Formulas · Transform Phlegm 化痰 · Dansim (丹心)

Pinellia and Poria Decoction

Banhabokryeong-tang

한글 반하복령탕 · Pinyin Ban Xia Fu Ling Tang

半夏茯苓湯

Cut and made into one packet with 7 slices of ginger, decocted in water and taken. Note on modern practice: vomiting in pregnancy severe enough to prevent keeping fluids down requires prompt obstetric evaluation for hyperemesis and dehydration.

Composition 構成

Banha Ban Xia
半夏 반하 · Pinellia

6 g
Chief 君
Jeokbokryeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

4 g
Deputy 臣
Sukjihwang Shu Di Huang
熟地黃 숙지황 · Prepared Rehmannia

4 g
Deputy 臣
Gyulhong Ju Hong
橘紅 귤홍 · Red Tangerine Peel

2.8 g
Assistant 佐
Seonbokhwa Xuan Fu Hua
旋覆花 선복화 · Inula Flower

2.8 g
Assistant 佐
Insam Ren Shen
人蔘 인삼 · Ginseng

2.8 g
Assistant 佐
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

2.8 g
Assistant 佐
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

2.8 g
Assistant 佐
Gilgyeong Jie Geng
桔梗 길경 · Platycodon

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

14 g
Envoy 使 7 slices
Gamcho Gan Cao
甘草 감초 · Licorice

2.8 g
Envoy 使

Total 47.6 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

Settles the retching and vexation of early pregnancy
Downs the counterflow while the Blood and Qi are kept supplied

Indications 主治

Pattern-based

Malign obstruction with vomiting and a vexed heart (惡阻病嘔吐心煩)
Dizziness with loathing at the smell of food and craving for sour and salty
Lying much and rising little
aching in every joint
wasting with exuberant phlegm

Biomedical correlates

Nausea and vomiting of pregnancy
Hyperemesis-adjacent presentations
Early-pregnancy fatigue with food aversion

Source text 原文

Donguibogam 東醫寶鑑

治惡阻病, 嘔吐心煩, 頭目眩暈, 惡聞食氣, 好食酸醎, 多臥少起, 百節煩疼, 羸瘦痰盛. 半夏一錢半, 赤茯苓ㆍ熟地黃各一錢, 橘紅ㆍ旋覆花ㆍ人參ㆍ白芍藥ㆍ川芎ㆍ桔梗ㆍ甘草各七分. 右剉, 作一貼, 入薑七片, 水煎服. 《丹心》

Translation

Treats malign obstruction: vomiting with a vexed heart, dizziness of head and eyes, loathing at the smell of food, a liking for sour and salty things, lying much and rising little, aching and vexation in every joint, wasting with exuberant phlegm. Pinellia 1.5 don; red poria and prepared rehmannia, 1 don each; red tangerine peel, inula flower, ginseng, white peony, cnidium, platycodon, and licorice, 7 fun each. Cut the above, make one packet, add 7 slices of ginger, decoct in water and take. — Dansim 丹心 (Donguibogam · Buin)

Clinical commentary 臨床

The chapter's fullest description of morning sickness, and it is exact — the retching, the dizziness, the loathing at the smell of food, the craving for sour and salty, the wanting only to lie down. What is notable is that the formula does not merely suppress: rehmannia and peony are in it because the tradition reads sustained vomiting as something that empties a pregnant patient, and treats that emptying alongside the nausea. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.