Gardenia, Fermented Soybean and Rhubarb Decoction

Chisijihwang-tang

한글 치시지황탕 · Pinyin Zhi Chi Zhi Huang Tang

梔豉枳黃湯

Composition 構成

Damdusi Dan Dou Chi
淡豆豉 담두시 · Prepared Soybean

20 g
Chief 君
Daehwang Da Huang
大黃 대황 · Rhubarb

12 g
Chief 君
Chija Zhi Zi
梔子 치자 · Gardenia

4 g
Chief 君
Jigak Zhi Qiao
枳殼 지각 · Bitter Orange

4 g
Deputy 臣
Siho Chai Hu
柴胡 시호 · Bupleurum

4 g
Deputy 臣

Total 44 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

Vents heat from the chest and drains it through the bowel
Resolves relapse brought on by eating

Indications 主治

Pattern-based

Relapse of cold damage after eating with fever
Food stagnation with residual heat

Biomedical correlates

Relapsing fever after dietary indiscretion in convalescence

Source text 原文

Donguibogam 東醫寶鑑

治食復發熱. 梔子ㆍ枳殼ㆍ柴胡各一錢, 香豉五錢, 大黃三錢. 右剉, 水煎服. 腹脹加厚朴, 傷肉加山査, 傷麪飯加神麴. 《入門》

Translation

Treats relapse from eating with fever. Gardenia, bitter orange and bupleurum, 1 don each; fermented soybean, 5 don; rhubarb, 3 don. Cut up and decoct in water. For abdominal distension add magnolia bark; for damage from meat add crataegus; for damage from noodles or cooked rice add medicated leaven. — Immun 入門 (Donguibogam · Han, lower)

Clinical commentary 臨床

The companion to the exertion formula, for relapse brought on by eating instead, and rhubarb is what distinguishes them: food relapse needs the bowel opened, exertion relapse does not. The three modifications are a small course in the Bogam's dietetics — magnolia bark for distension, crataegus for meat, medicated leaven for grain and noodles — and they are still the standard pairings. A convalescent stomach cannot handle a full meal, and the Bogam treats the resulting fever as a real relapse rather than mere indigestion, which is why gardenia, bupleurum and fermented soybean stay in the formula alongside the digestive work. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.