寶鑑Bogam

Formulas · Warm the Interior 溫裏 · Dongwon (東垣)

Pinellia Warm the Lung Decoction

Banhaonpye-tang

한글 반하온폐탕  ·  Pinyin Ban Xia Wen Fei Tang

半夏溫肺湯

Composition 構成

Total 50 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

Indications 主治

Pattern-based

  • Phlegm-water in the middle duct with a sense of open water below the heart
  • Gnawing discomfort and copious spitting of clear fluid
  • No desire for food
  • Sunken wiry fine slow pulse

Biomedical correlates

  • Chronic gastritis with cold pattern
  • Functional dyspepsia with excess salivation
  • Gastroparesis

Source text 原文

Donguibogam 東醫寶鑑

治中脘有痰水, 心下汪洋嘈雜, 多唾吐淸水, 不欲食. 此胃虛冷也. 其脉沈弦細遲. 半夏ㆍ陳皮ㆍ旋覆花ㆍ人參ㆍ細辛ㆍ桂心ㆍ䓀莄ㆍ白芍藥ㆍ赤茯苓ㆍ甘草 各一錢. 右剉, 作一貼, 薑 五片, 煎服. 《東垣》 ○治虛寒咳嗽, 中脘有痰水冷氣, 心下汪洋嘈雜, 多唾淸水, 脉沉弦細遲, 此胃虛冷也. 半夏ㆍ細辛ㆍ桂心ㆍ旋覆花ㆍ陳皮ㆍ人參ㆍ桔梗ㆍ白芍藥ㆍ甘草 各一錢, 赤茯苓 六分. 右剉, 作一貼, 入薑五, 水煎服. 《咳嗽門》

Translation

Treats phlegm-water in the middle duct, with a sense of open water below the heart and a gnawing discomfort, copious spitting and vomiting of clear fluid, and no desire for food. This is vacuity cold of the stomach. The pulse is sunken, wiry, fine and slow. Pinellia, tangerine peel, inula flower, ginseng, asarum, cinnamon heart, platycodon, white peony, red poria and licorice 1 don each. Cut up, make one packet, add 5 slices of ginger, decoct and take. — Dongwon 東垣 (Donguibogam · Damum) ○ Treats vacuity cold cough, with phlegm, water and cold qi in the middle duct, a sense of open water and gnawing below the heart, copious spitting of clear fluid, and a pulse sunken, stringlike, fine and slow — this is a cold vacuous stomach. Pinellia, asarum, cinnamon heart, inula, tangerine peel, ginseng, platycodon, white peony and licorice, 1 don each; red poria, 6 fun. Cut up, make one packet, add five slices of ginger, and decoct in water.

Clinical commentary 臨床

汪洋 — a sense of open water below the heart — is the phrase worth carrying over intact. It describes the sloshing, unmoored feeling of fluid standing in the stomach, and paired with 嘈雜, the gnawing that is neither hunger nor pain, it gives a picture that maps closely onto gastric retention. All ten medicinals at exactly 1 don is unusual and marks this as a harmonizing formula rather than one with a single line of attack. Inula flower is the specific here: it downbears counterflow and dissolves phlegm-water, and it appears in the chapter's single-medicinal section as well. The section around it is a small differential worth reading. Copious spitting without cough in spleen vacuity that cannot restrain kidney water points to Palmi-won; after a serious illness it is a cold stomach and points to Ijung-tang; white froth means cold standing at the stomach mouth and alpinia is added. This formula is for the cold vacuous stomach with fluid actually present. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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