The Clinical Suggestion of Seunggi-Tang by Reviewing Therapeutic Methods

Article information

J Korean Med. 2024;45(3):103-111

Publication date (electronic) : 2024 September 1

doi : https://doi.org/10.13048/jkm.24041

Jang Eunsu ¹

, Han Woojin ²

, Heo Wonyoung ³^,

¹Department of Diagnosis, College of Korean Medicine, Daejeon University

²Korean Medical Clinics of Gamchodang

³Korean Medical Hospital of Bareunbody

Correspondence to: Heo Wonyoung, Korean Medical Hospital of Bareunbody, Tel: +82-33-765-7501, Fax: +82-33-765-7511, E-mail: rizis@naver.com

Received 2024 July 13; Revised 2024 August 17; Accepted 2024 August 23.

Abstract

Objectives

The purpose of this study was to suggest the another Method of Treatment of Seunggi-Tang by reviewing ShanHanZaBingLun GuiLinGuBon

Methods

The book of ShanHanZaBingLun GuiLinGuBon published by the Eui-Seong-Dang in 2004 was used. All Seunggi-tang was researched and classified into Method of Treatment.

Results

Seunggi-tang included Doinseunggi-tang, Soseunggi-tang, Jowiseunggi-tang, and Daeseunggi-tang. There were two methods of using Seunggi-tang: the Ha treatment with usual volume and the Hwa treatment, with reduced volume. Seunggi-tang especially Soseunggi and Jowiseunggi-tang, were used not only as the Ha treatment but also as the Hwa treatment for several diseases such as gastrointestinal diseases with Bokman or Chogyeonghudang.

Conclusions

This study reveals that Seunggi-Tang could be used Ha or Hwa treatment and Hwa treatment could be utilized in various clinical situation. Further study is needed.

Keywords: SangHanLun(傷寒論); GuiLinGuBon(桂林古本); Hwa-Treatment; Ha-Treatment; Eight therapeutic methods

Table 1

The Kind of Seunggi-tang in ShanHanZaBingLun GuiLinGuBon

Table 2

The Evidence for Dosage of Ha and Hwa-Treatment in Seunggi-tang

Table 3

The Method of Treatment according to Seunggi-tang

Table 4

The Classification of Unknown Method of Treatment in Seunggi-tang

Table 5

The Composition of Individual Seunggi-tang Prescription

References

1. Seo Y. B., Kang H. E.. 2012;The statical analysis of GuiLinGuBon <ShanHanZaBingLun> prescription. J of Haehwa Medicine 21(1):65–78.

2. Heo W. Y.. 2017. DongEuiShanHanZaBingLun Chunggu: Junggyeong Publishing House.

3. Oh J. H., Kim B. S., Lim H. Y., Choi B. H., Kim D. J., Jun Y. I., et al. 2004;A Case of Stroke Patient Who Showed Improvement in Constipation, Chest Discomfort and Insomnia through Treatment of Daeseungki-tang . J. Int. Korean Med 25(2):307–313.

4. Koo B. S., Kim Y. S., Lee D. S., Moon S. K., Go C. N., Cho K. H.. 2000;Effects of Daeseungki-tang on Constipated Patients. J. Int. Korean Med 20(2):3–13.

5. Lee K. S., Kim Y. S.. 2011;Effects of Daeseungki-tang on Cerebral Infarct of MCAO Rats. Kor. J Herbology; 26(3):7–14.

6. Byeon S. H., Hur S. C., Bye J. H., Jo G. M., Lee S. I.. 2018;Analysis of pharmacological studies on the purgation effect of Daeseunggi-tang . Herbal formula science 26(1):27–41. https://doi.org/10.14374/HFS.2018.26.1.27.

7. No Y. B.. 2014;Auditory Hallucination in Schizophrenia treated by Daeseunggi-tang : A Case Report. The Journal of Korean Medical Association of Clinical Sanghan-Geumgwe 6(1):79–88. https://doi.org/10.22891/kmedia.2014.6.1.79.

8. Kim H. C., Ahn D. K., Kim Y. S.. 1999;Neuroprotective Effects of Daeseungki-tang on the Brain Ischemia induced by Four - Vessel Occlusion in Rats. Kor. J Herbology 14(1):131–140.

9. Choi E. B., Kim Y. S.. 2008;Effect of Daeseungki-tang on Apoptotic Neuronal Cell Death of MCAO Rats. Korean J. Oriental Physio-Pathology 22(2):403–409.

