Formulas · Clear Heat 淸熱 · Seui Deukhyobang (世醫得效方)

Large Gentian and Turtle Shell Powder

Jingyobyeolgap-san

한글 진교별갑산 · Pinyin Qin Jiao Bie Jia San

秦芃鼈甲散

The source glosses cheonseondeung in a side-note: 'the vine of green aucklandia' (靑木香藤也). Note on modern practice: Aristolochia vine (天仙藤) contains aristolochic acid and is prohibited in contemporary U.S. practice due to nephrotoxicity; the formula is shown as recorded, and modern prescribing omits or substitutes it.

Composition 構成

Galgeun Ge Gen
葛根 갈근 · Kudzu Root

6 g
Chief 君
Jingyo Qin Jiao
秦艽 진교 · Large Gentian

3 g
Chief 君
Byeolgap Bie Jia
鼈甲 별갑 · Turtle Carapace

3 g
Chief 君
Hyeonggae Jing Jie
荊芥 형개 · Schizonepeta

3 g
Deputy 臣
Paemo Bei Mu
貝母 패모 · Fritillaria

3 g
Deputy 臣
Jeonho Qian Hu
前胡 전호 · Peucedanum

3 g
Deputy 臣
Cheonseondeung Tian Xian Teng
天仙藤 천선등 · Aristolochia Vine

3 g
Assistant 佐
Cheongpi Qing Pi
靑皮 청피 · Green Tangerine Peel

3 g
Assistant 佐
Siho Chai Hu
柴胡 시호 · Bupleurum

3 g
Assistant 佐
Baekji Bai Zhi
白芷 백지 · Dahurian Angelica

1.4 g
Assistant 佐
Ganghwal Qiang Huo
羌活 강활 · Notopterygium

1.4 g
Assistant 佐
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

1.4 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

3 g
Envoy 使

Total 37.2 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

Clears steaming heat and outthrusts the lurking evil in taxation fever
Transforms phlegm and stops the consumptive cough

Indications 主治

Pattern-based

Vacuity taxation with tidal heat and night sweats (潮熱盜汗)
Phlegm cough on a steaming-bone ground
Taxation fever needing outthrust as much as clearing

Biomedical correlates

Chronic low-grade fever with productive cough
Historical consumption presentations
Night sweats with respiratory symptoms

Source text 原文

Donguibogam 東醫寶鑑

治虛勞, 潮熱盜汗, 痰嗽諸證. 乾葛一錢半, 荊芥ㆍ貝母ㆍ前胡ㆍ天仙藤(靑木香藤也)ㆍ靑皮ㆍ柴胡ㆍ秦芃ㆍ鼈甲ㆍ甘草各七分半, 白芷ㆍ羌活ㆍ肉桂各三分半. 右剉, 作一貼, 入薑三片, 水煎服. 《得效》

Translation

Treats vacuity taxation with tidal heat, night sweats, and the various phlegm-cough patterns. Kudzu root 1.5 don; schizonepeta, fritillaria, peucedanum, aristolochia vine (the vine of green aucklandia), green tangerine peel, bupleurum, large gentian, turtle shell, and licorice, 0.75 don each; angelica dahurica, notopterygium, and cinnamon bark, 0.35 don each. Cut the above, make one packet, add 3 slices of ginger, decoct in water and take. — Deukhyo 得效 (Donguibogam · Heoro)

Clinical commentary 臨床

A consumption formula that fights outward — kudzu and schizonepeta at the gates while gentian and turtle shell dig the steaming heat out of the bone, on the Deukhyo's wager that taxation fever is a siege best broken from both sides. **天仙藤 is the stem of the same 쥐방울덩굴 whose fruit is 馬兜鈴, and carries the same aristolochic acid — nephrotoxic, Group 1 carcinogen. It must be omitted.** The leaf's own interlinear gloss names the plant for us: 天仙藤<span class='sochu'>靑木香藤也</span>, the 靑木香 vine. That is one of only three places in the corpus where this name is attached to the birthwort rather than to costus, and in all three the name is qualified — 土 for the root here and at 草部下 1.112.1, 藤 for the stem — while the bare 靑木香 is costus at 草部上 1.18. The formula is a decoction for 虛勞, taken over a long course, which is the exposure pattern aristolochic acid punishes. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.