Formulas · Release the Exterior 解表 · Donguibogam (東醫寶鑑)

Saposhnikovia Harmonizing Decoction

Bangpungchunghwa-tang

한글 방풍충화탕  ·  Pinyin Fang Feng Chong He Tang

防風衝和湯

No source is cited for this entry in the Bogam, which is unusual in this chapter; attributed to the Bogam itself.

Composition 構成

Total 36 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

Indications 主治

Pattern-based

  • Wind-cold contracted in spring
  • summer or autumn with headache
  • fever
  • spontaneous sweating and aversion to cold
  • Floating moderate pulse with an exterior pattern

Biomedical correlates

  • Seasonal upper respiratory infection
  • Influenza-like illness outside winter

Source text 原文

Donguibogam 東醫寶鑑

治春ㆍ夏ㆍ秋感冒風寒, 頭痛ㆍ身熱ㆍ自汗ㆍ惡寒, 脉浮緩. 羌活ㆍ防風 各一錢半, 白朮ㆍ川芎ㆍ白芷ㆍ生地黃ㆍ黃芩 各一錢, 細辛ㆍ甘草 各五分. 右剉, 入薑 三, 葱 三, 煎服. ○一名加減衝和湯.

Translation

Treats wind-cold contracted in spring, summer and autumn, with headache, fever, spontaneous sweating and aversion to cold, and a floating moderate pulse. Notopterygium and saposhnikovia, 1 don 5 fun each; atractylodes, chuanxiong, angelica dahurica, fresh rehmannia and scutellaria, 1 don each; asarum and licorice, 5 fun each. Cut up, add three slices of ginger and three stalks of scallion and decoct. ○ Also called <span class='sochu'>Gamgam-chunghwa-tang</span> 加減衝和湯. (Donguibogam · Han, lower)

Clinical commentary 臨床

Nine-Ingredient Notopterygium Decoction with saposhnikovia promoted to chief and the warming drugs trimmed, which is the adjustment the indication calls for: wind-cold caught outside winter, where the patient is already sweating and the pulse is moderate rather than tight. In that setting a full warming formula overshoots. Fresh rehmannia and scutellaria are kept in to cool, as they are in the parent formula, and the spontaneous sweating in the indication is the detail that tells you not to push the sweat harder. A sensibly modest formula for the common out-of-season cold. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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