Formulas · Regulate Qi 理氣 · Gogeum Uigam (古今醫鑑)

Push the Qi and Nourish the Blood Pill

Chuiggiyanghyeol-hwan

한글 추기양혈환 · Pinyin Tui Qi Yang Xue Wan

推氣養血丸

Composition 構成

Hyangbuja Xiang Fu
香附子 향부자 · Cyperus

80 g
Chief 君

便香附, child-urine processed
Danggui Dang Gui
當歸 당귀 · Korean Angelica

40 g
Chief 君
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

40 g
Deputy 臣
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

40 g
Deputy 臣

wine-fried (酒炒)
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

40 g
Deputy 臣

earth-fried (土炒)
Geongang Gan Jiang
乾薑 건강 · Dried Ginger

40 g
Deputy 臣

stir-fried black (炒黑)
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

24 g
Deputy 臣
Cheongpi Qing Pi
靑皮 청피 · Green Tangerine Peel

40 g
Assistant 佐

oil-fried (油炒)
Jinpi Chen Pi
陳皮 진피 · Aged Tangerine Peel

40 g
Assistant 佐
Jisil Zhi Shi
枳實 지실 · Immature Bitter Orange

40 g
Assistant 佐
Oyak Wu Yao
烏藥 오약 · Lindera

40 g
Assistant 佐
Hubak Hou Po
厚朴 후박 · Magnolia Bark

40 g
Assistant 佐
Singok Shen Qu
神麴 신곡 · Medicated Leaven

40 g
Assistant 佐
Baekgaeja Bai Jie Zi
白芥子 백개자 · White Mustard Seed

40 g
Assistant 佐

stir-fried (炒)
Samneung San Leng
三稜 삼릉 · Sparganium

32 g
Assistant 佐

vinegar-fried (醋炒)
Bongchul E Zhu
莪朮 봉출 · Zedoary

32 g
Assistant 佐

蓬朮, vinegar-fried (醋炒)
Maega Mai Ya
麥芽 맥아 · Barley Sprout

24 g
Assistant 佐

stir-fried (炒)
Mokhyang Mu Xiang
木香 목향 · Costus Root

12 g
Envoy 使

Total 684 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 a painful mass in the right ribside after delivery

Indications 主治

Pattern-based

After delivery
the right ribside swollen and distended with a lump like a taut cord
painful as soon as it meets cold

Biomedical correlates

Postpartum hypochondriac pain

Source text 原文

Donguibogam 東醫寶鑑

治産後右脇膨脹有塊, 如竪弦一條, 着冷便疼. 便香附二兩, 當歸ㆍ川芎ㆍ白芍藥(酒炒)ㆍ白朮(土炒)ㆍ靑皮(油炒)ㆍ陳皮ㆍ枳實ㆍ烏藥ㆍ厚朴ㆍ神麴ㆍ乾薑(炒黑)ㆍ白芥子(炒) 各一兩, 三稜ㆍ蓬朮(幷醋炒) 各八錢, 麥芽(炒)ㆍ肉桂各六錢, 木香三錢. 右爲末, 醋糊和丸梧子大, 空心, 以米飮呑下百丸. 《醫鑑》

Translation

Treats the right ribside after delivery swollen and distended with a lump like a taut cord, painful as soon as it meets cold. Child-urine processed cyperus 2 nyang; angelica, chuanxiong, white peony (wine-fried), white atractylodes (earth-fried), green tangerine peel (oil-fried), tangerine peel, bitter orange fruit, lindera, magnolia bark, medicated leaven, dry ginger (stir-fried black) and white mustard seed (stir-fried) 1 nyang each; sparganium and curcuma (both vinegar-fried) 8 don each; barley sprout (stir-fried) and cinnamon bark 6 don each; costus 3 don. Powder them, make pills with vinegar paste the size of a firmiana seed, and take a hundred on an empty stomach with rice broth. — Gogeum Uigam 醫鑑 (Donguibogam · Buin)

Clinical commentary 臨床

如竪弦一條 — like a taut cord standing upright — and 着冷便疼, painful as soon as it meets cold. The two signs distinguish this from the left-sided formula above: a cord rather than a lump, and cold rather than pressure bringing the pain on. Dry ginger stir-fried black is the marker. Charring makes it enter the blood and stop bleeding rather than simply warm, and its presence here says the right-sided mass is read as cold with stagnation rather than as liver fire. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.