Formulas · Tonify Qi 補氣 · Uihak Immun (醫學入門)

Tao's Raise the Yang and Scatter Fire Decoction

Dossi-seungyang-sanhwa-tang

한글 도씨승양산화탕 · Pinyin Tao Shi Sheng Yang San Huo Tang

陶氏升陽散火湯

撮空摸床 — grasping at emptiness and fumbling at the bed — is the classical term for carphologia. 熟金 is refined gold, decocted with the drugs and recovered afterwards.

Composition 構成

Insam Ren Shen
人蔘 인삼 · Ginseng

4 g
Chief 君
Danggwi Dang Gui
當歸 당귀 · Korean Angelica

4 g
Deputy 臣
Baekjagyak Bai Shao
白芍藥 백작약 · White Peony

4 g
Deputy 臣
Siho Chai Hu
柴胡 시호 · Bupleurum

4 g
Deputy 臣
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

4 g
Deputy 臣
Maengmundong Mai Men Dong
麥門冬 맥문동 · Liriope

4 g
Deputy 臣
Boksin Fu Shen
茯神 복신 · Poria with hostwood

4 g
Deputy 臣
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

4 g
Assistant 佐
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

4 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

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

—
Envoy 使

three slices
Daejo Da Zao
大棗 대조 · Jujube

—
Envoy 使

two fruits
Geumbak Jin Bo
金箔 금박 · Gold Leaf

—
Envoy 使

refined gold, decocted with the rest

Total 40 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

Treats the grasping-at-emptiness pattern
which arises when liver heat rides the lung and the original qi is vacuous and weak and cannot hold
Supplements the qi and clears the heat that has risen

Indications 主治

Pattern-based

Original qi vacuity with liver heat and delirium
Qi vacuity with carphologia

Biomedical correlates

Delirium with carphologia
Terminal agitation

Source text 原文

Donguibogam 東醫寶鑑

治撮空證. 此因肝熱乗肺ㆍ元氣虛弱ㆍ不能主持, 以致譫語ㆍ神昏ㆍ叉手冒心, 或撮空摸床. 人參ㆍ當歸ㆍ芍藥ㆍ柴胡ㆍ黃芩ㆍ白朮ㆍ麥門冬ㆍ陳皮ㆍ茯神ㆍ甘草各一錢. 右剉, 作一貼, 入薑三片, 棗二枚, 入熟金同煎服. 《入門》

Translation

Treats the grasping-at-emptiness pattern. This arises because liver heat rides the lung and the original qi is vacuous and weak and cannot hold, so that there is delirious speech, a clouded spirit, the hands crossed over the heart, or grasping at emptiness and fumbling at the bed. Ginseng, tangkuei, peony, bupleurum, scutellaria, atractylodes, ophiopogon, tangerine peel, poria spirit and licorice, 1 don each. Cut up, make one packet, add three slices of ginger and two jujubes, add refined gold and decoct together. — Uihak Immun 入門 (Donguibogam · Han)

Clinical commentary 臨床

The sign the formula is named for is one of medicine's oldest and most reliable: 撮空摸床, grasping at the air and picking at the bedclothes. Carphologia in a delirious patient is a grave sign and the tradition read it correctly as the original qi failing rather than as heat alone — hence a formula of ten supporting drugs with only bupleurum and scutellaria for the heat. Gold decocted with the drugs is a weighting agent in the elixir tradition and contributes nothing; the rest is a mild and sensible prescription for a patient whom nothing was going to save. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.