寶鑑Bogam

Formulas · Transform Phlegm 化痰 · Gogeum Uigam (古今醫鑑)

Clear the Heart and Warm the Gallbladder Decoction

Cheongsimondam-tang

한글 청심온담탕  ·  Pinyin Qing Xin Wen Dan Tang

淸心溫膽湯

Cut and divided into two packets with 3 slices of ginger, decocted in water and taken. Note on modern practice: seizure disorders require neurological evaluation and anticonvulsant management; this formula is recorded as classical text, and any role for herbal medicine here is adjunctive at most.

Composition 構成

Total 62 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

  • The various epilepsies (治諸癎)
  • Constraint with phlegm-fire on a Blood-vacuous ground
  • Recurrent episodic disturbance with irritability

Biomedical correlates

  • Seizure disorders — historical management
  • only as adjunct to neurological care
  • Agitation with constraint and phlegm signs
  • Recurrent episodic anxiety

Source text 原文

Donguibogam 東醫寶鑑

治諸癎, 平肝解鬱, 淸火化痰, 益心血. 陳皮ㆍ半夏ㆍ茯苓ㆍ枳實ㆍ竹茹ㆍ白朮ㆍ石菖蒲ㆍ黃連(薑汁炒)ㆍ香附子ㆍ當歸ㆍ白芍藥 各一錢, 麥門冬 八分, 川芎ㆍ遠志ㆍ人參 各六分, 甘草 四分. 右剉, 分二貼, 薑三片, 水煎服. 《醫鑑》

Translation

Treats the various epilepsies; levels the Liver and unbinds constraint, clears fire and transforms phlegm, and boosts the Heart Blood. Tangerine peel, pinellia, poria, unripe bitter orange, bamboo shavings, white atractylodes, acorus, ginger-juice-fried coptis, cyperus, Korean angelica, and white peony, 1 don each; ophiopogon 8 fun; cnidium, polygala, and ginseng, 6 fun each; licorice 4 fun. Cut the above, divide into two packets, add 3 slices of ginger, decoct in water and take. — Uigam 醫鑑 (Donguibogam · Sin)

Clinical commentary 臨床

Sixteen herbs doing four stated jobs at once — level the Liver, unbind constraint, clear fire and transform phlegm, and boost the Heart Blood. The design is the Warm the Gallbladder base with acorus and cyperus promoted to lead, so that the opening and unbinding come first and the phlegm-clearing follows. It is the gentlest of the chapter's epilepsy formulas and the only one built entirely from herbs rather than minerals. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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