Formulas · Transform Phlegm 化痰 · Junggyeong (仲景)

Poria and Schisandra Decoction

Bokryeongomija-tang

한글 복령오미자탕 · Pinyin Fu Ling Wu Wei Zi Tang

茯苓五味子湯

The closing passage of section 6.4.6 carries a lacuna: 「支飮, 法當冒, 冒者必嘔. 嘔者, ▨▨▨▨, 以去其飮, 飮去, 嘔則止.」 The corresponding line in the Jingui Yaolue reads 嘔者復內半夏以去其水, so the missing graphs are restored as 〔復內半夏〕 — 'in one who vomits, reintroduce pinellia' — and the reading 其飮 is retained against the Jingui's 其水.

Composition 構成

Jeokbokryeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

8 g
Chief 君
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

6 g
Deputy 臣 cinnamon heart (桂心)
Omija Wu Wei Zi
五味子 오미자 · Schisandra

5 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

6 g
Envoy 使

Total 25 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

Transforms propping rheum lodged above the diaphragm
Downbears counterflow qi surging from the lower abdomen
Warms and frees the extremities

Indications 主治

Pattern-based

Propping rheum (支飮) with cough and panting, unable to lie flat
Cold impediment of the hands and feet
Copious spittle
Qi surging from the lower abdomen into the chest and throat
Facial heat as if drunk, with recurrent dizzy clouding

Biomedical correlates

Pleural effusion
Congestive heart failure with orthopnea
Pericardial effusion

Source text 原文

Donguibogam 東醫寶鑑

治支飮, 手足冷痺, 多唾, 小腹氣上衝胸咽, 面熱如醉, 時復眩冒. 赤茯苓二錢, 桂心ㆍ甘草各一錢半, 五味子一錢二分半. 右剉, 作一貼, 水煎服. 《仲景》

Translation

Treats propping rheum with cold impediment of the hands and feet, copious spittle, qi surging up from the lower abdomen into the chest and throat, heat in the face as though drunk, and recurrent dizzy clouding. Red poria 2 don; cinnamon heart and licorice 1.5 don each; schisandra 1.25 don. Cut up, make one packet, decoct in water and take. — Junggyeong 仲景 (Donguibogam · Damum)

Clinical commentary 臨床

支飮 is defined at the head of this section by cough and panting with the patient propped up and unable to lie flat, with the body looking swollen. That is orthopnea, and the modern correspondences worth holding are pleural effusion and congestive heart failure. **Breathlessness that prevents lying flat, particularly with leg swelling, is a cardiac emergency and requires immediate medical assessment — the same caution the Foot chapter attaches to 脚氣危證.** Within the formula, the qi surging from the lower abdomen into the chest and throat is a run of 奔豚, and cinnamon heart with licorice is the classical pair that presses it down. Schisandra at 1 don 2 pun 5 ri is an unrounded figure carried over intact from the Jingui reckoning rather than adjusted to the Bogam's usual don-and-half increments, which is a small sign of how literally this prescription was transmitted. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.