Formulas · Transform Phlegm 化痰 · Dansim (丹心)

Rosy Heaven Paste

Hacheon-go

한글 하천고  ·  Pinyin Xia Tian Gao

霞天膏

No composition is given in this chapter. The passage describes the paste's use and refers the preparation to 雜方. The single ingredient is entered without a weight to preserve the reference; the entry should be completed when the Miscellaneous Formulas chapter is translated. One graph is uncertain in the phrase 比之倒倉更▨ and is read tentatively.

Composition 構成

Total 0 g per packet (첩) · representative dosage — verify against source texts.

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

  • Vacuity phlegm and old phlegm, gluey and lodged in the chest
  • Phlegm clinging along the stomach and intestines
  • Phlegm accumulation in wasting, drum distension and dysphagia

Biomedical correlates

  • Chronic phlegm accumulation in debilitated patients
  • Adjunct in cachexia with phlegm retention

Source text 原文

Donguibogam 東醫寶鑑

治虛痰, 老痰, 稠粘膠固於胸臆, 依附盤泊於腸胃, 當用此膏吐瀉, 不致虛損. 如癩癆鼓噎, 於補虛藥中加之, 以去痰積, 可收萬全. 服此, 比之倒倉更〔隱〕. 凡治實痰, 新痰, 用南星ㆍ半夏燥之, 橘紅ㆍ枳殼散之, 猪苓ㆍ茯苓滲之, 黃芩ㆍ黃連降之, 巴豆ㆍ附子流通之, 竹瀝ㆍ瓜蔞潤下之. 詳見〔雜方〕

Translation

Treats vacuity phlegm and old phlegm, thick and gluey, lodged in the chest and clinging along the stomach and intestines. Use this paste to induce vomiting and purging without causing vacuity detriment. In conditions such as wasting, taxation, drum distension and dysphagia, add it to supplementing medicines to remove phlegm accumulation, and full success may be had. Taking this is gentler than the Overturn the Granary method. For repletion phlegm and new phlegm generally: dry it with arisaema and pinellia, disperse it with red tangerine peel and bitter orange, percolate it off with polyporus and poria, downbear it with scutellaria and coptis, free its passage with croton and aconite, and moisten it downward with bamboo sap and trichosanthes. See the Miscellaneous Formulas chapter for details. — Dansim 丹心 (Donguibogam · Damum)

Clinical commentary 臨床

This entry earns its place less for the paste than for the six-line summary attached to it, which is the closest thing the chapter has to a treatment algorithm — six methods, each with its named pair, sorted by what the phlegm is doing rather than where it sits. Dry it, disperse it, percolate it, downbear it, free it, moisten it downward. The paste itself is beef reduced to a concentrate, and the reason it is worth having is stated plainly: it dislodges phlegm without the depletion that a purge would cause, so it can be folded into supplementing formulas for patients too weak to be attacked. Overturn the Granary, mentioned as the harsher comparison, is the beef-broth flooding method of the Danxi tradition. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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