Formulas · Transform Phlegm 化痰 · Deukhyo (得效)

Siler Warm the Gallbladder Decoction

Bangpungondam-tang

한글 방풍온담탕 · Pinyin Fang Feng Wen Dan Tang

防風溫膽湯

踈風 is printed as the transcription has it; the corpus writes 踈 rather than 疏 in this phrase by a majority of nine to three, and 踈 and 疏 are in any case the same word.

Composition 構成

Banha Ban Xia
半夏 반하 · Pinellia

2 g
Chief 君
Jigak Zhi Qiao
枳殼 지각 · Bitter Orange

2 g
Deputy 臣
Jeokbongnyeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

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

1 g
Assistant 佐
Bangpung Fang Feng
防風 방풍 · Siler

1 g
Assistant 佐
Insam Ren Shen
人蔘 인삼 · Ginseng

0.8 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

0.6 g
Envoy 使
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

one slice (一片)
Jasoyeop Zi Su Ye
紫蘇葉 자소엽 · Perilla Leaf

—
Envoy 使

two leaves (紫蘇二葉)

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

Dissolves phlegm, disperses wind and settles the qi
Serves as the decoction in which the fright pills are taken down

Indications 主治

Pattern-based

Fright wind with phlegm and qi out of order (驚風)

Biomedical correlates

Convulsion in a child — historical management
Recorded for historical reference only

Source text 原文

Donguibogam 東醫寶鑑

治驚風, 消痰踈風順氣. 半夏ㆍ枳殼ㆍ赤茯苓各五分, 陳皮ㆍ防風各二分半, 人參二分, 甘草一分半. 右剉, 作一貼, 入生薑一片, 紫蘇二葉, 煎水調下<a href='/formulas/daegyeong-won'>大驚元</a>ㆍ小驚元服之. 《得效》

Translation

Treats fright wind; dissolves phlegm, disperses wind and settles the qi. Pinellia, bitter orange and red poria, 5 fun each; tangerine peel and siler, 2 fun 5 ri each; ginseng 2 fun; licorice 1 fun 5 ri. Cut them up and make one packet, adding one slice of ginger and two perilla leaves; decoct in water and use the liquid to take down Daegyeong-won or Sogyeong-won. — Deukhyo 得效 (Donguibogam · Soa)

Clinical commentary 臨床

溫膽湯 rebuilt for a child: pinellia, bitter orange, red poria, tangerine peel and licorice, with the bamboo shavings dropped and siler and a little ginseng put in. The whole packet comes to about 10 g of drug — 5 fun of the largest ingredient, 1 fun 5 ri of the smallest — and it is the one prescription in this section whose quantities are plausibly those of a small child rather than an adult's dose handed over unchanged. Its actual job in the section is to be a vehicle. The last line says so: decoct it and use the liquid to take down 大驚元 or 小驚元. So the sweetened, warm, aromatic decoction is what carries the mineral pills into a child who will not swallow them. Nothing in it is toxic, and that is worth stating in a section where almost everything else is. The caution it does deserve is a general one: a child who is convulsing needs the fever managed and the cause excluded — meningitis above all — and not a phlegm-dissolving decoction. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.