10. Kim J. B., Choi S. H., Ahn K. S.. 1997;Study on the Effects of Taorenchengqi-tang(桃仁承氣湯) and Its Components on Blood Stasis Model. Kor. J Oriental Medical Pathology 11(1):65–75.

11. Jo H. C., Chu M. K., Park S. G., Yang M. S., An G. Y., Kang S. I., et al. 2009;A Case Report of Prescribing Doinseunggi-tang (Taorenchenqi-tang) for the Patient with Thoraco-Lumbar Compression Fracture. J Oriental Rehab Med; 19(3):111–121.

12. Kim J. B.. 1999;Comparative Study on the Effects of Doinseunggi-tang and Kyejibokryonghwan on Blood Stasis Model. Semyung University Papers 2(1):79–94.

13. Bang J. K.. 2014;A Study on the Syndrome of Soseunggi-tang(小承氣湯證) in Sanghanlon(傷寒論). Journal of Korean Medical classics 27(1):57–65. https://doi.org/10.14369/skmc.2014.27.1.057.

14. Min J. H., Lim H. T.. 2014;A Case Report of Mood Disorder treated by Soseungki-tang . Journal of Korean Medical Association of Clinical Sanghan-Geumgwe 6(1):89–96. https://doi.org/10.22891/kmedia.2014.6.1.89.

15. Yoon J. H., Park S. B., Kim E. H., Lee J. Y., Yoon S. W.. 2022;A Case Report on Opioid-Induced Constipation in a Patient with Cancer Treated by Jowiseunggi-tang . J. Int. Korean Med 43(2):229–236. https://doi.org/10.22246/jikm.2022.43.2.229.

16. Lee I. J., Lee D. M.. 1994;The Effect of Some Antipolydipsia Oriental Prescriptions on Experimental Diabetic Rats-Cheongsimyeonja-eum, Kamijowiseunki-tang, Kikukjihwang-tang . Yakhak hoeji 38(5):555–561.

17. Kim M. K., Kim J. Y., Choi H. G., Ahn J., Jeong H. I., Seo H. S., et al. 2022;A Case on Combined Korean Medicine of Adult Chronic Urticaria with Papular Form. J Korean Med Ophthalmol Otolaryngol Dermatol 35(4):200–208. https://doi.org/10.6114/jkood.2022.35.4.200.

18. Moore N., Ganse E., Parc J. L., Wall R., Schneid H., Mahdi F., Verrière F., Pelen F.. 1999;The PAIN Study: Paracetamol. Aspirin and Ibuprofen New Tolerability Study A Large-Scale, Randomised Clinical Trial Comparing the Tolerability of Aspirin, Ibuprofen and Paracetamol for Short-Term Analgesia. Clin Drug Invest 18(2):89–98.

19. Paek Y. J., Yoon J. L.. 2014;Aspirin in the prevention of cardiovascular disease and cancer. Jkma 57(4):343. http://dx.doi.org/10.5124/.

20. Alireza F. N., Mohammad A., Ali E., Esmaeil D. A.. 2018;Effect of fisetin supplementation on inflammatory factors and matrix metalloproteinase enzymes in colorectal cancer patients. Randomized Controlled Trial Food Funct 25. 9(4):2025–2031. doi: 10.1039/c7fo01898c.

21. 仝小林 . 2015;方藥量效學 (2 版). china. 科學出版社

22. Han M. G., Heo S. Y.. 1998;A Review Study on the Prescription of ShanHanLun through Eight Therapeutic Laws. J Oriental Rehab Med 8(2):127–143.

