Formulas · Dispel Wind-Damp 祛風濕 · Uihak Jeongjeon (醫學正傳)

Major Notopterygium Decoction

Dae-ganghwal-tang

한글 대강활탕 · Pinyin Da Qiang Huo Tang

大羌活湯

風濕相搏 — wind and damp contending — is the Jinkui's phrase for the pattern of joint swelling with restricted movement.

Composition 構成

Ganghwal Qiang Huo
羌活 강활 · Notopterygium

6 g
Chief 君
Dokhwal Du Huo
獨活 독활 · Aralia

4 g
Chief 君
Seungma Sheng Ma
升麻 승마 · Cimicifuga

6 g
Deputy 臣
Changchul Cang Zhu
蒼朮 창출 · Black Atractylodes

2.8 g
Deputy 臣
Bangi Fang Ji
防己 방기 · Sinomenium

2.8 g
Deputy 臣
Wiryeongseon Wei Ling Xian
威靈仙 위령선 · Clematis

2.8 g
Deputy 臣
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

2.8 g
Assistant 佐
Danggui Dang Gui
當歸 당귀 · Korean Angelica

2.8 g
Assistant 佐
Jeokbokryeong Chi Fu Ling
赤茯苓 적복령 · Poria (red)

2.8 g
Assistant 佐
Taeksa Ze Xie
澤瀉 택사 · Alisma

2.8 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

2.8 g
Envoy 使

Total 38.4 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 damp contending with the joints of the limbs swollen and painful and unable to bend or stretch
Dispels wind and drains damp from the joints

Indications 主治

Pattern-based

Wind damp contending in the joints with swelling and pain
Damp heat in the joints

Biomedical correlates

Acute polyarthritis
Rheumatoid arthritis flare

Source text 原文

Donguibogam 東醫寶鑑

治風濕相搏, 肢節腫痛, 不可屈伸. 羌活ㆍ升麻各一錢半, 獨活一錢, 蒼朮ㆍ防己ㆍ威靈仙ㆍ白朮ㆍ當歸ㆍ赤茯苓ㆍ澤瀉ㆍ甘草各七分. 右剉, 作一貼, 水煎服. 《正傳》

Translation

Treats wind and damp contending with each other, the joints of the limbs swollen and painful and unable to bend or stretch. Notopterygium and cimicifuga, 1 don 5 fun each; pubescent angelica, 1 don; atractylodes lancea, stephania, clematis, atractylodes, tangkuei, red poria, alisma and licorice, 7 fun each. Cut up, make one packet and decoct in water. — Uihak Jeongjeon 正傳 (Donguibogam · Pung)

Clinical commentary 臨床

Eleven drugs and a clear structure: the two notopterygiums and cimicifuga to lift the wind out above, and stephania, alisma, red poria and the two atractylodes to drain the damp out below. Nothing in it is warm and nothing in it supplements, which marks it for the acute swollen joint rather than the chronic one — and that is precisely where it is still used. The absence of aconite in a formula of this section is worth noting on its own. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.