寶鑑Bogam

Formulas · Clear Heat 淸熱 · Uigam (醫鑑)

Seven-Ingredient Licorice and Platycodon Decoction

Chilmigamgil-tang

한글 칠미감길탕  ·  Pinyin Qi Wei Gan Jie Tang

七味甘桔湯

The transcription writes 醫鍳 and 䑕粘子; 醫鑑 and 鼠粘子 are printed, both on the project variant-glyph list. hanrom.py cannot settle this name unaided — it returns chilmigamgil-tang, which is right, but the reading was checked by hand because the name is one of the five in this round's list to be read without the tool; the id is free. The leaf carries no 治 line; the indication is in the section prose above it, 痘愈後咽喉腫痛, 宜服七味甘桔湯. The base pair it is named from, 甘桔湯, is registered as gamgil-tang. 鼠粘子 resolves to ubangja and also appears in the 護眼 一方 leaf of this same round.

Composition 構成

Total 10 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

  • 痘愈後咽喉腫痛 — the throat swollen and painful after the pox has healed

Biomedical correlates

  • Pharyngitis and pharyngeal ulceration in convalescence from smallpox (historical)
  • Sore throat with swelling in a child — airway to be assessed

Source text 原文

Donguibogam 東醫寶鑑

甘草ㆍ桔梗 各五分, 防風ㆍ玄參ㆍ鼠粘子ㆍ升麻ㆍ射干 各三分. 右剉, 水煎服. 《醫鑑》

Translation

Licorice and platycodon, 5 fun each; saposhnikovia, scrophularia, burdock seed, cimicifuga and belamcanda, 3 fun each. Cut the above up, decoct in water and take. — Uigam 醫鑑 (Donguibogam · Soa)

Clinical commentary 臨床

Gamgil-tang with five additions, and the name simply counts the drugs. Licorice and platycodon at 5 fun are the throat pair this tradition has used for a sore throat since the Shanghanlun, and they are the only two given double weight; saposhnikovia and cimicifuga lift and disperse, scrophularia cools and moistens, burdock seed and belamcanda are the two drugs aimed hardest at a swollen throat. The whole decoction comes to about ten grams of dry material, which is a small quantity by this chapter's standards and is appropriate to a child. The complaint is real. Smallpox covered the pharynx and larynx with lesions — the reason the disease spread by droplet in the first place — and those lesions were the main reason children stopped swallowing. In convalescence the healing ulceration left a throat that was still swollen and still hurt, and 1.85.2 咽喉痛 treats the same thing during the illness. A soothing, mildly anti-inflammatory decoction is a reasonable thing to give for it, and this is about as good as the chapter gets at that: nothing in the formula is dangerous at these weights, and the licorice would genuinely have coated a raw throat. **Licorice is the largest component. Glycyrrhizin causes pseudohyperaldosteronism — sodium retention, potassium loss and raised blood pressure — with sustained intake, and a child reaches a given intake per kilogram far sooner than an adult does; the weights here are small, but the leaf gives no limit on how long it is taken. The leaf gives a fixed weight for each drug and nothing scaled to the child. This chapter gives no dose by weight anywhere; where it scales a dose at all it scales it by age, which does not track the body mass that actually governs how a child handles a drug. And the thing that matters clinically is not the drug: a child with a swollen, painful throat who is drooling, cannot swallow, has a muffled voice or is making any noise on breathing in has an airway that is narrowing, and that is an emergency to be seen now and not an indication for a decoction.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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