Formulas · Dispel Wind-Damp 祛風濕 · Uihak Jeonggam (醫學正傳)

Clematis Remove the Pain Drink

Yeongseon-jeotong-eum

한글 영선제통음 · Pinyin Ling Xian Chu Tong Yin

靈仙除痛飮

當歸梢 is the fine tail of the tangkuei root, held to move the blood rather than nourish it. 片芩 is sliced scutellaria.

Composition 構成

Mahwang Ma Huang
麻黃 마황 · Ephedra

4 g
Chief 君
Jeokjakyak Chi Shao
赤芍藥 적작약 · Red Peony

4 g
Chief 君
Wiryeongseon Wei Ling Xian
威靈仙 위령선 · Clematis

2 g
Chief 君
Bangpung Fang Feng
防風 방풍 · Siler

2 g
Deputy 臣
Hyeonggae Jing Jie
荊芥 형개 · Schizonepeta

2 g
Deputy 臣
Ganghwal Qiang Huo
羌活 강활 · Notopterygium

2 g
Deputy 臣
Dokhwal Du Huo
獨活 독활 · Aralia

2 g
Deputy 臣
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

2 g
Deputy 臣
Danggui Dang Gui
當歸 당귀 · Korean Angelica

1.2 g
Deputy 臣

tail of the root
Baekji Bai Zhi
白芷 백지 · Dahurian Angelica

2 g
Assistant 佐
Changchul Cang Zhu
蒼朮 창출 · Black Atractylodes

2 g
Assistant 佐
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

2 g
Assistant 佐

wine-fried
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

2 g
Assistant 佐
Gilgyeong Jie Geng
桔梗 길경 · Platycodon

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

2 g
Assistant 佐
Seungma Sheng Ma
升麻 승마 · Cimicifuga

1.2 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

1.2 g
Envoy 使

Total 35.6 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

Treats swollen painful joints — pain belonging to fire and swelling to damp — with wind cold also received and stirring within the channels and damp heat pouring among the joints
Releases the exterior and drains damp heat from the joints

Indications 主治

Pattern-based

Damp heat pouring into the joints with wind cold at the surface
Damp heat in the channels with swelling and pain

Biomedical correlates

Acute polyarthritis
Reactive arthritis

Source text 原文

Donguibogam 東醫寶鑑

治肢節腫痛. 痛屬火, 腫屬濕, 兼受風寒而發動於經絡之中, 濕熱流注於肢節之間. 麻黃ㆍ赤芍藥各一錢, 防風ㆍ荊芥ㆍ羌活ㆍ獨活ㆍ威靈仙ㆍ白芷ㆍ蒼朮ㆍ片芩(酒炒)ㆍ枳實ㆍ桔梗ㆍ葛根ㆍ川芎各五分, 當歸梢ㆍ升麻ㆍ甘草各三分. 右剉, 作一貼, 水煎服. 《醫鑑》 ○一名麻黃芍藥湯.

Translation

Treats swollen painful joints. Pain belongs to fire and swelling belongs to damp, with wind cold also received and stirring within the channels and network vessels, and damp heat pouring among the joints. Ephedra and red peony, 1 don each; saposhnikovia, schizonepeta, notopterygium, pubescent angelica, clematis, angelica dahurica, atractylodes lancea, wine-fried scutellaria, bitter orange, platycodon, pueraria and chuanxiong, 5 fun each; tangkuei root-tail, cimicifuga and licorice, 3 fun each. Cut up, make one packet and decoct in water. Also called Mahwang-jakyak-tang. — Uihak Jeonggam 醫鑑 (Donguibogam · Pung)

Clinical commentary 臨床

The clearest piece of pathology in the section, set out in eight characters: pain belongs to fire, swelling belongs to damp. From that the formula follows mechanically — ephedra and the wind drugs for the cold at the surface, scutellaria for the fire, atractylodes and clematis for the damp, and red peony and tangkuei root-tail for the blood in a joint that is hot and tight. Separating the two signs and treating each is better reasoning than anything else in the chapter's joint sections, and the formula remains in use for acute inflammatory arthritis. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.