Formulas · Tonify Qi & Blood 氣血雙補 · Gogeum Uigam (古今醫鑑)

Supplement Qi and Engender Blood Decoction

Bogisaenghyeol-tang

한글 보기생혈탕 · Pinyin Bu Qi Sheng Xue Tang

補氣生血湯

白朮 and 熟地黃 are printed with the standard glyphs for the transcription's 白术 and 熟地黄, and 《醫鑑》 for 醫鍳. The 杖傷 section's own prose list writes this formula's name 補氣坐血湯, with a collation note at the foot of the 化瘀散 leaf giving 生 as the First Edition's reading; the leaf head and the leaf itself both read 補氣生血湯.

Composition 構成

Insam Ren Shen
人蔘 인삼 · Ginseng

4 g
Chief 君

1 don
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

4 g
Chief 君

1 don
Danggwi Dang Gui
當歸 당귀 · Korean Angelica

4 g
Chief 君

1 don
Baekbongnyeong Fu Ling
白茯苓 백복령 · Poria (white)

4 g
Deputy 臣

1 don
Baekjagyak Bai Shao
白芍藥 백작약 · White Peony

4 g
Deputy 臣

1 don
Sukjihwang Shu Di Huang
熟地黃 숙지황 · Prepared Rehmannia

4 g
Deputy 臣

1 don
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

4 g
Assistant 佐

1 don
Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

4 g
Assistant 佐

1 don
Paemo Bei Mu
貝母 패모 · Fritillaria

4 g
Assistant 佐

1 don
Gilgyeong Jie Geng
桔梗 길경 · Platycodon

4 g
Assistant 佐

1 don
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使

1 don

Total 44 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

Treats a flogging wound that has ulcerated and festered and long failed to heal
Supplements Qi and engenders Blood so that the wound can close from within
Decocted in half wine and half water

Indications 主治

Pattern-based

杖瘡潰爛, 久不愈 — a flogging wound ulcerated and festering, long unhealed
Qi and Blood both depleted after an injury, with no strength left to close the sore

Biomedical correlates

Chronic non-healing contused wound
Wound failure from malnutrition and depletion after trauma

Source text 原文

Donguibogam 東醫寶鑑

治杖瘡潰爛, 久不愈. 人參ㆍ白朮ㆍ白茯苓ㆍ白芍藥ㆍ當歸ㆍ陳皮ㆍ香附子ㆍ貝母ㆍ桔梗ㆍ熟地黃ㆍ甘草各一錢. 右剉, 作一貼, 酒水相半煎服. 《醫鑑》

Translation

Treats a flogging wound that has ulcerated and festered and has long failed to heal. Ginseng, white atractylodes, white poria, white peony, Korean angelica, tangerine peel, cyperus, fritillaria, platycodon, prepared rehmannia and licorice, 1 don each. Cut the above, make one packet, and decoct in half wine and half water and take. — Gogeum Uigam 醫鑑 (Donguibogam · Jesang)

Clinical commentary 臨床

A tonic base with a few additions, and the one formula in the 杖傷 section aimed at the aftermath rather than the injury. Underneath it is 八物湯 — the four Qi drugs of 四君子湯 (ginseng, white atractylodes, white poria, licorice) with the Blood drugs Korean angelica, white peony and prepared rehmannia, cnidium alone left out — and over that tangerine peel and cyperus to keep the Qi moving so a heavy tonic does not stagnate, with fritillaria and platycodon to open and discharge what is still suppurating. Half wine and half water, as the chapter does for wounds. The instinct is sound, and worth saying so: faced with a wound that will not close, the formula supports the patient instead of attacking the sore. A flogging wound in a prisoner that has been ulcerated for weeks is a problem of nutrition, infection and dead tissue, and what closes it is debridement, dressing, antibiotics where there is cellulitis or osteomyelitis, and enough protein and calories to build granulation tissue. A ginseng-and-rehmannia decoction is not a substitute for any of that, though in a starved patient the intention behind it was pointing the right way. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.