Formulas · Clear Heat 淸熱 · Uihak Immun (醫學入門)

Dispersing Water Toxin Drink

Sosudok-eumja

한글 소수독음자 · Pinyin Xiao Shui Du Yin Zi

消水毒飮子

The leaf gives the composition only; the indication is in the prose immediately above it at 2.9.40 水毒, which ends 身體發赤癍者水毒, 又消水毒飮子並主之 — the one whose body breaks out in red blotches has water toxin, and this drink governs it as well. A collation note at the foot of 028b, 附 : 聞(First Edition), annotates 能聼在水中附人聲 in that prose, not anything in this leaf, and has not been acted on.

Composition 構成

Osuyu Wu Zhu Yu
吳茱萸 오수유 · Evodia

—
Chief 君

半升, half a seung
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

40 g
Deputy 臣
Seogak Xi Jiao
犀角 서각 · Rhinoceros Horn (prohibited)

40 g
Deputy 臣
Seungma Sheng Ma
升麻 승마 · Cimicifuga

40 g
Assistant 佐
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

40 g
Assistant 佐
Omae Wu Mei
烏梅 오매 · Mume Plum

—
Envoy 使

七箇, seven fruits

Total 160 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

Governs water toxin — the strike of the archer insect and of the stream-warmth worm
Taken in two doses after the decoction is reduced from seven bowls to two

Indications 主治

Pattern-based

水毒 — water toxin, with chills and fever, oppression and confusion, and pain in the head and eyes
射工ㆍ溪溫 — the archer insect, which leaves a sore, and the stream-warmth worm, which leaves none

Biomedical correlates

Freshwater-exposure febrile illness with or without a skin lesion
Scrub typhus and other mite-borne fever — the chapter's 沙虱 description

Source text 原文

Donguibogam 東醫寶鑑

吳茱萸半升, 生薑ㆍ犀角ㆍ升麻ㆍ陳皮各一兩, 烏梅七箇. 右剉, 水七椀, 煎至二椀, 分二服. 《入門》

Translation

Evodia fruit half a seung; fresh ginger, rhinoceros horn, cimicifuga and tangerine peel, 1 nyang each; and seven mume fruits. Cut them up, and in seven bowls of water decoct down to two bowls, to be taken in two doses. — Immun 入門 (Donguibogam · Haedok)

Clinical commentary 臨床

A large dose of 吳茱萸, evodia, with ginger and tangerine peel warming and dispersing, against 犀角 and 升麻 resolving toxin and cooling, and 烏梅 sour to gather. The balance is unusual for the chapter — most of these leaves are cold or they are poisons — and it answers the picture the prose draws: 寒熱悶亂, 頭目俱痛, chills and fever with oppression, confusion and pain in the head and eyes. The 射工 and 溪溫 of the prose are the Bogam's names for something contracted in standing fresh water, told apart by whether a sore appears, and its 沙虱 — a mite from the river sand that leaves a puncture like a needle hole with a five-coloured ring round it — is a recognizable description of mite-borne fever, which is to say scrub typhus. That is treated with doxycycline and is dangerous untreated; nothing here touches it. **Contains rhinoceros horn, from a CITES-protected animal, which must not be sourced. 吳茱萸 half a seung is a large dose of a hot, acrid drug and is not safe to take.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.