Formulas · Invigorate Blood 活血祛瘀 · Dansim (丹心)

Peach Kernel Qi-Coordinating Decoction

Doinseunggi-tang

한글 도인승기탕 · Pinyin Tao Ren Cheng Qi Tang

桃仁承氣湯

Composition 構成

Daehwang Da Huang
大黃 대황 · Rhubarb

12 g
Chief 君
Doin Tao Ren
桃仁 도인 · Peach Kernel

—
Chief 君

ten, tips left on
Mangcho Mang Xiao
芒硝 망초 · Mirabilite

8 g
Deputy 臣
Yukgye Rou Gui
肉桂 육계 · Cinnamon Bark

8 g
Assistant 佐
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使

Total 32 g per packet (첩) · representative dosage — verify against source texts. Excludes 1 ingredient 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

Breaks static blood in the bladder
Purges blood heat downward

Indications 主治

Pattern-based

Blood bound in the bladder with urgent tight fullness of the lower abdomen
Blood heat with black stool
delirium and rinsing the mouth

Biomedical correlates

Pelvic inflammatory disease with mass
Retained clot after miscarriage

Source text 原文

Donguibogam 東醫寶鑑

治血結膀胱, 小腹結急ㆍ便黑ㆍ譫語ㆍ漱水, 宜此攻之. 大黃三錢, 桂心ㆍ芒硝各二錢, 甘草一錢, 桃仁(留尖) 十枚. 右剉, 作一貼, 水煎, 入芒硝, 溫服. 以瘀血盡下爲度. 《丹心》

Translation

Treats blood bound in the bladder with tight urgent fullness of the lower abdomen, black stool, delirious speech and rinsing the mouth; this should be used to attack it. Rhubarb, 3 don; cinnamon heartwood and mirabilite, 2 don each; licorice, 1 don; peach kernel with the tips left on, ten. Cut up, make one packet, decoct in water, add the mirabilite and take warm. The measure of the dose is that the static blood is wholly brought down. — Dansim 丹心 (Donguibogam · Han, lower)

Clinical commentary 臨床

Regulated Stomach Qi-Coordinating Decoction with peach kernel and cinnamon added, which is the classic way to turn a bowel purgative into a blood purgative. Cinnamon is the piece that makes it work and the piece most often dropped by the cautious: warm and acrid in a formula otherwise cold, it opens the vessels so that the rhubarb and mirabilite have somewhere to carry the blood out through. Mirabilite added off the heat, as always. The endpoint the text gives — dose until the static blood is all down — is the honest instruction for this class, and in practice means watching the stool. Still in use for retained clot and for pelvic masses with heat signs. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.