Formulas · Tonify Blood 補血 · Uihak Jeongjeon (醫學正傳)

Tangkuei and Rehmannia Decoction for Tetany from Blood Loss

Danggwi-jihwang-tang

한글 당귀지황탕 · Pinyin Dang Gui Di Huang Tang

當歸地黃湯

Registered with the chapter suffix to distinguish it from the 當歸地黃湯 of the Jeongjeon for gestational pain, a two-drug formula. 地黃 unqualified is taken as raw rehmannia here, as the indication is blood loss.

Composition 構成

Danggui Dang Gui
當歸 당귀 · Korean Angelica

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

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

4 g
Deputy 臣
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

4 g
Deputy 臣
Gobon Gao Ben
藁本 고본 · Ligusticum Root

4 g
Assistant 佐
Bangpung Fang Feng
防風 방풍 · Siler

4 g
Assistant 佐
Baekji Bai Zhi
白芷 백지 · Dahurian Angelica

4 g
Assistant 佐
Sesin Xi Xin
細辛 세신 · Asarum

2 g
Assistant 佐

Total 30 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 lockjaw developed from excessive loss of blood
Nourishes the blood

Indications 主治

Pattern-based

Blood collapse with wind and tetany
Blood vacuity after haemorrhage with rigidity

Biomedical correlates

Tetany after haemorrhage
Post-haemorrhagic seizure

Source text 原文

Donguibogam 東醫寶鑑

治亡血過多, 變成破傷風, 宜養血. 當歸ㆍ地黃ㆍ芍藥ㆍ川芎ㆍ藁本ㆍ防風ㆍ白芷各一錢, 細辛五分. 右剉, 作一貼, 水煎服. 《正傳》

Translation

Treats loss of blood in excess that has turned into lockjaw; the blood should be nourished. Tangkuei, rehmannia, peony, chuanxiong, ligusticum sinense, saposhnikovia and angelica dahurica, 1 don each; asarum, 5 fun. Cut up, make one packet and decoct in water. — Uihak Jeongjeon 正傳 (Donguibogam · Pung)

Clinical commentary 臨床

The four-substance decoction with four wind drugs added, for the patient whose rigidity follows a haemorrhage. That aetiology — tetany from blood loss rather than from a wound — is the right one to separate out, and the instruction attached to it is unambiguous: nourish the blood. It is also the correct modern reading, since the tetany of acute blood loss is a metabolic consequence and not an infection. One of the better-reasoned entries in the section. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.