Formulas · Clear Heat 淸熱 · Gogeum Uigam (古今醫鑑)

Dragon and Tiger Decoction

Yongho-tang

한글 용호탕 · Pinyin Long Hu Tang

龍虎湯

The transcription prints 脉 and 栢; both are kept, as the corpus does elsewhere. 烟 is printed as transcribed rather than 煙.

Composition 構成

Seokgo Shi Gao
石膏 석고 · Gypsum

10 g
Chief 君
Siho Chai Hu
柴胡 시호 · Bupleurum

6 g
Deputy 臣
Hwangnyeon Huang Lian
黃連 황련 · Coptis

6 g
Deputy 臣
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

4 g
Assistant 佐
Jimo Zhi Mu
知母 지모 · Anemarrhena

4 g
Assistant 佐
Hwangbaek Huang Bai
黃柏 황백 · Phellodendron

4 g
Assistant 佐
Chija Zhi Zi
梔子 치자 · Gardenia

3.2 g
Assistant 佐
Banha Ban Xia
半夏 반하 · Pinellia

2.8 g
Assistant 佐
Gaengmi Jing Mi
粳米 갱미 · Non-glutinous Rice

—
Envoy 使

a hundred grains
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices
Daejo Da Zao
大棗 대조 · Jujube

—
Envoy 使

two jujubes

Total g per packet (첩) · representative dosage — verify against source texts. Excludes 3 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

Drains exuberant fire in the heat malaria
Clears heat from all three burners
Generates fluids and settles the vomiting

Indications 主治

Pattern-based

Heat malaria (熱瘧) with fire exuberant
Tongue curled and lips parched with the nose as though smoke-blackened
All six pulses surging and tight

Biomedical correlates

Malaria with high fever and dehydration
Relapsing fever of other cause
Febrile delirium

Source text 原文

Donguibogam 東醫寶鑑

治熱瘧, 火盛, 舌卷唇焦, 鼻如烟熏, 六脉洪緊. 石膏二錢半, 柴胡ㆍ黃連各一錢半, 黃芩ㆍ知母ㆍ黃栢各一錢, 梔子八分, 半夏七分, 粳米百粒. 右剉, 作一貼, 入薑三棗二, 水煎服. 《醫鑑》

Translation

Treats the heat malaria with fire exuberant: the tongue curled, the lips parched, the nose as though blackened by smoke, and all six pulses surging and tight. Gypsum, 2 don 5 fun; bupleurum and coptis, 1 don 5 fun each; scutellaria, anemarrhena and phellodendron, 1 don each; gardenia, 8 fun; pinellia, 7 fun; non-glutinous rice, a hundred grains. Cut them up and make one packet, add three slices of ginger and two jujubes, decoct in water and take. — Uigam 醫鑑 (Donguibogam · Haehak)

Clinical commentary 臨床

This is Baekho-tang crossed with Hwangryeonhaedok-tang and given a bupleurum handle — gypsum and rice from the first, the three yellows and gardenia from the second, bupleurum because the malaria still sits half in the exterior. The name is the formula's own argument: the dragon and the tiger, the cold-draining and the harmonising, pulled into one dose. The signs the Uigam lists are the ones that justify a cold formula this heavy: a curled tongue, parched lips, a nose looking soot-blackened, and surging tight pulses in all six positions. That last is the chapter's check against the opposite error, since the enduring malaria of the taxation section has a faint vacuous pulse and is ruined by exactly this prescription. **Contains pinellia (半夏), which is toxic raw and must be properly processed before use.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.