Formulas · Release the Exterior 解表 · Gogeum Uigam (古今醫鑑)

Granary Decoction

Changnim-tang

한글 창름탕 · Pinyin Cang Lin Tang

倉廪湯

Composition 構成

Insam Ren Shen
人蔘 인삼 · Ginseng

—
Chief 君

as in Insam-paedok-san
Siho Chai Hu
柴胡 시호 · Bupleurum

—
Deputy 臣

as in Insam-paedok-san
Hwangryeon Huang Lian
黃連 황련 · Coptis

4 g
Assistant 佐

added
Seongnyeonja Shi Lian Zi
石蓮子 석련자 · Aged Lotus Seed

—
Assistant 佐

seven stone lotus seeds
Jinchangmi Chen Cang Mi
陳倉米 진창미 · Aged Granary Rice

—
Envoy 使

three hundred grains of aged granary rice
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

—
Envoy 使

three slices
Daejo Da Zao
大棗 대조 · Jujube

—
Envoy 使

two fruits

Total 4 g per packet (첩) · representative dosage — verify against source texts. Excludes 6 ingredients 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 the clenched-mouth dysentery with vexation of the heart and heat of the hands and feet and headache
Also treats hot dysentery

Indications 主治

Pattern-based

Toxic qi surging up to heart and lung with retching
Dysentery with exterior pattern

Biomedical correlates

Dysentery with vomiting and fever

Source text 原文

Donguibogam 東醫寶鑑

治噤口痢, 心煩, 手足熱, 頭痛. 此乃毒氣上衝心肺, 所以嘔而不食. <a href='/formulas/insampaedok-san'>人參敗毒散</a>(方見寒門)加黃連一錢, 石蓮肉七枚, 陳倉米三百粒, 入薑三片, 棗二枚, 同煎服. 《醫鑑》 ○亦治熱痢.

Translation

Treats the clenched-mouth dysentery with vexation of the heart, heat of the hands and feet, and headache. This is toxic qi surging upward against the heart and lung, which is why there is retching and no eating. Insam-paedok-san (its formula is in the Cold chapter) with 1 don of coptis, seven stone lotus seeds and three hundred grains of aged granary rice added; add three slices of ginger and two jujubes and decoct together. Also treats hot dysentery. — Gogeum Uigam 醫鑑 (Donguibogam · Daebyeon)

Clinical commentary 臨床

The Vanquish Toxin Powder — an exterior-releasing formula — turned to a dysentery, which looks like a category error and is the Uigam's deliberate point: headache, vexation and hot palms with the vomiting mean the illness is not confined to the bowel. Three hundred grains of aged granary rice gives the formula its name and its purpose: a starch decoction that a vomiting patient can hold down. That is rice water as rehydration, prescribed by the grain. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.