Formulas · Invigorate Blood 活血祛瘀 · Gogeum Uigam (古今醫鑑)

Clear Heat and Regulate the Blood Decoction

Cheongyeoljohyeol-tang

한글 청열조혈탕  ·  Pinyin Qing Re Tiao Xue Tang

淸熱調血湯

Cut and made into one packet, decocted in water and taken. The indication rests on the chapter's own timing rule: pain before the flow is repletion, pain after it is vacuity — this formula is for the former.

Composition 構成

Total 33 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

  • Waves of pain within the abdomen as the menses are about to come (經水將來 腹中陣痛)
  • Qi and Blood both replete
  • Menstrual pain with clots and heat signs

Biomedical correlates

  • Primary dysmenorrhea
  • Menstrual pain with heavy or clotted flow
  • Endometriosis-associated pain — supportive care

Source text 原文

Donguibogam 東醫寶鑑

治經水將來, 腹中陣痛, 乃氣血俱實也. 當歸ㆍ川芎ㆍ白芍藥ㆍ生乾地黃ㆍ黃連ㆍ香附子ㆍ桃仁ㆍ紅花ㆍ蓬朮ㆍ玄胡索ㆍ牡丹皮 各七分. 右剉, 作一貼, 水煎服. 《醫鑑》

Translation

Treats waves of pain within the abdomen as the menstrual water is about to come — this being Qi and Blood both replete. Korean angelica, cnidium, white peony, dried raw rehmannia, coptis, cyperus, peach kernel, safflower, curcuma, corydalis, and moutan bark, 7 fun each. Cut the above, make one packet, decoct in water and take. — Uigam 醫鑑 (Donguibogam · Po)

Clinical commentary 臨床

Menstrual pain treated as a full house rather than an empty one, which is the distinction the chapter insists on: cramping that arrives before the flow means there is something to move, not something to feed. Four Substances underneath, then peach kernel, safflower, curcuma, and corydalis to break what is stalled, coptis and moutan for the heat that stalling generates, and cyperus for the constraint above it all. Eleven herbs at one flat dose — the tradition's standing prescription for the pain that begins the day before. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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