Formulas · Warm the Interior 溫裏 · Gogeum Uigam (古今醫鑑)

White Atractylodes and Aconite Decoction

Baekchulbuja-tang

한글 백출부자탕 · Pinyin Bai Zhu Fu Zi Tang

白朮附子湯

Cut and made into one packet with 3 slices of ginger, decocted in water and taken. Note on modern practice: aconite is a regulated toxic medicinal requiring proper processing and professional prescription.

Composition 構成

Baekchul Bai Zhu
白朮 백출 · White Atractylodes

4 g
Chief 君
Buja Fu Zi
附子 부자 · Prepared Aconite

4 g
Chief 君 blast-fried
Changchul Cang Zhu
蒼朮 창출 · Black Atractylodes

4 g
Deputy 臣
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

4 g
Deputy 臣
Hubak Hou Po
厚朴 후박 · Magnolia Bark

4 g
Deputy 臣
Banha Ban Xia
半夏 반하 · Pinellia

4 g
Deputy 臣
Jeokbokryeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

4 g
Assistant 佐
Taeksa Ze Xie
澤瀉 택사 · Alisma

4 g
Assistant 佐
Jeoryeong Zhu Ling
猪苓 저령 · Polyporus

2 g
Assistant 佐
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

6 g
Envoy 使 3 slices
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

1.6 g
Envoy 使

Total 41.6 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

Warms a center that internal damage has finally turned cold
Drains the water that a cold center has let stand

Indications 主治

Pattern-based

Internal damage in its final stage
transmitting into a cold-center pattern (內傷末傳爲寒中證)
Cold in the center with water accumulation
Long depletion turned to frank cold

Biomedical correlates

Chronic digestive weakness with cold intolerance
Fluid retention with poor digestion
End-stage depletion with cold signs

Source text 原文

Donguibogam 東醫寶鑑

治內傷末, 傳爲寒中證. 白朮ㆍ附子(炮)ㆍ蒼朮ㆍ陳皮ㆍ厚朴ㆍ半夏ㆍ赤茯苓ㆍ澤瀉各一錢, 猪苓五分, 肉桂四分. 右剉, 作一貼, 入薑三片, 水煎服. 《醫鑑》

Translation

Treats internal damage in its final stage, transmitting into a cold-center pattern. White atractylodes, blast-fried aconite, atractylodes, tangerine peel, magnolia bark, pinellia, red poria, and alisma, 1 don each; polyporus 5 fun; cinnamon bark 4 fun. Cut the above, make one packet, add 3 slices of ginger, decoct in water and take. — Uigam 醫鑑 (Donguibogam · Naesang)

Clinical commentary 臨床

The chapter's endpoint, named as such — internal damage *in its final stage*, transmitting into cold center. The construction says what that means: aconite and cinnamon for a center that has stopped generating warmth of its own, and the Five Poria group beneath them because a cold center lets fluid stand. Read against the chapter's opening portrait of the merely overworked, this formula marks how far the same illness can travel if nothing is done. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.