Formulas · Transform Phlegm 化痰 · Mangye (回春)

Atractylodes and Coptis Decoction

Changryeon-tang

한글 창련탕 · Pinyin Cang Lian Tang

蒼連湯

Cut and made into one packet with 3 slices of ginger, decocted in water and taken.

Composition 構成

Changchul Cang Zhu
蒼朮 창출 · Black Atractylodes

4 g
Chief 君
Hwangryeon Huang Lian
黃連 황련 · Coptis

4 g
Chief 君 ginger-juice-fried
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

4 g
Deputy 臣
Banha Ban Xia
半夏 반하 · Pinellia

4 g
Deputy 臣
Jeokbokryeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

4 g
Deputy 臣
Singok Shen Qu
神麴 신곡 · Medicated Leaven

4 g
Assistant 佐
Osuyu Wu Zhu Yu
吳茱萸 오수유 · Evodia

2 g
Assistant 佐 dry-fried
Sain Sha Ren
砂仁 사인 · Amomum

2 g
Assistant 佐
Saenggang Sheng Jiang
生薑 생강 · Fresh Ginger

6 g
Envoy 使 3 slices
Gamcho Gan Cao
甘草 감초 · Licorice

1.2 g
Envoy 使

Total 35.2 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

Stops sour rising in decoction form
Dries the damp and cools the heat that carry it up

Indications 主治

Pattern-based

Swallowing and vomiting of sour (治同上)
Acute acid regurgitation
Reflux requiring a decoction rather than pills

Biomedical correlates

Acid reflux and heartburn
Acute regurgitation
Short-course reflux treatment

Source text 原文

Donguibogam 東醫寶鑑

治同上. 蒼朮ㆍ黃連(薑汁炒)ㆍ陳皮ㆍ半夏ㆍ赤茯苓ㆍ神麴各一錢, 吳茱萸(炒)ㆍ縮砂各五分, 甘草三分. 右剉, 作一貼, 薑三片, 水煎服. 《回春》

Translation

Treats the same as the above. Atractylodes, ginger-juice-fried coptis, tangerine peel, pinellia, red poria, and medicated leaven, 1 don each; dry-fried evodia and amomum, 5 fun each; licorice 3 fun. Cut the above, make one packet, add 3 slices of ginger, decoct in water and take. — Hoechun 回春 (Donguibogam · Naesang)

Clinical commentary 臨床

The decoction version of Changryeon-hwan, for when the acid is active rather than habitual — same coptis-and-evodia core, but at two to one rather than seasonally adjusted, with medicated leaven and amomum added because a decoction is given to someone whose last meal is still sitting there. The pills are for the pattern; this is for the episode. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.