞根汁和生蜜爲丸梧子大. 麥門冬湯下三五十丸. 《類聚》

Translation

Treats the three wastings. The song runs: 'Wasting-thirst, center wasting, kidney wasting — the three burners and five viscera engender vacuous heat; only the bladder stays cold as ice, while the mind would drink without cease. Urine flows unchecked day and night; bones cold, skin scorched, heart and lung split. It begins with wine and roasted rich food, with lust after drinking and toil without measure; the drinking and eating mount by the day as flesh, essence, and marrow turn withered and spent. The urine sweet as honey, slick as oil; mouth bitter, throat dry, the tongue like blood — of the three wastings the signs are gravest here, and in this immortal formula lies the true and wondrous secret.' Coptis (steeped three days in boy's urine) 3 nyang; white hyacinth bean (dry-fried) 2 nyang; aloe 7.5 don; cinnabar, white poria, powdered oyster shell, anemarrhena, sophora root, iron powder, and trichosanthes root, 5 don each; gold and silver leaf, 20 sheets each. Powder the above and bind with fresh trichosanthes-root juice and raw honey into pills the size of parasol-tree seeds; take 30–50 pills with an ophiopogon decoction. — Yuchwi 類聚 (Donguibogam · Sogal)

Clinical commentary 臨床

The chapter's maximalist finale — boy's-urine-steeped coptis, aloe, oyster shell, iron, and leaf of gold and silver, thrown together against the pattern its own song calls the most perilous. Read it as the era's intensive care: every settling, draining, securing agent the pharmacy owned, in one pill. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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