Clear Heat and Resolve Toxin Powder

Cheongyeolhaedok-san

한글 청열해독산 · Pinyin Qing Re Jie Du San

淸熱解毒散

Composition 構成

Ganghwal Qiang Huo
羌活 강활 · Notopterygium

8 g
Chief 君
Seokgo Shi Gao
石膏 석고 · Gypsum

5 g
Chief 君
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

4 g
Deputy 臣

wine-fried (酒炒)
Jimo Zhi Mu
知母 지모 · Anemarrhena

4 g
Deputy 臣

wine-fried (酒炒)
Seungma Sheng Ma
升麻 승마 · Cimicifuga

4 g
Deputy 臣
Galgeun Ge Gen
葛根 갈근 · Kudzu Root

4 g
Deputy 臣

乾葛
Hwangnyeon Huang Lian
黃連 황련 · Coptis

2 g
Deputy 臣

wine-fried (酒炒)
Baekjagyak Bai Shao
白芍藥 백작약 · White Peony

5 g
Assistant 佐
Insam Ren Shen
人蔘 인삼 · Ginseng

5 g
Assistant 佐
Saengjihwang Sheng Di Huang
生地黃 생지황 · Raw Rehmannia

2 g
Assistant 佐

wine-washed (酒洗)
Gamcho Gan Cao
甘草 감초 · Licorice

2.8 g
Envoy 使
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices

Total 45.8 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

For the warm and hot months, when the people are ill with epidemic febrile disease
Clears heat and resolves the toxic qi without abandoning the exterior

Indications 主治

Pattern-based

Epidemic febrile disease walking abroad in the warm and hot months (溫暑之月 · 天行瘟疫熱病)
Heat and toxic qi to be cleared and resolved (宜淸熱解毒氣)

Biomedical correlates

Summer epidemic febrile illness
High fever with dehydration in an outbreak

Source text 原文

Donguibogam 東醫寶鑑

溫暑之月, 民病天行瘟疫熱病, 宜淸熱解毒氣. 羌活二錢, 白芍藥ㆍ人參ㆍ石膏各一錢二分半, 黃芩ㆍ知母(並酒炒)ㆍ升麻ㆍ乾葛各一錢, 甘草七分, 黃連(酒炒)ㆍ生地黃(酒洗) 各五分. 右剉, 作一貼, 薑三, 水煎服. 《節齋》

Translation

In the warm and hot months, when the people are ill with epidemic febrile disease walking abroad, the heat should be cleared and the toxic qi resolved. Notopterygium, 2 don; white peony, ginseng and gypsum, 1 don 2 fun 5 ri each; scutellaria and anemarrhena (both wine-fried), cimicifuga and dried pueraria, 1 don each; licorice, 7 fun; coptis (wine-fried) and raw rehmannia (wine-washed), 5 fun each. Cut up, make one packet, add three slices of ginger, and decoct in water. — Jeoljae 節齋 (Donguibogam · On)

Clinical commentary 臨床

The leaf opens with a season and a population rather than with a patient: in the warm and hot months, when the people are ill with epidemic febrile disease, the heat should be cleared and the toxic qi resolved. Then eleven drugs, with notopterygium at two don at the head and gypsum, white peony and ginseng behind it at a don two fun five ri. The wine-processing is the signature. Scutellaria and anemarrhena are both wine-fried, coptis is wine-fried, raw rehmannia is wine-washed — four of the coldest drugs in the formula put through wine so that they rise and reach the surface instead of sinking straight to the bowel. That is Jeoljae's habit, and it is what lets a cooling formula still be given to someone with an exterior pattern, which is also why notopterygium leads it. Ginseng in the middle is the other deliberate choice: the heat is to be cleared, but not at the patient's expense. Of all the formulas in this chapter, this is the one whose reasoning is most visible in its processing instructions. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.