Formulas · Transform Phlegm 化痰 · Danggye Simbeop (丹溪心法)

Pinellia, Scutellaria and Atractylodes Decoction for Shoulder Pain

Banha-geumchul-tang

한글 반하금출탕 · Pinyin Ban Xia Qin Zhu Tang

半夏芩朮湯

Registered with the chapter suffix to distinguish it from the 半夏芩朮湯 of the Jeongjeon for phlegm-rheum arm pain, whose weights differ and which blast-fries the arisaema.

Composition 構成

Changchul Cang Zhu
蒼朮 창출 · Black Atractylodes

8 g
Chief 君
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

6 g
Chief 君
Banha Ban Xia
半夏 반하 · Pinellia

4 g
Deputy 臣
Namseong Tian Nan Xing
天南星 천남성 · Arisaema

4 g
Deputy 臣

toxic
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

4 g
Assistant 佐
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

4 g
Assistant 佐

sliced
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

2 g
Assistant 佐
Jeokbokryeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

2 g
Assistant 佐
Wiryeongseon Wei Ling Xian
威靈仙 위령선 · Clematis

1.2 g
Envoy 使
Gamcho Gan Cao
甘草 감초 · Licorice

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

—
Envoy 使

three slices

Total 36 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

Treats damp phlegm pouring into the shoulder and arm with pain
Dries damp phlegm and frees the channels of the arm

Indications 主治

Pattern-based

Damp phlegm pouring into the shoulder and arm
Phlegm damp with heat in the upper limb

Biomedical correlates

Frozen shoulder
Rotator cuff tendinopathy

Source text 原文

Donguibogam 東醫寶鑑

治濕痰流注, 肩臂痛. 蒼朮二錢, 白朮一錢半, 半夏ㆍ南星ㆍ香附子ㆍ片芩(酒炒) 各一錢, 陳皮ㆍ赤茯苓各五分, 威靈仙三分, 甘草二分. 右剉, 作一貼, 入薑三片, 水煎服. 一方有羌活. 《丹心》

Translation

Treats damp phlegm pouring down with pain in the shoulder and arm. Atractylodes lancea, 2 don; atractylodes, 1 don 5 fun; pinellia, arisaema, cyperus and sliced scutellaria wine-fried, 1 don each; tangerine peel and red poria, 5 fun each; clematis, 3 fun; licorice, 2 fun. Cut up, make one packet, add three slices of ginger and decoct in water. One version has notopterygium. — Danggye Simbeop 丹心 (Donguibogam · Pung)

Clinical commentary 臨床

Shoulder and arm pain attributed to damp phlegm pouring into the limb, and the formula is the two-ancient-herbs decoction with the two atractylodes raised and clematis added as the envoy to the arm. The specific localization is what makes it useful: this is the Bogam's shoulder formula, and frozen shoulder and rotator-cuff pain are what it was being used for. Wine-fried scutellaria is the heat component and the rest is drying. A coherent and relatively safe prescription, with arisaema the only drug needing care. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.