Formulas · Harmonize 和解 · Junggyeong (仲景)

Pinellia Heart-Draining Decoction

Banhasasim-tang

한글 반하사심탕  ·  Pinyin Ban Xia Xie Xin Tang

半夏瀉心湯

Composition 構成

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

Indications 主治

Pattern-based

  • Epigastric stuffiness with retching and loose stool
  • Cold and heat intermingled in the middle burner

Biomedical correlates

  • Functional dyspepsia with nausea
  • Gastritis with bloating and loose stool

Source text 原文

Donguibogam 東醫寶鑑

半夏(製) 二錢, 黃芩ㆍ人參ㆍ甘草 各一錢半, 乾薑 一錢, 黃連 五分. 右剉, 作一貼, 入薑 三片, 棗 二枚, 水煎服. 《仲景》

Translation

Processed pinellia, 2 don; scutellaria, ginseng and licorice, 1 don 5 fun each; dried ginger, 1 don; coptis, 5 fun. Cut up, make one packet, add three slices of ginger and two jujubes and decoct in water. — Junggyeong 仲景 (Donguibogam · Han, lower)

Clinical commentary 臨床

The parent of the five heart-draining formulas and the clearest case in the canon of treating two opposite things at once. The stuffiness below the heart is heat, the loose stool is cold, and both are present in the same patient — so scutellaria and coptis cool the one while dried ginger warms the other, with ginseng, licorice and dates holding the middle between them. Pinellia leads because the retching is the complaint the patient actually brings. Note how small the coptis dose is: a quarter of the pinellia, enough to clear and not enough to chill. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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