Formulas · Release the Exterior 解表 · Dongwon (東垣)

Major Notopterygium Decoction for Doubly-Affected Cold Damage

Dae-ganghwal-tang

한글 대강활탕 · Pinyin Da Qiang Huo Tang

大羌活湯

Registered with the chapter suffix to distinguish it from the 大羌活湯 of the Wind chapter, which treats wind damp joint swelling and has a different composition.

Composition 構成

Saengjihwang Sheng Di Huang
生地黃 생지황 · Raw Rehmannia

4 g
Chief 君
Ganghwal Qiang Huo
羌活 강활 · Notopterygium

2.8 g
Chief 君
Bangpung Fang Feng
防風 방풍 · Siler

2.8 g
Chief 君
Jimo Zhi Mu
知母 지모 · Anemarrhena

4 g
Deputy 臣
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

4 g
Deputy 臣
Dokhwal Du Huo
獨活 독활 · Aralia

2.8 g
Deputy 臣
Banggi Fang Ji
防己 방기 · Sinomenium

2.8 g
Deputy 臣
Changchul Cang Zhu
蒼朮 창출 · Atractylodes Lancea

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

2.8 g
Deputy 臣
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

2.8 g
Assistant 佐
Hwangnyeon Huang Lian
黃連 황련 · Coptis

2.8 g
Assistant 佐
Sesin Xi Xin
細辛 세신 · Asarum

2 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

2 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

Resolves doubly-affected cold damage
and cold damage showing a wind pulse or wind damage showing a cold pulse with fever
aversion to cold
no sweating
headache and a stiff nape
Given where yin and yang are already distinguished and the yang signs predominate

Indications 主治

Pattern-based

Cold damage with exterior and interior both affected and yang predominant
Wind cold with interior heat

Biomedical correlates

Severe influenza
Undifferentiated febrile illness

Source text 原文

Donguibogam 東醫寶鑑

解利兩感傷寒, 或傷寒見風脉ㆍ傷風見寒脉, 發熱ㆍ惡寒ㆍ無汗ㆍ頭痛ㆍ項强等證. 生地黃ㆍ知母ㆍ川芎各一錢, 羌活ㆍ防風ㆍ獨活ㆍ防己ㆍ黃芩ㆍ黃連ㆍ蒼朮ㆍ白朮各七分, 細辛ㆍ甘草各五分. 右剉, 作一貼, 水煎服. 未解, 再服三四貼. 《東垣》 ○此方治陰陽已分ㆍ陽證多者, 宜服. 《入門》

Translation

Resolves doubly-affected cold damage; or cold damage showing a wind pulse and wind damage showing a cold pulse, with fever, aversion to cold, no sweating, headache and a stiff nape. Raw rehmannia, anemarrhena and chuanxiong, 1 don each; notopterygium, saposhnikovia, pubescent angelica, stephania, scutellaria, coptis, atractylodes lancea and atractylodes, 7 fun each; asarum and licorice, 5 fun each. Cut up, make one packet and decoct in water. If it does not resolve, take three or four more packets. This prescription treats the case where yin and yang are already distinguished and the yang signs predominate. — Dongwon 東垣 · Uihak Immun 入門 (Donguibogam · Han)

Clinical commentary 臨床

Li Dongyuan's formula, and the Immun's note pairs it with the preceding entry as a matched choice: where yin and yang cannot yet be told apart, use Tao's probing decoction; where they can and the yang signs predominate, use this. The construction differs accordingly — raw rehmannia and anemarrhena lead rather than the surface drugs, and coptis and scutellaria give it a cooling interior that Tao's formula lacks. The instruction to repeat three or four packets if it does not resolve is the kind of dosing note that shows the formula was used on real cases rather than copied from a list. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.