Formulas · Clear Heat 淸熱 · Seui Deukhyobang (世醫得效方)

Cool the Blood Drink

Yanghyeol-eum

한글 양혈음 · Pinyin Liang Xue Yin

凉血飮

The Bogam carries three formulas called 凉血飮. This is the 諸瘡門 one, from the Deukhyo, an eight-drug decoction at 1 don each for 血熱生瘡; the 痔門 formula for 痔漏 is registered as yanghyeol-eum and the 癰疽門 formula for 心癰 as yanghyeol-eum-ongjeo. The three share red peony, trichosanthes root, ophiopogon and raw rehmannia but are otherwise different prescriptions, so this one takes the chapter tail. The leaf opens at the page break; the marker [055b] stands above the first character and is not part of the text. 生芐 is printed as the transcription has it — 芐 is the old graph for 地黃 — and is entered under 生地黃, as the corpus does at dossi-dojeokgakban-tang.

Composition 構成

Jeokjagyak Chi Shao
赤芍藥 적작약 · Red Peony

4 g
Chief 君
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

4 g
Chief 君
Saengjihwang Sheng Di Huang
生地黃 생지황 · Raw Rehmannia

4 g
Chief 君

生芐, the old name for raw rehmannia
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

4 g
Deputy 臣
Hyeonggae Jing Jie
荊芥 형개 · Schizonepeta

4 g
Deputy 臣
Maengmundong Mai Men Dong
麥門冬 맥문동 · Liriope

4 g
Assistant 佐
Gwarugeun Gua Lou Gen
瓜蔞根 과루근 · Trichosanthes Root

4 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使
Deungsimcho Deng Xin Cao
燈心草 등심초 · Rush Pith

—
Envoy 使

燈心十莖, ten stems of rush pith, added to the packet
Jugyeop Zhu Ye
竹葉 죽엽 · Bamboo Leaf

—
Envoy 使

竹葉十片, ten bamboo leaves, added to the packet

Total 32 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

Treats sores arising from heat in the blood
Cools the blood with red peony and scutellaria while ophiopogon and trichosanthes root restore what the heat has dried
Rush pith and bamboo leaf are added to the packet to lead the heat out through the urine

Indications 主治

Pattern-based

血熱生瘡 — sores engendered by heat in the blood
Red, hot, itching eruptions with thirst and a dry mouth

Biomedical correlates

Inflammatory papulopustular dermatitis
Acute eczema with marked erythema

Source text 原文

Donguibogam 東醫寶鑑

治血熱生瘡. 赤芍藥ㆍ黃芩ㆍ川芎ㆍ荊芥ㆍ生芐ㆍ麥門冬ㆍ天花粉ㆍ甘草各一錢. 右剉, 作一貼, 入燈心十莖ㆍ竹葉十片, 煎服. 《得效》

Translation

Treats sores engendered by heat in the blood. Red peony, scutellaria, cnidium, schizonepeta, raw rehmannia, ophiopogon, trichosanthes root and liquorice, 1 don of each. Cut the above up, make one packet, add ten stems of rush pith and ten bamboo leaves, decoct and take. — Seui Deukhyobang 得效 (Donguibogam · Jechang)

Clinical commentary 臨床

A short, plain cooling decoction. Red peony and scutellaria are the cooling pair, raw rehmannia cools the blood itself, ophiopogon and trichosanthes root replace the fluid that the heat has taken, schizonepeta and cnidium keep the surface moving so that the eruption is not merely suppressed, and liquorice harmonises. Rush pith and bamboo leaf at the end of the packet are the Deukhyo's standard way of sending heat downward into the urine. 血熱生瘡 is the chapter's name for an eruption that is red and hot rather than weeping and cold — a working category rather than a diagnosis. In practice it covers acute inflammatory dermatitis of many kinds. The composition is unobjectionable; none of the eight drugs is hazardous at these weights. What it cannot do is reach an infected sore, and the section it sits in is explicit that these are sores running pus and blood. A hot, spreading, tender eruption is treated on the evidence of what is growing in it. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.