23. Kim I. L., Jo S. H.. 2003;Study on one seong of Shanghanlun. Kor. J Herbology 18(3):15–20.

24. Kim J. W.. 2008;NSAID-induced Gastroenteropathy. The Korean Journal of Gastroenterology 52:134–141.

Appendices

Appendix 1 The Provisions of Seunggi-tang

Appendix 2 The Method of Treatment and Provisions of Seunggi-tang

Appendix 3 The Prescription of Seunggi-tang according to Method of Treatment

Article information Continued

Prescription	Provisions
Doinseunggi-tang	409. 太陽病不解熱結膀胱其人如狂血自下下者愈. 其外不解者尙未可攻當先解外. 外解已但少腹急結者乃可攻之宜桃仁承氣湯. [110] 傷寒(宋 106)
Soeseunggi-tang	513. 陽明病脈實雖汗出而不惡熱者其身必重短氣腹滿而喘有潮熱者此外欲解可攻裏也手足濈然汗出者此大便已鞕也大承氣湯主之. 若汗多微發熱惡寒者外未解也. 其熱不潮者未可與承氣湯, 若腹大滿不通者可與小承氣湯微和胃氣勿令大泄下. [214]傷寒(宋208) 514. 陽明病潮熱大便微鞕者可與大承氣湯, 不鞕者不可與之. 若不大便六七日恐有燥屎欲知之法少與小承氣湯. 湯入腹中轉失氣者此有燥屎也乃可攻之. 若不轉失氣者此但初頭鞕後必溏不可攻之攻之必脹滿不能食也欲飮水者與水則噦. 其後發熱者必大便復鞕而少也以小承氣湯和之, 不轉失氣者愼不可攻也. (方見前) [215]傷寒(宋209) 518. 陽明病其人多汗以津液外出胃中燥大便必鞕鞕則讝語小承氣湯主之. (方見前) [219]傷寒(宋213) 519. 陽明病讝語發潮熱脈滑而疾者小承氣湯主之. (方見前) [220]傷寒(宋214) 556. 太陽病若吐若下若發汗後微煩小便數大便因鞕者與小承氣湯和之愈. (方見前) [257]傷寒(宋250) 557. 得病二三日脈弱無太陽柴胡證煩躁心下鞕至四五日雖能食以小承氣湯少少與微和之令小安. 至六日與小承氣湯一升. 若不大便六七日小便少者雖不大便但初頭鞕後必溏未定成鞕攻之必溏須小便利屎定鞕乃可攻之宜大承氣湯. (方見前) [258]傷寒(宋251) 712. 下利讝語者有燥屎也宜小承氣湯. [413]傷寒(宋374)(金匱331)(心典287)
Jowiseunggi-tang	329. 傷寒脈浮自汗出小便數心煩微惡寒脚攣急反與桂枝湯欲攻其表此誤也. 得之便厥咽中乾煩燥吐逆者作甘草乾薑湯與之以復其陽. 若厥愈足溫者更作芍藥甘草湯與之其脚卽伸. 若胃氣不和讝語者少與調胃承氣湯. 若重發汗復加燒針者四逆湯主之. [030]傷寒(宋29) 330. 問曰太陽病其證備按桂枝法治之而增劇厥逆咽中乾煩躁吐逆譫語其故何也? 師曰此陽旦證不可攻也寸口脈浮浮則風亦爲虛風則生熱虛則攣急. 誤攻其表則汗出亡陽汗多則液枯液枯則筋攣陽明內結則煩躁譫語用甘草乾薑以復其陽芍藥甘草以救液調胃承氣以止其譫語此壞病之治必隨脈證也. [031]傷寒 372. 發汗後惡寒者虛故也不惡寒但熱者實也. 