Formulas · Purge Downward 瀉下 · Immun (入門)
Minor Order the Qi Decoction
Soseunggi-tang
한글 소승기탕 · Pinyin Xiao Cheng Qi Tang
小承氣湯
Composition 構成
- Daehwang大黃 대황 · Rhubarb16 g
Chief 君 - Hubak厚朴 후박 · Magnolia Bark6 g
Deputy 臣 - Jisil枳實 지실 · Immature Bitter Orange6 g
Deputy 臣
Total 28 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
- Purges mild interior repletion
- Disperses stuffiness and fullness without harsh draining
Indications 主治
Pattern-based
- Interior pattern of cold damage with slight heat
- slight repletion and slight fullness calling for a gentle purge
- Upper burner damage with stuffiness and fullness but no dryness or hardness
Biomedical correlates
- Constipation with abdominal distension
- Mild ileus
Source text 原文
Donguibogam 東醫寶鑑
治傷寒裏證, 小熱ㆍ小實ㆍ小滿, 宜緩下者用此. 大黃 四錢, 厚朴ㆍ枳實 各一錢半. 右剉, 作一貼, 水煎服. 《入門》
Translation
Treats the interior pattern of cold damage with slight heat, slight repletion and slight fullness, where a gentle purge is called for. Rhubarb, 4 don; magnolia bark and unripe bitter orange, 1 don 5 fun each. Cut up, make one packet and decoct in water. — Immun 入門 (Donguibogam · Han, upper)
Clinical commentary 臨床
Three drugs, and the whole of the difference from the Major is the absence of mirabilite. Slight heat, slight repletion, slight fullness — the text repeats the word three times, and that is the gate. Rhubarb still takes the top dose, because something has to move the bowel; magnolia bark disperses the stuffiness and bitter orange the fullness. Without mirabilite there is no softening of hardened stool, which is exactly right when there is no hardened stool to soften. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.