Formulas · Purge Downward 瀉下 · Uihak Immun (醫學入門)

Six-to-One Normalize the Qi Decoction

Yugil-sungi-tang

한글 육일순기탕 · Pinyin Liu Yi Shun Qi Tang

六一順氣湯

鐵銹水 is water in which rusted iron has been steeped or washed, added to the finished decoction. The claim to replace six named formulas is the Immun's own.

Composition 構成

Daehwang Da Huang
大黃 대황 · Rhubarb

8 g
Chief 君
Mangcho Mang Xiao
芒硝 망초 · Mirabilite

4 g
Chief 君
Hubak Hou Po
厚朴 후박 · Magnolia Bark

4 g
Deputy 臣
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

4 g
Deputy 臣
Siho Chai Hu
柴胡 시호 · Bupleurum

4 g
Deputy 臣
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

4 g
Assistant 佐
Baekjagyak Bai Shao
白芍藥 백작약 · White Peony

4 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

2 g
Envoy 使
Cho Cu
醋 초 · Vinegar

—
Envoy 使

a spoonful of iron-wash vinegar, stirred in

Total 34 g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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 the interior pattern of cold damage
Replaces the three purgative decoctions and the Great Chai-hu and chest-draining formulas in one

Indications 主治

Pattern-based

Interior repletion heat with binding
Cold damage with the bowel shut and heat

Biomedical correlates

Febrile illness with constipation
Toxic ileus

Source text 原文

Donguibogam 東醫寶鑑

治傷寒裏證. 以代三承氣湯ㆍ大柴胡湯ㆍ大小陷胸湯之神藥也. 大黃二錢, 芒硝ㆍ厚朴ㆍ枳實ㆍ柴胡ㆍ黃芩ㆍ芍藥各一錢, 甘草五分. 右剉, 作一貼, 水煎至半, 去渣, 入鐵銹水一匙, 攪勻服. 《入門》

Translation

Treats the interior pattern of cold damage. It is the wonderful medicine that replaces the three Seunggi decoctions, Daesiho-tang and the greater and lesser chest-draining decoctions. Rhubarb, 2 don; mirabilite, magnolia bark, bitter orange, bupleurum, scutellaria and peony, 1 don each; licorice, 5 fun. Cut up, make one packet, decoct in water down to half, strain, stir in a spoonful of iron-rust water and take. — Uihak Immun 入門 (Donguibogam · Han)

Clinical commentary 臨床

A consolidation formula, and the claim is stated plainly: this one replaces the three Seunggi decoctions, the Great Chai-hu and both chest-draining formulas. That is the late Ming simplifying the Shanghanlun's careful gradations into a single prescription, and whether it is an improvement or a loss depends on who is prescribing — a skilled hand would rather choose among six, and a busy one would rather have one that covers them. The iron-rust water stirred in at the end is the only unusual element and is there, on the Immun's reasoning, to weigh the formula down and settle the qi. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.