當和胃氣與調胃承氣湯. (方見上卷) [073]傷寒(宋70) 397. 太陽病未解脈陰陽俱微者必先振慄汗出而解. 但陽脈微者先汗出而解若陰脈實者下之而解. 若欲下之宜調胃承氣湯. (方見上卷) [098]傷寒(宋94) 408. 傷寒十三日過經讝語者以有熱也當以湯下之. 若小便利者大便當鞕而反下利知醫以丸藥下之非其治也. 若自下利者脈當微厥今反和者此爲內實也調胃承氣湯主之. (方見上). [109]傷寒(宋105) 426. 太陽病過經十餘日心中溫溫欲吐胸中痛大便反溏腹微滿鬱鬱微煩. 先其時自極吐下者與調胃承氣湯. 若不爾者不可與之. 若但欲嘔胸中痛微溏者此非柴胡證所以然者以嘔故知極吐下也. (調胃承氣湯方見上卷) [127]傷寒(宋123) 512. 陽明病不吐不下心煩者可與調胃承氣湯. [213]傷寒(宋207) 554. 太陽病二日發汗不解蒸蒸發熱者屬陽明也調胃承氣湯主之. (方見前) [255]傷寒(宋248) 555. 傷寒吐後腹脹滿者與調胃承氣湯. (方見前) [256]傷寒(宋249)
Daeseunggi-tang	513. 陽明病脈實雖汗出而不惡熱者其身必重短氣腹滿而喘有潮熱者此外欲解可攻裏也手足濈然汗出者此大便已鞕也大承氣湯主之. 若汗多微發熱惡寒者外未解也. 其熱不潮者未可與承氣湯, 若腹大滿不通者可與小承氣湯微和胃氣勿令大泄下. [214]傷寒(宋208) 514. 陽明病潮熱大便微鞕者可與大承氣湯, 不鞕者不可與之. 若不大便六七日恐有燥屎欲知之法少與小承氣湯. 湯入腹中轉失氣者此有燥屎也乃可攻之. 若不轉失氣者此但初頭鞕後必溏不可攻之攻之必脹滿不能食也欲飮水者與水則噦. 其後發熱者必大便復鞕而少也以小承氣湯和之, 不轉失氣者愼不可攻也. (方見前) [215]傷寒(宋209) 517. 傷寒若吐若下後不解不大便五六日上至十餘日日晡所發潮熱不惡寒獨語如見鬼狀, 若劇者發則不識人循衣摸床惕而不安微喘直視, 脈弦者生濇者死. 微者但發熱, 讝語者大承氣湯主之. (方見前) [218]傷寒(宋212) 521. 陽明病讝語有潮熱反不能食者胃中必有燥屎五六枚也. 若能食者但鞕爾宜大承氣湯下之. (方見前) [222]傷寒(宋215) 523. 陽明病汗出讝語者以有燥屎在胃中此爲實也須過經乃可下之. 下之若早語言必亂以表虛裏實故也下之宜大承氣湯. (方見前) [224]傷寒(宋217) 526. 二陽幷病太陽證罷但發潮熱手足漐漐汗出大便難而讝語者下之則愈宜大承氣湯. (方見前) [227]傷寒(宋220) 544. 陽明病下之心中懊惱而煩胃中有燥屎者可攻腹微滿大便初鞕後溏者不可攻之若有燥屎者宜大承氣湯. (方見前) [245]傷寒(宋238) 546. 病人煩熱汗出則解又如瘧狀日晡所發熱者屬陽明也. 脈實者宜下之脈浮大者宜發汗. 下之與大承氣湯發汗宜桂枝湯.(方見前) [247]傷寒(宋240) 547. 大下後六七日不大便煩不解腹滿痛者此有燥屎也所以然者本有宿食故也宜大承氣湯. (方見前) [248]傷寒(宋241) Prescription Provisions 548. 病人小便不利大便乍難乍易時有微熱喘息不能臥者有燥屎也宜大承氣湯. (方見前) [249]傷寒(宋242) 558. 傷寒六七日目中不了了睛不和無表裏證大便難身微熱者此爲實也急下之宜大承氣湯. (方見前) [259]傷寒(宋252) 559. 陽明病發熱汗多者急下之宜大承氣湯. (方見前) [260]傷寒(宋253) 560. 