Formulas · Regulate Qi 理氣 · Gogeum Uigam (古今醫鑑)

Quiet the Middle and Regulate the Qi Pill

Anjungjogi-hwan

한글 안중조기환 · Pinyin An Zhong Tiao Qi Wan

安中調氣丸

Composition 構成

Baekchul Bai Zhu
白朮 백출 · White Atractylodes

120 g
Chief 君

earth-fried
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

120 g
Chief 君

steeped three days in running water and fried yellow
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

80 g
Deputy 臣
Banha Ban Xia
半夏 반하 · Pinellia

40 g
Deputy 臣

processed and fried in oil; toxic in the raw state and must be properly processed
Hwangnyeon Huang Lian
黃連 황련 · Coptis

40 g
Deputy 臣

"steeped in ginger juice, then fried with pig's bile"
Boksin Fu Shen
茯神 복신 · Poria with hostwood

40 g
Assistant 佐

written 白茯神 in the text
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

40 g
Assistant 佐
Singok Shen Qu
神麴 신곡 · Medicated Leaven

40 g
Assistant 佐

fried; also made into the paste with bamboo sap and ginger juice
Baekjagyak Bai Shao
白芍藥 백작약 · White Peony

32 g
Assistant 佐
Soja Zi Su Zi
蘇子 자소자 · Perilla Seed

24 g
Assistant 佐

fried
Nabokja Lai Fu Zi
萊菔子 나복자 · Radish Seed

24 g
Assistant 佐

fried
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

20 g
Assistant 佐
Danggwi Dang Gui
當歸 당귀 · Korean Angelica

20 g
Assistant 佐

washed in wine
Baekdugu Bai Dou Kou
白豆蔻 백두구 · Round Cardamom

20 g
Assistant 佐

fried
Mokhyang Mu Xiang
木香 목향 · Costus Root

4 g
Assistant 佐
Jeodamjeup Zhu Dan Zhi
猪膽汁 저담즙 · Pig Bile

—
Assistant 佐

used to fry the coptis
Gamcho Gan Cao
甘草 감초 · Licorice

12 g
Envoy 使

honey-roasted
Jungnyeok Zhu Li
竹瀝 죽력 · Bamboo Sap

—
Envoy 使

with ginger juice, used to work the medicated leaven into a paste

Total 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

Treats stomach reflux and phlegm qi

Indications 主治

Pattern-based

Phlegm qi stagnation of the middle burner
Stomach reflux with acid vomiting

Biomedical correlates

Chronic reflux with delayed gastric emptying

Source text 原文

Donguibogam 東醫寶鑑

治反胃及痰氣. 白朮(土炒)ㆍ香附子(長流水浸三日, 炒黃) 各三兩, 陳皮二兩, 半夏(製, 油炒)ㆍ白茯神ㆍ枳實ㆍ神麴(炒)ㆍ黃連(薑汁浸, 猪膽汁拌炒) 各一兩, 白芍藥八錢, 蘇子(炒)ㆍ蘿葍子(炒) 各六錢, 川芎ㆍ當歸(酒洗)ㆍ白豆蔲(炒) 各五錢, 甘草(灸) 三錢, 木香一錢. 右爲末, 以竹瀝ㆍ薑汁打神麴爲糊, 和丸菉豆大. 白湯下一百丸. 《醫鑑》

Translation

Treats stomach reflux and phlegm qi. Earth-fried white atractylodes, and cyperus steeped three days in running water and fried yellow, 3 nyang each; tangerine peel, 2 nyang; processed pinellia fried in oil, white poria spirit, bitter orange, fried medicated leaven, and coptis steeped in ginger juice and fried with pig's bile, 1 nyang each; white peony, 8 don; fried perilla seed and fried radish seed, 6 don each; chuanxiong, wine-washed Chinese angelica and fried round cardamom, 5 don each; honey-roasted licorice, 3 don; saussurea, 1 don. Powder them, work the medicated leaven into a paste with bamboo sap and ginger juice, and make pills the size of mung beans. A hundred pills taken down with plain hot water. — Gogeum Uigam 醫鑑 (Donguibogam · Guto)

Clinical commentary 臨床

The pill form of Sungihwajung-tang, by the same author and with much the same drugs, scaled up into a preparation to be taken over weeks rather than a decoction for an attack. Atractylodes and cyperus at three nyang each are the frame; the rest is the familiar reflux set with radish seed and perilla seed added to bring qi down. That a chronic reflux was treated with a standing pill rather than repeated decoctions is the practical point of the entry, and it is why the dose is a hundred small pills in hot water. **Contains pinellia, which is toxic in the raw state and must be properly processed.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.