寶鑑Bogam

Formulas · Clear Heat 淸熱 · Uihak Jeongjeon (醫學正傳)

White Tiger and Cinnamon Twig Decoction

Baekhogyeji-tang

한글 백호계지탕  ·  Pinyin Bai Hu Gui Zhi Tang

白虎桂枝湯

The transcription writes 其脉如平 with 脉, printed here as the corpus prints it. Where this leaf reads 時便難, the Jingui Yaolue parallel for warm malaria reads 時嘔; the Bogam's reading is kept.

Composition 構成

Total 32 g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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

Indications 主治

Pattern-based

  • Warm malaria (溫瘧) with no cold and heat only
  • A pulse that reads as normal while the body burns
  • Vexing pain in the joints with a fever that keeps a daily clock

Biomedical correlates

  • Malaria with continuous rather than intermittent fever
  • Febrile illness with arthralgia

Source text 原文

Donguibogam 東醫寶鑑

溫瘧者, 其脉如平, 身無寒但熱, 骨節煩疼, 時便難, 朝發暮解, 暮發朝解, 此藥主之. 石膏 四錢, 知母 二錢, 桂枝ㆍ甘草 各一錢, 粳米 一合. 右剉, 作一貼, 水煎服. 《正傳》 ○一名加減桂枝湯. 《得效》

Translation

In warm malaria the pulse reads as though normal, the body has no cold but heat only, the joints ache with vexation, and at times the stool is difficult; onset in the morning resolves by evening and onset in the evening resolves by morning — this medicine governs it. Gypsum, 4 don; anemarrhena, 2 don; cinnamon twig and licorice, 1 don each; 1 hop of polished rice. Cut up, make one packet, and decoct in water and take. — Jeongjeon 正傳 ○ Also called Gagamgyeji-tang. — Deukhyo 得效 (Donguibogam · Haehak)

Clinical commentary 臨床

White Tiger Decoction with cinnamon twig added — gypsum at 4 don, anemarrhena at 2, and the hop of polished rice kept, so the body of the parent formula is untouched. The indication is the classical warm-malaria text almost word for word: a pulse that reads normal, no cold at all but heat only, vexing pain in the joints, and a fever that keeps a daily clock in either direction. The single don of cinnamon twig is the whole adjustment, and it is there for the joints rather than for the fever. Heat that has settled in the joints will not shift on cold drugs alone, and a warming, outward-moving twig at a tenth of the gypsum weight is enough to open the way without feeding the heat. Deukhyo's alternative name, Gagamgyeji-tang, reads the same prescription from the other end — a cinnamon twig formula modified rather than a White Tiger one. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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