發汗不解腹滿痛者急下之宜大承氣湯. (方見前) [261]傷寒(宋254) 561. 腹滿不減減不足言當下之宜大承氣湯. (方見前) [262]傷寒(宋255)(金匱132)(心典121) 562. 陽明少陽合病必下利其脈不負者爲順也負者失也. 互相克責名爲負也. 脈滑而數者有宿食也當下之宜大承氣湯. (方見前) [263]傷寒(宋256) 585. 問曰陽明宿食何以別之? 師曰寸口脈浮而大按之反濇尺中亦微而濇故知其有宿食也大承氣湯主之. (方見前) [286]傷寒(金匱140)(心典129) 658. 少陰病得之二三日口燥咽乾者急下之宜大承氣湯. [359]傷寒(宋320) 659. 少陰病自利淸水色純靑心下必痛口乾燥者可下之宜大承氣湯. (方見上) [360]傷寒(宋321) 660. 少陰病六七日腹脹不大便者急下之宜大承氣湯. (方見上) [361]傷寒(宋322) 777. 痙病胸滿口噤臥不著席脚攣急必齘齒宜大承氣湯. [14]痙易差後(金匱30)(心典30) 938. 鬱冒病解能食七八日更發熱者此爲胃實大承氣湯主之. [14]婦人(金匱366)(心典320) 942. 産後七八日無太陽證少腹堅痛此惡露不盡也. 若不大便煩躁發熱脈微實者宜和之. 若日晡所煩躁食則讝語至夜卽愈者大承氣湯主之. (方見前) [18]婦人(金匱370)(心典324)
Seunggi-Bae	156. 傳陽明脈大而數發熱汗出口渴舌燥宜白虎湯不差與承氣湯. [12]傷寒例 247. 風溫者因其人素有熱更傷於風而爲病也. 脈浮弦而數若頭不痛者桂枝去桂加黃芩牡丹湯主之. 若伏氣病溫誤發其汗則大熱煩冤唇焦目赤或衄或吐耳聾脈大而數者宜白虎湯, 大實者宜承氣輩, 若至十餘日則入於裏宜黃連阿膠湯. 何以知其入裏? 以脈沈而數心煩不臥故知也. [15]溫病 356. 傷寒不大便六七日頭痛有熱者與承氣湯. 其小便淸者知不在裏仍在表也當須發汗宜桂枝湯. (方見上卷) [057]傷寒(宋56) 520. 陽明病服承氣湯後不轉失氣明日又不大便脈反微濇者裏虛也爲難治不可更與承氣湯也. [221]傷寒(宋214) 616. 太陰病有宿食脈滑而實者可下之宜承氣輩若大便溏者宜厚朴枳實白朮甘草湯. [317]傷寒(金匱141)(心典129) Soeseunggi-tang Daeseunggi-tang
Soeseunggi-tang Daeseunggi-tang	513. 陽明病脈實雖汗出而不惡熱者其身必重短氣腹滿而喘有潮熱者此外欲解可攻裏也手足濈然汗出者此大便已鞕也大承氣湯主之. 若汗多微發熱惡寒者外未解也. 其熱不潮者未可與承氣湯, 若腹大滿不通者可與小承氣湯微和胃氣勿令大泄下. [214]傷寒(宋208) 514. 陽明病潮熱大便微鞕者可與大承氣湯, 不鞕者不可與之. 若不大便六七日恐有燥屎欲知之法少與小承氣湯. 湯入腹中轉失氣者此有燥屎也乃可攻之. 若不轉失氣者此但初頭鞕後必溏不可攻之攻之必脹滿不能食也欲飮水者與水則噦. 其後發熱者必大便復鞕而少也以小承氣湯和之, 不轉失氣者愼不可攻也. (方見前) [215]傷寒(宋209) 520. 陽明病服承氣湯後不轉失氣明日又不大便脈反微濇者裏虛也爲難治不可更與承氣湯也. [221]傷寒(宋214) 557. 得病二三日脈弱無太陽柴胡證煩躁心下鞕至四五日雖能食以小承氣湯少少與微和之令小安. 至六日與小承氣湯一升. 若不大便六七日小便少者雖不大便但初頭鞕後必溏未定成鞕攻之必溏須小便利屎定鞕乃可攻之宜大承氣湯. (方見前) [258]傷寒(宋251)

