Formulas · Dispel Wind 祛風 · Uihak Jeonggam (醫學正傳)

Gastrodia Pill

Cheonma-hwan

한글 천마환 · Pinyin Tian Ma Wan

天麻丸

Placed in the 中風熱證 section though the formula is warming overall; the rehmannia and scrophularia at the top of the weights are what justify the placement.

Composition 構成

Saengjihwang Sheng Di Huang
生地黃 생지황 · Raw Rehmannia

160 g
Chief 君

raw dried
Ganghwal Qiang Huo
羌活 강활 · Notopterygium

140 g
Chief 君
Danggui Dang Gui
當歸 당귀 · Korean Angelica

100 g
Chief 君
Cheonma Tian Ma
天麻 천마 · Gastrodia

60 g
Deputy 臣
Useul Niu Xi
牛膝 우슬 · Achyranthes

60 g
Deputy 臣
Bihae Bi Xie
萆薢 비해 · Fish-Poison Yam

60 g
Deputy 臣
Hyeonsam Xuan Shen
玄參 현삼 · Scrophularia

60 g
Deputy 臣
Duchung Du Zhong
杜仲 두충 · Eucommia Bark

60 g
Deputy 臣
Dokhwal Du Huo
獨活 독활 · Aralia

60 g
Assistant 佐
Buja Fu Zi
附子 부자 · Prepared Aconite

20 g
Envoy 使

blast-fried

Total 780 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

Treats wind and supplements the blood
Moves the construction and defence and strengthens the sinews and bones

Indications 主治

Pattern-based

Wind with blood vacuity and weak sinews and bones
Wind damp with liver and kidney depletion

Biomedical correlates

Chronic stroke sequelae
Degenerative joint and spine disease

Source text 原文

Donguibogam 東醫寶鑑

治風ㆍ補血ㆍ行榮衛ㆍ壯筋骨. 生乾地黃四兩, 羌活三兩半, 當歸二兩半, 天麻ㆍ牛膝ㆍ萆薢ㆍ玄參ㆍ杜衝ㆍ獨活各一兩半, 附子(炮) 五錢. 右爲末, 蜜丸梧子大, 每百丸, 空心以溫酒或白湯呑下. 《醫鑑》

Translation

Treats wind, supplements the blood, moves the construction and defence and strengthens the sinews and bones. Raw dried rehmannia, 4 nyang; notopterygium, 3 nyang 5 don; tangkuei, 2 nyang 5 don; gastrodia, achyranthes, dioscorea hypoglauca, scrophularia, eucommia and pubescent angelica, 1 nyang 5 don each; blast-fried aconite, 5 don. Powder, make honey pills the size of a paulownia seed, and swallow a hundred on an empty stomach with warm wine or plain hot water. — Uihak Jeonggam 醫鑑 (Donguibogam · Pung)

Clinical commentary 臨床

Nominally a wind formula and actually a liver-and-kidney one, which is what the heading 中風熱證 obscures. Rehmannia at four nyang and tangkuei at two and a half carry the weight; gastrodia, achyranthes, eucommia and dioscorea are the sinew-and-bone group; and notopterygium and pubescent angelica are the only real wind drugs in it. A hundred pills a dose taken for months is the regimen, and the target is the patient years out from a stroke with stiff weak limbs — or, read without the wind framing, ordinary degenerative spine and joint disease. It is one of the chapter's few genuinely safe formulas. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.