Formulas · Transform Phlegm 化痰 · Junggyeong (仲景)

Minor Sinking into the Chest Decoction

Sohamhyung-tang

한글 소함흉탕  ·  Pinyin Xiao Xian Xiong Tang

小陷胸湯

Trichosanthes is measured as a fraction of a fruit rather than by weight, so grams are given as 0. A collation note in the Kyujanggak transcription records 入門 : 胸部 — 胸部 being the first-edition reading — at the source attribution of the first variant.

Composition 構成

Total 30 g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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

  • Minor chest bind with fullness below the heart that pains on pressure
  • Phlegm heat bound in the chest with a slippery pulse

Biomedical correlates

  • Pleurisy with effusion
  • Acute bronchitis with retained purulent sputum

Source text 原文

Donguibogam 東醫寶鑑

治小結胸. 半夏(製) 五錢, 黃連 二錢半, 瓜蔞(大者) 四分之一. 右剉, 作一貼, 水二盞, 先煎瓜蔞至一盞, 乃入半夏ㆍ黃連, 煎至半, 去滓溫服. 未利再服, 利下黃涎便安. 《仲景》 ○一方加枳實ㆍ黃芩ㆍ桔梗尤效. 《入門》 ○瓜蔞惟剉其殼, 勿剉其子. 剉其子者非也. 《丹心》

Translation

Treats a minor chest bind. Processed pinellia, 5 don; coptis, 2 don 5 fun; a quarter of a large trichosanthes fruit. Cut up, make one packet; take two cups of water and first decoct the trichosanthes down to one cup, then put in the pinellia and coptis, decoct down to half, strain and take warm. If there is no purging, take again; once yellow drool is purged downward the patient is at ease. — Junggyeong 仲景 ○ One version adds unripe bitter orange, scutellaria and platycodon, which is still more effective. — Immun 入門 ○ Of the trichosanthes, cut up only the husk; do not cut up the seeds. Those who cut up the seeds are wrong. — Dansim 丹心 (Donguibogam · Han, lower)

Clinical commentary 臨床

Three drugs against the Major's three, and the difference is phlegm rather than water: this bind pains on pressure but is not hard, and what comes out is the yellow drool the text names rather than a watery purge. Pinellia at the top dose transforms the phlegm, coptis clears the heat holding it, and the trichosanthes is decocted first and alone so its mucilage comes out fully. Dansim's instruction on cutting only the husk is unusually emphatic and is the sort of detail that only a working pharmacy produces. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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