Prescription	Method of Treatment	Number	Provisions
Doinseunggi-tang	Ha-Treatment	409	409. 太陽病不解熱結膀胱其人如狂血自下下者愈. 其外不解者尙未可攻當先解外. 外解已但少腹急結者乃可攻之宜桃仁承氣湯. [110]傷寒(宋 106)
Soeseunggi-tang	Inference of Ha-Treatment	518, 519, 712	518. 陽明病其人多汗以津液外出胃中燥大便必鞕鞕則讝語小承氣湯主之. (方見前) [219]傷寒(宋213) 519. 陽明病讝語發潮熱脈滑而疾者小承氣湯主之. (方見前) [220]傷寒(宋214) 712. 下利讝語者有燥屎也宜小承氣湯. [413]傷寒(宋374)(金匱331)(心典287)
Soeseunggi-tang	Hwa-Treatment	513, 514, 556, 557	513. 陽明病脈實雖汗出而不惡熱者其身必重短氣腹滿而喘有潮熱者此外欲解可攻裏也手足濈然汗出者此大便已鞕也大承氣湯主之. 若汗多微發熱惡寒者外未解也. 其熱不潮者未可與承氣湯, 若腹大滿不通者可與小承氣湯微和胃氣勿令大泄下. [214]傷寒(宋208) 514. 陽明病潮熱大便微鞕者可與大承氣湯, 不鞕者不可與之. 若不大便六七日恐有燥屎欲知之法少與小承氣湯. 湯入腹中轉失氣者此有燥屎也乃可攻之. 若不轉失氣者此但初頭鞕後必溏不可攻之攻之必脹滿不能食也欲飮水者與水則噦. 其後發熱者必大便復鞕而少也以小承氣湯和之, 不轉失氣者愼不可攻也. (方見前) [215]傷寒(宋209) 556. 太陽病若吐若下若發汗後微煩小便數大便因鞕者與小承氣湯和之愈. (方見前) [257]傷寒(宋250) 557. 得病二三日脈弱無太陽柴胡證煩躁心下鞕至四五日雖能食以小承氣湯少少與微和之令小安. 至六日與小承氣湯一升. 若不大便六七日小便少者雖不大便但初頭鞕後必溏未定成鞕攻之必溏須小便利屎定鞕乃可攻之宜大承氣湯. (方見前) [258]傷寒(宋251)
Jowiseunggi-tang	Ha-Treatment	397	397. 太陽病未解脈陰陽俱微者必先振慄汗出而解. 但陽脈微者先汗出而解若陰脈實者下之而解. 若欲下之宜調胃承氣湯. (方見上卷) [098]傷寒(宋94)
	Inference of Ha-Treatment	512	512. 陽明病不吐不下心煩者可與調胃承氣湯. [213]傷寒(宋207)
	Hwa-Treatment	372	372. 發汗後惡寒者虛故也不惡寒但熱者實也. 當和胃氣與調胃承氣湯. (方見上卷) [073] 傷寒(宋 70)
	Inference of Hwa-Treatment	329, 330, 408, 426, 554. 555	329. 傷寒脈浮自汗出小便數心煩微惡寒脚攣急反與桂枝湯欲攻其表此誤也. 得之便厥咽中乾煩燥吐逆者作甘草乾薑湯與之以復其陽. 若厥愈足溫者更作芍藥甘草湯與之其脚卽伸. 若胃氣不和讝語者少與調胃承氣湯. 若重發汗復加燒針者四逆湯主之. [030]傷寒(宋29) 330. 問曰太陽病其證備按桂枝法治之而增劇厥逆咽中乾煩躁吐逆譫語其故何也? 師曰此陽旦證不可攻也寸口脈浮浮則風亦爲虛風則生熱虛則攣急. 誤攻其表則汗出亡陽汗多則液枯液枯則筋攣陽明內結則煩躁譫語用甘草乾薑以復其陽芍藥甘草以救液調胃承氣以止其譫語此壞病之治必隨脈證也. [031]傷L홏홐홒홓寒Ã 408. 傷寒十三日過經讝語者以有熱也當以湯下之. 若小便利者大便當鞕而反下利知醫以丸藥下之非其治也. 若自下利者脈當微厥今反和者此爲內實也調胃承氣湯主之. (方見上). [109]傷寒(宋105) 426. 太陽病過經十餘日心中溫溫欲吐胸中痛大便反溏腹微滿鬱鬱微煩. 先其時自極吐下者與調胃承氣湯. 若不爾者不可與之. 若但欲嘔胸中痛微溏者此非柴胡證所以然者以嘔故知極吐下也. (調胃承氣湯方見上卷) [127]傷寒(宋123) 554. 太陽病二日發汗不解蒸蒸發熱者屬陽明也調胃承氣湯主之. (方見前) [255]傷寒(宋248) 555. 傷寒吐後腹脹滿者與調胃承氣湯. (方見前) [256]傷寒(宋249)
