Major Large-Leaf Gentian Decoction

Dae-jingyo-tang

한글 대진교탕 · Pinyin Da Qin Jiao Tang

大秦芃湯

Composition 構成

Jingyo Qin Jiao
秦艽 진교 · Large Gentian

4 g
Chief 君
Saengjihwang Sheng Di Huang
生地黃 생지황 · Raw Rehmannia

2.8 g
Chief 君
Sukjihwang Shu Di Huang
熟地黃 숙지황 · Prepared Rehmannia

2.8 g
Chief 君
Danggui Dang Gui
當歸 당귀 · Korean Angelica

2.8 g
Chief 君
Baekjakyak Bai Shao
白芍藥 백작약 · White Peony

2.8 g
Chief 君
Seokgo Shi Gao
石膏 석고 · Gypsum

4 g
Deputy 臣
Ganghwal Qiang Huo
羌活 강활 · Notopterygium

2.8 g
Deputy 臣
Dokhwal Du Huo
獨活 독활 · Aralia

2.8 g
Deputy 臣
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

2.8 g
Deputy 臣
Bangpung Fang Feng
防風 방풍 · Siler

2.8 g
Deputy 臣
Sesin Xi Xin
細辛 세신 · Asarum

1.2 g
Deputy 臣
Baekji Bai Zhi
白芷 백지 · Dahurian Angelica

2.8 g
Assistant 佐
Hwanggeum Huang Qin
黃芩 황금 · Scutellaria

2.8 g
Assistant 佐
Baekbokryeong Fu Ling
白茯苓 백복령 · Poria (white)

2.8 g
Assistant 佐
Baekchul Bai Zhu
白朮 백출 · White Atractylodes

2.8 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

2.8 g
Envoy 使

Total 45.6 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 stroke with no six-channel signs without and no blockage of stool and urine within
Nourishes the blood so that the sinews flourish of themselves
Treats hands and feet that cannot move and a stiff tongue that cannot speak

Indications 主治

Pattern-based

Blood vacuity failing to nourish the sinews after wind stroke

Biomedical correlates

Post-stroke hemiplegia
Aphasia

Source text 原文

Donguibogam 東醫寶鑑

治中風, 外無六經之形證, 內無便尿之阻隔, 知爲血弱不能養筋, 故手足不能運動, 舌强不能言語. 宜養血而筋自榮, 此主之. 秦芃ㆍ石膏各一錢, 羌活ㆍ獨活ㆍ川芎ㆍ白芷ㆍ生地黃ㆍ熟地黃ㆍ當歸ㆍ白芍藥ㆍ黃芩ㆍ白茯苓ㆍ防風ㆍ白朮ㆍ甘草各七分, 細辛三分. 右剉, 作一貼, 水煎服, 不拘時. 《易老》

Translation

Treats wind stroke with no six-channel signs without and no blockage of stool and urine within: one knows it to be the blood weak and unable to nourish the sinews, and therefore the hands and feet cannot move and the tongue is stiff and cannot speak. The blood should be nourished and the sinews flourish of themselves; this formula governs it. Large-leaf gentian and gypsum, 1 don each; notopterygium, pubescent angelica, chuanxiong, angelica dahurica, raw rehmannia, cooked rehmannia, tangkuei, white peony, scutellaria, white poria, saposhnikovia, white atractylodes and licorice, 7 fun each; asarum, 3 fun. Cut up, make one packet and decoct in water, at any hour. — Yeokro 易老 (Donguibogam · Pung)

Clinical commentary 臨床

Yeokro's formula and the clearest statement in the chapter of the diagnosis by exclusion that the three-way scheme makes possible: nothing at the exterior, nothing blocked within, therefore the blood is too weak to feed the sinews. Nourish the blood and the sinews flourish of themselves — which licenses the Four Substances quartet as the core of a wind formula, with the wind drugs reduced to escorts. It is still prescribed under this name for post-stroke hemiplegia, and of the chapter's major formulas it is the one whose logic translates most readily. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.