寶鑑Bogam

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

Major Seven Qi Decoction

Daechilgi-tang

한글 대칠기탕  ·  Pinyin Da Qi Qi Tang

大七氣湯

The variant with rhubarb and areca for worm accumulation is recorded in the source text and translation rather than registered as a separate formula.

Composition 構成

Total 54 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

  • The five accumulations and six gatherings
  • Pain and distension of the heart and abdomen
  • Stool and urine inhibited

Biomedical correlates

  • Functional abdominal distension with constipation

Source text 原文

Donguibogam 東醫寶鑑

治五積六聚, 心腹痛脹, 二便不利. 三稜ㆍ蓬朮ㆍ靑皮ㆍ陳皮ㆍ桔梗ㆍ藿香ㆍ益智仁ㆍ香附子ㆍ肉桂ㆍ甘草 各一錢. 右剉, 作一貼, 薑三棗二, 水煎服. 一方, 加大黃ㆍ檳榔 各一錢, 治諸般痞積, 面色萎黃, 四肢無力. 皆緣內有蟲積, 或好食生米, 或壁土, 或茶, 炭, 醎辢等物. 只此一服, 除根, 用水煎露一宿, 空心, 溫服, 不得些少飮食. 不然則藥力減, 而蟲積不行矣. 服後, 心腹痛, 當下惡物, 如魚凍, 蟲鱉. 至日午, 下積盡, 方用溫粥, 止之. 《醫鑑》

Translation

Treats the five accumulations and six gatherings, with pain and distension of the heart and abdomen and stool and urine inhibited. Sparganium, curcuma, green tangerine peel, tangerine peel, platycodon, agastache, alpinia, cyperus, cinnamon bark and licorice 1 don each. Cut up, make one packet, add 3 slices of ginger and 2 jujubes, decoct in water and take. One version adds rhubarb and areca 1 don each and treats glomus accumulations of every kind, with a sallow yellow complexion and no strength in the four limbs. All of these follow from worm accumulation within, or from a liking for raw rice, or for wall earth, or for tea, charcoal, salty and pungent things. This one dose alone removes the root: decoct in water, leave it out overnight in the dew, and take warm on an empty stomach, allowing not the least food or drink. Otherwise the strength of the medicine is lessened and the worm accumulation will not move. After taking it there is pain in the heart and abdomen, and foul matter should be passed like fish jelly or like worms and turtles. By midday, when the accumulation is fully passed, warm congee is then used to stop it. — Gogeum Uigam 醫鑑 (Donguibogam · Jeokchwi)

Clinical commentary 臨床

Ten medicinals at a don apiece, no purgative, no mineral — a mild formula for a heading that elsewhere in this section produces croton frost and aconite. Agastache and alpinia in place of the usual attacking pair make it as much a stomach formula as an accumulation one. The variant is the interesting part. The described picture — sallow complexion, weakness, and a craving for raw rice, wall earth, charcoal — is pica, and the source reads it as a sign of worm accumulation. That association is a real clinical observation: pica accompanies iron deficiency, and heavy intestinal worm burden is a classical cause of it. The instruction to leave the decoction out overnight in the dew and take it on a wholly empty stomach reflects the same reasoning, that the worms must meet the medicine and nothing else. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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