Daeseunggi-tang	Ha-Treatment	521, 523, 526, 546, 557, 558, 559, 560, 561, 562. 658, 660	521. 陽明病讝語有潮熱反不能食者胃中必有燥屎五六枚也. 若能食者但鞕爾宜大承氣湯下之. (方見前) [222]傷寒(宋215) 523. 陽明病汗出讝語者以有燥屎在胃中此爲實也須過經乃可下之. 下之若早語言必亂以表虛裏實故也下之宜大承氣湯. (方見前) [224]傷寒(宋217) 526. 二陽幷病太陽證罷但發潮熱手足漐漐汗出大便難而讝語者下之則愈宜大承氣湯. (方見前) [227]傷寒(宋220) 546. 病人煩熱汗出則解又如瘧狀日晡所發熱者屬陽明也. 脈實者宜下之脈浮大者宜發汗. 下之與大承氣湯發汗宜桂枝湯.(方見前) [247]傷寒(宋240) 558. 傷寒六七日目中不了了睛不和無表裏證大便難身微熱者此爲實也急下之宜大承氣湯. (方見前) [259]傷寒(宋252) 557. 得病二三日脈弱無太陽柴胡證煩躁心下鞕至四五日雖能食以小承氣湯少少與微和之令小安. 至六日與小承氣湯一升. 若不大便六七日小便少者雖不大便但初頭鞕後必溏未定成鞕攻之必溏須小便利屎定鞕乃可攻之宜大承氣湯. (方見前) [258]傷寒(宋251) 559. 陽明病發熱汗多者急下之宜大承氣湯. (方見前) [260]傷寒(宋253) 560. 發汗不解腹滿痛者急下之宜大承氣湯. (方見前) [261]傷寒(宋254) 561. 腹滿不減減不足言當下之宜大承氣湯. (方見前) [262]傷寒(宋255)(金匱132)(心典121) 562. 陽明少陽合病必下利其脈不負者爲順也負者失也. 互相克責名爲負也. 脈滑而數者有宿食也當下之宜大承氣湯. (方見前) [263]傷寒(宋256) 658. 少陰病得之二三日口燥咽乾者急下之宜大承氣湯. [359]傷寒(宋320) 659. 少陰病自利淸水色純靑心下必痛口乾燥者可下之宜大承氣湯. (方見上) [360]傷寒(宋321) 660. 少陰病六七日腹脹不大便者急下之宜大承氣湯. (方見上) [361]傷寒(宋 ]???322)
Daeseunggi-tang	Inference of Ha-Treatment	513, 514, 517, 544, 547, 548, 585, 777, 938, 942	513. 陽明病脈實雖汗出而不惡熱者其身必重短氣腹滿而喘有潮熱者此外欲解可攻裏也手足濈然汗出者此大便已鞕也大承氣湯主之. 若汗多微發熱惡寒者外未解也. 其熱不潮者未可與承氣湯, 若腹大滿不通者可與小承氣湯微和胃氣勿令大泄下. [214]傷寒(宋208) 514. 陽明病潮熱大便微鞕者可與大承氣湯, 不鞕者不可與之. 若不大便六七日恐有燥屎欲知之法少與小承氣湯. 湯入腹中轉失氣者此有燥屎也乃可攻之. 若不轉失氣者此但初頭鞕後必溏不可攻之攻之必脹滿不能食也欲飮水者與水則噦. 其後發熱者必大便復鞕而少也以小承氣湯和之, 不轉失氣者愼不可攻也. (方見前) [215]傷寒(宋209) 517. 傷寒若吐若下後不解不大便五六日上至十餘日日晡所發潮熱不惡寒獨語如見鬼狀, 若劇者發則不識人循衣摸床惕而不安微喘直視, 脈弦者生濇者死. 微者但發熱, 讝語者大承氣湯主之. (方見前) [218]傷寒(宋212) 544. 陽明病下之心中懊惱而煩胃中有燥屎者可攻腹微滿大便初鞕後溏者不可攻之若有燥屎者宜大承氣湯. (方見前) [245]傷寒(宋238) 547. 大下後六七日不大便煩不解腹滿痛者此有燥屎也所以然者本有宿食故也宜大承氣湯. (方見前) [248]傷寒(宋241) 548. 病人小便不利大便乍難乍易時有微熱喘息不能臥者有燥屎也宜大承氣湯. (方見前) [249]傷寒(宋242) 585. 問曰陽明宿食何以別之? 師曰寸口脈浮而大按之反濇尺中亦微而濇故知其有宿食也大承氣湯主之. (方見前) [286]傷寒(金匱140)(心典129) 777. 痙病胸滿口噤臥不著席脚攣急必齘齒宜大承氣湯. [14]痙易差後(金匱30)(心典30) 938. 鬱冒病解能食七八日更發熱者此爲胃實大承氣湯主之. [14]婦人(金匱366)(心典320) 942. 産後七八日無太陽證少腹堅痛此惡露不盡也. 若不大便煩躁發熱脈微實者宜和之. 若日晡所煩躁食則讝語至夜卽愈者大承氣湯主之. (方見前) [18]婦人(金匱370)(心典324)
Seunggi-Bae	Ha-Treatment	616	616. 太陰病有宿食脈滑而實者可下之宜承氣輩若大便溏者宜厚朴枳實白朮甘草湯. [317]傷寒(金匱141)(心典129)
	Inference of Hwa-Treatment	356, 520	356. 傷寒不大便六七日頭痛有熱者與承氣湯. 其小便淸者知不在裏仍在表也當須發汗宜桂枝湯. (方見上卷) [057]傷寒(宋56) 520. 陽明病服承氣湯後不轉失氣明日又不大便脈反微濇者裏虛也爲難治不可更與承氣湯也. [221]傷寒(宋214)
	Inference of Ha-Treatment	156, 247	156. 傳陽明脈大而數發熱汗出口渴舌燥宜白虎湯不差與承氣湯. [12]傷寒例 247. 風溫者因其人素有熱更傷於風而爲病也. 脈浮弦而數若頭不痛者桂枝去桂加黃芩牡丹湯主之. 若伏氣病溫誤發其汗則大熱煩冤唇焦目赤或衄或吐耳聾脈大而數者宜白虎湯, 大實者宜承氣輩, 若至十餘日則入於裏宜黃連阿膠湯. 何以知其入裏? 以脈沈而數心煩不臥故知也. [15]溫病

