Formulas · Invigorate Blood 活血祛瘀 · Buin Daejeon Yangbang (婦人大全良方)

Peach Kernel, Cinnamon and Angelica Pill

Dogyedanggwi-hwan

한글 도계당귀환  ·  Pinyin Tao Gui Dang Gui Wan

桃桂當歸丸

Composition 構成

Total 70 g per packet (첩) · representative dosage — verify against source texts. Excludes 2 ingredients measured by count or used as a vehicle, shown as —.

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 lochia flowing and suddenly cut off
  • with sudden chills and fever and pain in the navel
  • abdomen and all the vessels like the stab of an awl

Biomedical correlates

  • Retained lochia
  • Endometritis

Source text 原文

Donguibogam 東醫寶鑑

治産後惡露方行, 忽然斷絶, 驟作寒熱, 臍腹百脉皆痛, 狀如錐刺. 桂心ㆍ赤芍藥 各五錢, 當歸ㆍ桃仁ㆍ沒藥 各二錢半, 䖟蟲ㆍ水蛭(幷炒) 各三十枚. 右爲末, 醋麪糊和丸豌豆大, 醋湯下三十丸. 《良方》

Translation

Treats the lochia flowing and suddenly cut off, with sudden chills and fever and pain in the navel, abdomen and all the vessels like the stab of an awl. Cinnamon heart and red peony 5 don each; angelica, peach kernel and myrrh 2 don 5 pun each; tabanus and leech (both stir-fried) thirty each. Powder them, make pills with vinegar-flour paste the size of a pea, and take thirty down with vinegar decoction. — Buin Daejeon Yangbang 良方 (Donguibogam · Buin)

Clinical commentary 臨床

忽然斷絶 — the lochia flowing and suddenly cut off — with fever and severe pain is what modern obstetrics calls lochiometra with endometritis, and the chapter's reading, that blood has been dammed, matches the mechanism. Tabanus and leech together are the tradition's strongest blood-breaking pair, reserved for amassed blood that will not move. The Bogam uses them rarely. **Fever with abdominal pain and cessation of lochia is postpartum sepsis and requires urgent antibiotic treatment.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.

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