寶鑑Bogam

Formulas · Release the Exterior 解表 · Hwarinseo (活人書)

Sagely Powder

Seongsanja

한글 성산자  ·  Pinyin Sheng San Zi

聖散子

Composition 構成

Total 44 g per packet (첩) · representative dosage — verify against source texts. Excludes 2 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

Indications 主治

Pattern-based

  • Epidemic pestilence in circulation (疫癘流行)
  • Wind warmth and damp warmth (風溫 · 濕溫)
  • Seasonal qi (時氣) to be kept out

Biomedical correlates

  • Epidemic febrile illness — historical treatment
  • Communal prophylaxis in an outbreak — historical practice

Source text 原文

Donguibogam 東醫寶鑑

治疫癘流行, 不問陰陽表裏, 連服取差. 又治風溫ㆍ濕溫等證. 草豆蔲(煨)ㆍ猪苓ㆍ石菖蒲ㆍ赤茯苓ㆍ良薑ㆍ獨活ㆍ赤芍藥ㆍ附子ㆍ麻黃ㆍ厚朴ㆍ藁本ㆍ枳殼ㆍ柴胡ㆍ澤瀉ㆍ細辛ㆍ防風ㆍ白朮ㆍ藿香ㆍ半夏ㆍ吳茱萸ㆍ蒼朮ㆍ甘草 各五分. 右剉, 作一貼, 薑 三, 棗 二, 水煎服. 《活人》 ○平朝煮一釜, 老幼各飮一盃, 則時氣不入. 《活人》

Translation

Treats epidemic pestilence in circulation, without asking whether the pattern is yin or yang, exterior or interior; take it continuously until recovery. It also treats wind-warmth and damp-warmth patterns. Katsumada galangal seed (roasted in ashes), polyporus, acorus, red poria, lesser galangal, pubescent angelica, red peony, aconite, ephedra, magnolia bark, ligusticum, bitter orange, bupleurum, alisma, asarum, saposhnikovia, white atractylodes, agastache, pinellia, evodia, atractylodes lancea and licorice, 5 fun each. Cut up, make one packet, add three slices of ginger and two jujubes, and decoct in water. — Hwarin 活人 ○ At first light boil a cauldron of it, and if young and old each drink a cup the seasonal qi will not enter. — Hwarin 活人 (Donguibogam · On)

Clinical commentary 臨床

Twenty-two drugs at five fun each — aconite, ephedra, lesser galangal, magnolia bark, acorus, evodia, asarum, pinellia, agastache and the rest — with the instruction that it may be given without asking whether the pattern is yin or yang, exterior or interior. A second line has a cauldron of it boiled at first light so that young and old may each drink a cup and keep the seasonal qi out: a communal preventive draught rather than a prescription for a patient. The formula is Su Shi's, and it is the most notorious prescription in the epidemic literature. He published it and it was taken up widely; later writers recorded that in warm epidemics it killed people, because a hot, aromatic, aconite-bearing formula given without discrimination to patients already burning is precisely the wrong medicine. The Bogam prints it with its blanket indication intact, and a reader should know what that indication cost. **Contains aconite, which is toxic, together with raw pinellia and asarum. This must not be prepared.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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