Prescription	Method of Treatment	Number	Composition
Doinseunggi-tang	Ha-Treatment	409	409. 桃核承氣湯方桃核五十個(去皮尖) 大黃四兩桂枝二兩甘草二兩(炙) 芒硝二兩右五味以水七升煮四味取二升去滓納芒硝更上火微沸. 下火先食溫服五合日三服當微利.
Soeseunggi-tang	Inference of Hwa-Treatment	518, 519, 712	712. 小承氣湯方大黃四兩(酒洗) 枳實三枚(炙) 厚朴二兩(去皮尖) 右三味以水四升先煮二味取一升二合去滓納大黃再煮一二沸去滓分溫二服一服譫語止若更衣者停後服不爾盡服之.
Soeseunggi-tang	Hwa-Treatment	513, 514, 556, 557	513. 大承氣湯方大黃四兩(酒洗) 厚朴半斤(炙去皮) 枳實五枚(炙) 芒硝三合右四味以水一斗先煮二物取五升去滓納大黃更煮取二升去滓納芒硝更上微火一兩沸分溫再服得下餘勿服. 小承氣湯方大黃四兩(酒洗) 厚朴二兩(炙去皮) 枳實三枚(炙) 右三味以水四升煮取一升二合去滓分溫再服初服更衣者停後服不爾者盡飮之.
Jowiseunggi-tang	Ha-Treatment	397
	Inference of Ha-Treatment	512	512. 調胃承氣湯方甘草二兩(炙) 芒硝半合大黃四兩(酒洗) 右三味以水三升煮二物至一升去滓納芒硝更上微火一二沸溫頓服之.
	Hwa-Treatment	372
	Inference of Hwa-Treatment	329, 330, 372, 408, 426, 554, 555	329. 調胃承氣湯方甘草一兩(炙) 芒硝半合大黃四兩(酒洗) 右三味以水三升煮二物取一升去滓納芒硝更上火一兩沸頓服之.
Daeseunggi-tang	Ha-Treatment	521, 523, 526, 546, 557, 558, 559, 560, 561, 562, 658. 660	658. 大承氣湯方枳實五枚(炙) 厚朴半斤(去皮炙用) 大黃四兩(洗) 芒硝三合右四味以水一斗先煮二味取五升去滓納大黃更煮取二升去滓納芒硝更上火令一二沸分溫再服一服得利止後服.
Daeseunggi-tang	Inference of Ha-Treatment	513. 514, 517, 544, 547, 548, 585, 777, 938, 942	777. 大承氣湯方大黃四兩(酒洗) 厚朴半斤(去皮) 枳實五枚(炙) 芒硝三合右四味以水一斗先煮枳實厚朴取五升去滓納大黃煮取二升去滓納芒硝更上微火一兩沸分溫再服得一服下者止後服. 938. 大承氣湯方大黃四兩(酒洗) 厚朴半斤(炙去皮) 枳實五枚(炙) 芒硝三合右四味以水一斗先煮二物取五升去滓納大黃更煮取二升去滓納芒硝更上微火一兩沸分溫再服得下停後服. 513. 大承氣湯方大黃四兩(酒洗) 厚朴半斤(炙去皮) 枳實五枚(炙) 芒硝三合右四味以水一斗先煮二物取五升去滓納大黃更煮取二升去滓納芒硝更上微火一兩沸分溫再服得下餘勿服. 小承氣湯方大黃四兩(酒洗) 厚朴二兩(炙去皮) 枳實三枚(炙) 右三味以水四升煮取一升二合去滓分溫再服初服更衣者停後服不爾者盡飮之.
Seunggi-Bae	Ha-Treatment	616
	Inference of Hwa-Treatment	356, 520
	Inference of Ha-Treatment	156, 247	156. 大承氣湯方大黃四兩(酒洗) 厚朴半斤(炙去皮) 枳實五枚芒硝三合右四味以水一斗先煮二物取五升去滓納大黃更煮取二升去滓納芒硝更上微火一兩沸分溫再服得下餘勿服. 小承氣湯方大黃四兩(酒洗) 厚朴二兩(炙去皮) 枳實三枚大者(炙) 右三味以水四升煮取一升二合去滓分溫二服初服當更衣不爾者盡飮之若更衣者勿服之. 調胃承氣湯方甘草二兩(炙) 芒硝半合大黃四兩(酒洗) 右三味以水三升煮二物至一升取去滓納芒硝更上微火一兩沸溫頓服之以調胃氣. 247. 小承氣湯方大黃四兩(酒洗) 厚朴二兩(制) 枳實三枚大者(炙) 右三味以水四升煮取一升二合去滓分溫二服初服當更衣不爾盡飮之若更衣者勿服之. 調胃承氣湯方大黃四兩(酒洗) 甘草二兩(炙) 芒硝半合右三味以水三升煮二物至一升去滓納芒硝更上微火煮令沸少少溫服之.