Formulas · Regulate Qi 理氣 · Uihak Jeongjeon (醫學正傳)
China Fir Knot Decoction
Samjeol-tang
한글 삼절탕 · Pinyin Shan Jie Tang
Cut and made into one packet, decocted in downstream-flowing water and taken. The chapter records that Liu Zihou, banished to the south, developed leg qi surging into the Heart with a stone-hard mass below the flank and lost consciousness; someone transmitted this method to him, he took it, and within half a meal's time had three great movements of the bowel, whereupon the Qi passed, the mass dispersed, and he revived. **Note on modern practice: leg swelling with breathlessness and collapse is a cardiac emergency requiring immediate medical care.**
Composition 構成
- Samjeol杉木節 삼목절 · China Fir Knot160 g
Chief 君 - Daebokpi大腹皮 대복피 · Areca Husk40 g
Deputy 臣 - Binrang檳榔 빈랑 · Areca Seed28 g
Deputy 臣 7 pieces - Cheonggyulyeop靑橘葉 청귤엽 · Green Tangerine Leaf20 g
Assistant 佐 49 leaves; the peel if leaves are unavailable
Total 248 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
- Rescues leg qi that has entered the abdomen and surged into the Heart
- Brings the mass down and frees the Qi
Indications 主治
Pattern-based
- Leg qi entering the abdomen and surging into the Heart (脚氣入腹衝心)
- Critical and on the point of expiring
- A mass below the flank hard as stone
Biomedical correlates
- Acute decompensation in beriberi — historical management
- Cardiac emergency of the era
- Rescue therapy
Source text 原文
Donguibogam 東醫寶鑑
治脚氣入腹衝心, 危急欲絶, 以此救之. 杉木節 四兩, 大腹皮 一兩, 檳榔 七箇, 靑橘葉 四十九片 <span class='sochu'>無則用皮</span>. 右剉, 作一貼, 以順流水煎服. 《正傳》
Translation
Treats leg qi entering the abdomen and surging into the Heart, critical and on the point of expiring; this rescues them. China fir knot 4 nyang; areca husk 1 nyang; areca nut, 7 pieces; green tangerine leaf, 49 leaves <span class='sochu'>— the peel if leaves are unavailable —</span>. Cut the above, make one packet, decoct in downstream-flowing water and take. — Jeongjeon 正傳 (Donguibogam · Jok)